Trabeculectomy
Question:
My ophthalmologist did a similar routine with me several years ago, but not for 12 hours. He took the pressures at 8 am, 10 am, noon, 2 pm, 4pm and 6 pm. I spent the day wandering the neighborhood (upper East Side of Manhattan) and reading. Test showed my pressures didn’t vary at all. Good luck with yours. Don – Hide quoted text — Show quoted text -John wrote: > On Fri, 3 Nov 2000 22:50:16 -0000, "Stephen Spence" > <stephen.spe…@btinternet.nospam.com> wrote: > >I would suggest to Sherry to go in for a days testing and have the pressure > >checked every couple of hours for 12 hours to see what is really going on. > And where, pray tell, could one get this done? Certainly not by any > ophthalmologist I have known. > John
Response:
Just a little follow-up on my surgery of last Tuesday. Except for a couple of hours after all the meds wore off following surgery, I’ve been surprisingly pain free! All these drops are really annoying, as is the way my vision fluctuates. I use Inflamase Forte every two hours while awake, Ocuflox four times a day (to drop to twice a day tomorrow) and Atropine before bed. I still use Xalatan in the unoperated eye, but not the operated eye. Mornings are the worst for my vision – it’s either blurry or like I’m underwater (probably because of the tearing!) but in the afternoon it seems to settle down and I can see fairly good. I can only spend a limited time at the computer and can’t do much reading, esp in the am. Daytime TV is really boring! Since I rely on my reading vision so much for work (I work in Medical Records!), I’ve only worked a couple hours since the surgery. Another follow-up visit in Monday to see how it’s going. Sherry
Response:
I just got done with one yesterday. My pressure went down to from about 40 to 4. It works. Its just not as pleasant as laser surgery. <bnbmill…@earthlink.net> wrote in message
news:39071BDD.8D003305@earthlink.net… Would someone tell me what to expect after a trabeculectomy. Does it really work.For how long?What side effects to expect? Thanks
Response:
I guess I fail to see the benefit of the testing, unless it’s something like doing a glycohemoglobin for diabetes. That’s a more valid indicator of blood sugar control than a fingerstick. My opth did say that pressures vary throughout the day and at my last reading at the consulting opth’s office, the pressure was higher than it had been running. In my case, there’s damage to the optic nerve with some deterioration of vision, pressures are running on the high side of normal and I have high myopia, which can also cause damage. The thought is to bring the pressure down as much as possible to lessen the damage. If drugs can’t do it, then it seems to reason that surgery would be the only other option. Tuesday’s the day… Sherry hsh…@ix.netcom.com (H. Haicken) wrote in <3A0DC461.CD3BF…@ix.netcom.com>: – Hide quoted text — Show quoted text ->I have had it done a Columbia Presbyterian Hospital in NYC – also with >a local optomtrist in Putnam Co. NY. Seek and ye shall find. >Hal >John wrote: >> On Fri, 3 Nov 2000 22:50:16 -0000, "Stephen Spence" >> <stephen.spe…@btinternet.nospam.com> wrote: >> >I would suggest to Sherry to go in for a days testing and have the >> >pressure checked every couple of hours for 12 hours to see what is >> >really going on. >> And where, pray tell, could one get this done? Certainly not by any >> ophthalmologist I have known. >> John
Response:
I think any decent opthalmologist ought to be able to organise this. I had it done on a Day Care ward in Moorfields Hospital (the nurses there are trained to do this). "John" <n…@none.com> wrote in message
news:3VkDOok7YRDTyob26i+3evO5BSf6@4ax.com… – Hide quoted text — Show quoted text -> On Fri, 3 Nov 2000 22:50:16 -0000, "Stephen Spence" > <stephen.spe…@btinternet.nospam.com> wrote: > >I would suggest to Sherry to go in for a days testing and have the pressure > >checked every couple of hours for 12 hours to see what is really going on. > And where, pray tell, could one get this done? Certainly not by any > ophthalmologist I have known. > John
Response:
Have you just had the one surgery? Any need for a re-do??? PHol…@aol.com wrote in <b2.c97b324.272ef…@aol.com>: – Hide quoted text — Show quoted text ->I had a trab done when I was 35, 11 yrs. ago. My IOP was spiking at 45, >now it is 25, with meds. Seems to do the trick!
