Often people don’t notice these blind areas until much optic nerve damage has already occurred. If the entire nerve is destroyed, blindness results. Early detection and treatment by your ophthalmologist are the keys to preventing optic nerve damage and blindness from glaucoma.
Occasionally, patients require additional sedation. Postoperatively, medications (anti-inflammatories and antibiotic eyedrops) are prescribed. A protective shield may also be worn for a short period of time. Your doctor will probably caution you not to rub your eye following surgery.
A follow-up appointment is usually made for the day after surgery. Patients are most often able to return to their normal activities within 24 hours. Additional visits will be scheduled as recommended by your doctor.
Within 6 to 9 months, the AquaFlow is slowly resorbed; leaving a porous matrix of tissue in the space created by the doctor, allowing fluid to continue to drain from the eye to keep intraocular pressure low.
Surgery is done in an outpatient operating room with a local anesthetic injection. The conjunctiva, the mucous membrane overlying the white part of the eye, is incised and dissected off the eye. A small trapdoor flap is then created in the sclera, the thicker white part of the eye underlying the conjunctiva. Beneath this flap a tiny hole is created to allow fluid to flow out of the eye. The trapdoor flap is then gently stitched down so that the fluid coming out of the eye is controlled. The conjunctiva is subsequently stitched back in place in a watertight fashion so the fluid from the eye collects beneath it, forming a small elevation called a bleb.
After surgery, frequent eye drops are needed to promote controlled healing. Careful postoperative monitoring is needed to prevent infection, scarring, or leaking from the incision. Often, the stitches holding the trapdoor flap in place will be selectively cut using a laser to permit adequate fluid flow beneath the flap.
Capsulotomy for Cataract Surgery
The Fugo Blade provides superior control for opening poorly visible and excessively elastic lens capsules, thereby increasing the safety of cataract surgery. Some researchers have found that this form of lens capsule opening may improve edge strength. The added stability and durability can be especially useful for pediatric cataracts.
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