Where can I find out more about laser surgery for ocular hypertension?!


Question: I think it is called that, my grandfather has had it done once in one eye and twice in the other eye over a 6 month period. He is nearly 69 and is concerned about repeated treatment if this becomes necessary. Can it cause problems if repeated?. He is asking the person doing the operation but says he forgets the information given to him.


Answers: I think it is called that, my grandfather has had it done once in one eye and twice in the other eye over a 6 month period. He is nearly 69 and is concerned about repeated treatment if this becomes necessary. Can it cause problems if repeated?. He is asking the person doing the operation but says he forgets the information given to him.

As far as I am aware, and the site below largely seems to confirm, there are very few risks to the laser surgery itself, or even complications arising from it.
Transient reactions appear to be the main ones.

And it appears to carry no great increased risk from it being a repeated operation:
"Abstract:
The efficacy and safety of trabeculectomy surgery was assessed for treatment of uncontrolled open-angle glaucoma in eyes previously treated with just topical medication (118 eyes) or argon laser trabeculoplasty (65 eyes). Trabeculectomy after failure of argon laser trabeculoplasty has proved to be as effective and safe as trabeculectomy without prior laser application. "

The principal concern is if the technique does not deliver the hoped-for reduction in intraocular pressure when, although there are other surgical possibilities available, these do tend to be more intrusive.

I have just had this done . My surgeon told me sometimes you have to have the treatment done twice to ensure you have the correct reduction in pressure. It is not a full time cure some people get relief for up to 2 years then have to look at other options. I have also had a surgical trabeculectomy and that did not work long term on me either. The only advice I can give you is to tell him to use his drops and keep his appointments. Don't worry about the repeating the treatment.





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