Tuesday, April 22, 2008
What to Expect
Previous to the Procedure:
Continue being put drops for the eyes, unless its doctor have him indicated another thing If are going to practice him the technique of the incision, his doctor probably will recommend him not to take aspirin, products that contain aspirin and anti-inflammatory medicines (for example. ibuprofen) or some products nudists (of herbs) 10 days before the procedure Assure its transportation to go and to come fromthe procedure
During the Procedure - Anesthesia; a small instrument that is put in the eyes and maintains the open eyelids.
Anesthesia - Drops to go to sleep the eye, local anesthesia or sedation. The general anesthesia is used under certain circumstances.
Description of the Procedure - they Exist two common types of surgery of glaucoma, laser beam and incision. Both they are practiced like procedures in outpatients.
Surgery of Laser - three main forms of surgery of laser Exist.
Trabeculoplatía of laser of argon (ALT by its acronyms in English) Is the most common method of surgery of laser and generally is used for the processing of the glaucoma of open angle. During this procedure you sit down set against the machine of laser. A "point" of laser applies to a special contact lens that is held set against the eye and that reflects in the netting of drainage inside the eye. You will see red or green sparkles of lights while applies the laser. This procedure permits that free itself more liquid and alleviates something of the pressure.
Trabeculoplastía of selective laser (SLT by its acronyms in English) is a relatively new processing with a similar technique to the ALT.
Iridotomía of peripheral laser (LPI by its acronyms in English) is utilized often for the processing of the glaucoma of narrow angle or to prevent attacks of glaucoma in patients with anatomical narrow angles. The glaucoma of narrow angle is presented when the angle that is found between the cornea and the iris (the part of color in the eye) is very small. This can cause that the iris "cover" the netting of drained inside the eye, impeding that the liquids flow freely. This can cause that the pressure ocular rise to levels very very fast dangers. In the LPL, the surgeon utilizes the laser to do a small hole in the iris, what permits that the liquid flow freely inside the eye.
Ciclofotocoagulación freezes the parts selected of the eye that produce the watery humor and therefore, reduces the production of the liquid. This procedure is done only in the people that have a severe damage due to the glaucoma and for who other surgeries did not turn out to be successful. Instead of the frostbite, this procedure can be done with laser.
Surgery of Incision - Also known as surgery of filtered, the surgery of incision requires of instrumental very thin and fine to remove a small part of the wall of the eye, leaving a tiny hole. The watery humor can drain toward outside through the hole and to be reabsorbed in the bloodstream. This reduces the ocular pressure. In some cases, the surgeon can put a valve in the eye through a small incision. Some types of these valves act as regulators of the accumulation of liquid in the eye. When the ocular pressure rises a lot, the valve is opened and permits that the liquid flow toward outside and be reabsorbed.
After the Procedure - Exam of the eye, of the ocular pressure, drops for the eyes, patch
How much is going to Last? Generally less than one hour, in spite of the fact that to the people that are going to practice the procedure of incision is recommended them a period from 4 to 8 hours since the moment of the arrival to the exit of the doctor's office.
It will hurt? The majority of the patients they report pain in none of the procedure (due to that is given them local anesthesia) nevertheless, can have something of ardor and punctured with the ALT and the UPI. Some patients report light inconveniences during the procedure.
Possible Complications:
Sensibility to the Changes stinging feeling light done not desire in the pressure intraocular Eyes reddenedand inflamed Loss Bled Inflammation Infection of the view Loss of the eye Need of more surgeries.
Approximate time of stay in the Hospital - None
Cared for Postoperative:
If they give a patch or sell, use it as it is indicated its doctor Utilize the drops for the eyes that him there they be recetado; these drops help to prevent infectionsand inflammation Avoid to carry out activities that expose its eye to the water like to swim or to be showered is Abstained to charge heavy things. to do efforts or tohandle until be permitted it its I medicate Continue the suggestions of its surgeon on when the exercise and other activities
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