Occasionally the superficial sutures may be the cause of this. They are easily removed in the clinic during a follow-up visit.
During surgery your eye will be numb, so you should not experience any pain. After surgery there might be some discomfort which should settle with the drops you will be asked to put in your eyes.
It usually takes approximately one hour, or a bit longer if it is performed under general anaesthesia.
This varies according to the complexity of the case. I create a for plan surgery and post operative follow for every patient individually.
The risks of trabeculectomy include infection, bleeding in the eye, reduced or loss of vision, low eye pressure, failure due to scarring, precipitation of cataract, droopy eyelid. During the preoperative consultation we will discuss in detail all the benefits and risks of the procedure, including all alternative options, so you can make an informed decision.
Usually not, but in some cases, you may need drops for a few days for inflammation or raised eye pressure.
You should not drive on the day of the procedure because you will need dilating drops which may blur your vision for several hours after the laser. You should be able to drive the following day, provided you fulfil the criteria for driving.
The laser can occasionally cause some “dents” on the lens but they usually don’t affect the vision.
It is rare that YAG laser requires repeated treatment. However, if the membrane doesn’t break completely in one go, so the laser is repeated.
Alternatives include the standard glaucoma surgery (trabeculectomy), but this carries more risk than the iStent procedure.