Response:
Would someone tell me what to expect after a trabeculectomy. Does it really work.For how long?What side effects to expect? Thanks
Response:
GHI covered the testing. Hal – Hide quoted text — Show quoted text -C’est Moi wrote: > I doubt we’d find insurance companies willing to pay for something like > this here in the States!! I shudder when I see the types of surgeries done > on an outpatient basis – patients being sent home a couple hours after > surgery, and how quickly they’re moved on out of the hospital after a more > extensive surgery! I work in a nursing home that has a sub-acute floor and > I’m never ceased to be amazed at how ill these people are when they’re > transferred from the hospital to us for rehab. > stephen.spe…@btinternet.nospam.com (Stephen Spence) wrote in > <8u1lj5$5g…@neptunium.btinternet.com>: > >I think any decent opthalmologist ought to be able to organise this. I had > >it done on a Day Care ward in Moorfields Hospital (the nurses there are > >trained to do this). > >"John" <n…@none.com> wrote in message > >news:3VkDOok7YRDTyob26i+3evO5BSf6@4ax.com… > >> On Fri, 3 Nov 2000 22:50:16 -0000, "Stephen Spence" > >> <stephen.spe…@btinternet.nospam.com> wrote: > >> >I would suggest to Sherry to go in for a days testing and have the > >pressure > >> >checked every couple of hours for 12 hours to see what is really going > >on. > >> And where, pray tell, could one get this done? Certainly not by any > >> ophthalmologist I have known. > >> John
Response:
"John" <n…@none.com> wrote in message
news:m0z+Ob4DVtA9H4wPUuLoofh+Idoa@4ax.com… – Hide quoted text — Show quoted text -> On 26 Oct 2000 19:34:58 -0700, TansyRagw…@netscape.net (C’est Moi) wrote: > >I just learned more about this procedure than I ever wanted to know because > >I just found out that I’m going to have to have it done. I was diagnosed 5 > >years ago. I’m also a high myope (-12.25 in the worst eye). The specialist > >said even though my pressures have been running around 17 with meds, there > >has been some progression of optic nerve damage (visual fields are ok) and > >he feels that the trabeculectomy is the way to go, even though I’m only 54. > >I’d love to hear success stories about this procedure! > >Sherry > What you need is a second opinion. > John
I would suggest to Sherry to go in for a days testing and have the pressure checked every couple of hours for 12 hours to see what is really going on. Also, what medication are you on? Some are better than others and some have progressive release. I had this ‘phasing’ test done and my IOP was fluctuating wildly. I had the Trab in May 1983 and it’s been OK until very recently (in my case tha bleb has moved out of position slightly but I am still off medication).
Response:
I have had it done a Columbia Presbyterian Hospital in NYC – also with a local optomtrist in Putnam Co. NY. Seek and ye shall find. Hal – Hide quoted text — Show quoted text -John wrote: > On Fri, 3 Nov 2000 22:50:16 -0000, "Stephen Spence" > <stephen.spe…@btinternet.nospam.com> wrote: > >I would suggest to Sherry to go in for a days testing and have the pressure > >checked every couple of hours for 12 hours to see what is really going on. > And where, pray tell, could one get this done? Certainly not by any > ophthalmologist I have known. > John
Response:
Sherry, Good luck Tuesday! You’ll be in our prayers. Don – Hide quoted text — Show quoted text -C’est Moi wrote: > I guess I fail to see the benefit of the testing, unless it’s something > like doing a glycohemoglobin for diabetes. That’s a more valid indicator > of blood sugar control than a fingerstick. My opth did say that pressures > vary throughout the day and at my last reading at the consulting opth’s > office, the pressure was higher than it had been running. In my case, > there’s damage to the optic nerve with some deterioration of vision, > pressures are running on the high side of normal and I have high myopia, > which can also cause damage. The thought is to bring the pressure down as > much as possible to lessen the damage. If drugs can’t do it, then it seems > to reason that surgery would be the only other option. > Tuesday’s the day… > Sherry > hsh…@ix.netcom.com (H. Haicken) wrote in > <3A0DC461.CD3BF…@ix.netcom.com>: > >I have had it done a Columbia Presbyterian Hospital in NYC – also with > >a local optomtrist in Putnam Co. NY. Seek and ye shall find. > >Hal > >John wrote: > >> On Fri, 3 Nov 2000 22:50:16 -0000, "Stephen Spence" > >> <stephen.spe…@btinternet.nospam.com> wrote: > >> >I would suggest to Sherry to go in for a days testing and have the > >> >pressure checked every couple of hours for 12 hours to see what is > >> >really going on. > >> And where, pray tell, could one get this done? Certainly not by any > >> ophthalmologist I have known. > >> John
Response:
Good luck, Sherry! – Hide quoted text — Show quoted text -C’est Moi wrote: > Just a little follow-up on my surgery of last Tuesday. Except for a > couple of hours after all the meds wore off following surgery, I’ve been > surprisingly pain free! All these drops are really annoying, as is the way > my vision fluctuates. I use Inflamase Forte every two hours while awake, > Ocuflox four times a day (to drop to twice a day tomorrow) and Atropine > before bed. I still use Xalatan in the unoperated eye, but not the > operated eye. Mornings are the worst for my vision – it’s either blurry or > like I’m underwater (probably because of the tearing!) but in the afternoon > it seems to settle down and I can see fairly good. I can only spend a > limited time at the computer and can’t do much reading, esp in the am. > Daytime TV is really boring! > Since I rely on my reading vision so much for work (I work in Medical > Records!), I’ve only worked a couple hours since the surgery. > Another follow-up visit in Monday to see how it’s going. > Sherry
Response:
Well, I did look around a bit there, but trying to read the thread intact is crazy! When I clicked on the link to read the thread, there was all sorts of stuff about guitars and things – looks like a bunch of threads got woven together 
It’s a tough decision and it really scares me. Sherry s…@rocketmail.com wrote in <8tdm1k$vo…@nnrp1.deja.com>: – Hide quoted text — Show quoted text ->There were some recent discussions on the success rate of this >procedure. >Use the Power Search of Deja.com to search: >Subject :Big decision >Date: 28 Jun 2000 >Author: S…@rocketmail.com. >Hope this helps. >Sun Chong Hong.
Response:
Thanks Michelle. Your encouraging words couldn’t have come at a better time! I’m a regular handwasher anyway so I should be safe there! And I’ve never had an eye infection before. I know some people are prone to them. The opth is having me use four drops of Ocuflox five min apart the night before surgery and another drop the morning of surgery, so he’s pretty aggressive about getting that eye germ free before surgery! Sherry hmcumi…@cs.com (HMCUMINGS) wrote in <20001111231325.11418.00000…@ng-bg1.news.cs.com>: – Hide quoted text — Show quoted text ->sherry, my daughter had a trab done in 92. It was done using mitomycin >C. The filter bleb lasted 6 yrs. No meds, no surgery for 6 years. From >what I read about trabs in adults, they seem to last longer for most. >It’s worth a try to get the pressure down. The procedure itself does >not take long at all, maybe around 20mins. The recuperation must not be >too bad. I never even had to give karen anything for pain after that >surgery. There are risks involved, but that is true of everything. >Becareful not to get an infection in that eye. > Wash hands, wash hands, wash hands,etc. I consider 6yrs free of > surgery and >meds a blessing. Take care. Michelle
Response:
Hmmm. Nothing I’ve ever heard of here. In my experience over the many years of eye exams, pressures are always checked by the doctor. And we really don’t have "day care wards" here. We have outpatient surgery centers where we arrive about an hour before the procedure for prep and then sent home an hour or so after the procedure, depending on recovery. They don’t like us to hang around any longer than necessary!! Laser trabeculoplasty is done in the office. Sometimes the opth tech will do a preliminary refraction prior to the opth coming in, but the opth is always the one to put any drops in and to do the "fine tuning" and exams. stephen.spe…@btinternet.nospam.com (Stephen Spence) wrote in <8u2a2s$ip…@neptunium.btinternet.com>: – Hide quoted text — Show quoted text ->Sherry, >I am only talking about having the pressures checked by an opthalmic >nurse every 2 hours for a day on a day care ward. I can’t believe six >tests with a nurse that last 5 minutes each is going to come to much. >In this case it was a ward full of people going in for cataract surgery >- believe me, they all left looking a lot happier then when they went >in!.
Response:
sherry, my daughter had a trab done in 92. It was done using mitomycin C. The filter bleb lasted 6 yrs. No meds, no surgery for 6 years. From what I read about trabs in adults, they seem to last longer for most. It’s worth a try to get the pressure down. The procedure itself does not take long at all, maybe around 20mins. The recuperation must not be too bad. I never even had to give karen anything for pain after that surgery. There are risks involved, but that is true of everything. Becareful not to get an infection in that eye. Wash hands, wash hands, wash hands,etc. I consider 6yrs free of surgery and meds a blessing. Take care. Michelle
Response:
There were some recent discussions on the success rate of this procedure. Use the Power Search of Deja.com to search: Subject :Big decision Date: 28 Jun 2000 Author: S…@rocketmail.com. Hope this helps. Sun Chong Hong. In article <8FD9CE72ETansyRagwortNetsc…@208.8.213.10>, TansyRagw…@netscape.net (C’est Moi) wrote: – Hide quoted text — Show quoted text -> I just learned more about this procedure than I ever wanted to know because > I just found out that I’m going to have to have it done. I was diagnosed 5 > years ago. I’m also a high myope (-12.25 in the worst eye). The specialist > said even though my pressures have been running around 17 with meds, there > has been some progression of optic nerve damage (visual fields are ok) and > he feels that the trabeculectomy is the way to go, even though I’m only 54. > I’d love to hear success stories about this procedure! > Sherry
Sent via Deja.com http://www.deja.com/ Before you buy.
Response:
I doubt we’d find insurance companies willing to pay for something like this here in the States!! I shudder when I see the types of surgeries done on an outpatient basis – patients being sent home a couple hours after surgery, and how quickly they’re moved on out of the hospital after a more extensive surgery! I work in a nursing home that has a sub-acute floor and I’m never ceased to be amazed at how ill these people are when they’re transferred from the hospital to us for rehab. stephen.spe…@btinternet.nospam.com (Stephen Spence) wrote in <8u1lj5$5g…@neptunium.btinternet.com>: – Hide quoted text — Show quoted text ->I think any decent opthalmologist ought to be able to organise this. I had >it done on a Day Care ward in Moorfields Hospital (the nurses there are >trained to do this). >"John" <n…@none.com> wrote in message >news:3VkDOok7YRDTyob26i+3evO5BSf6@4ax.com… >> On Fri, 3 Nov 2000 22:50:16 -0000, "Stephen Spence" >> <stephen.spe…@btinternet.nospam.com> wrote: >> >I would suggest to Sherry to go in for a days testing and have the >pressure >> >checked every couple of hours for 12 hours to see what is really going >on. >> And where, pray tell, could one get this done? Certainly not by any >> ophthalmologist I have known. >> John
Response:
Sherry, Sometimes the older remedies are worth a look. Pilocarpine is effective but has to be taken 4 times a day which can get boring. Pilogel is meant to be a sustained release version. There are other classes of drops to try too like Trusupt or Cosopt (Trusopt+Betagan) Make sure you get regular fields tests and have them computerised for easier analysis. "C’est Moi" <TansyRagw…@netscape.net> wrote in message
news:8FE1AD5C7TansyRagwortNetscape@208.8.213.10… – Hide quoted text — Show quoted text -> stephen.spe…@btinternet.nospam.com (Stephen Spence) wrote in > <8tvffg$eo…@neptunium.btinternet.com>: > <snip> > >I would suggest to Sherry to go in for a days testing and have the > >pressure checked every couple of hours for 12 hours to see what is > >really going on. Also, what medication are you on? Some are better than > >others and some have progressive release. > >I had this ‘phasing’ test done and my IOP was fluctuating wildly. I had > >the Trab in May 1983 and it’s been OK until very recently (in my case > >tha bleb has moved out of position slightly but I am still off > >medication). > The doc didn’t mention that sort of testing. I’m on Xalatan, which has been > keeping the pressure at about 17. When my regular opth noticed the damage, he > added Alphagan, hoping to lower the pressure. It went down only about 2 > notches – he had expected more. I think the specialist would have put me on a > beta blocker, but I’ve been there, tried that and the different ones tried > made me sick. I’ve been through at least six different meds that I couldn’t > tolerate or didn’t work until we hit on Xalatan. When I saw the specialist, > the pressure was at 21, which I know isn’t high, but probably is for me. I > usually see the opth about the same time of day, late morning. > I guess the feeling is that the damage could be partly due to the myopia also, > but there’s not much we can do about that and lowering the pressure as much as > we can is the way to go. > Sherry
Response:
I just learned more about this procedure than I ever wanted to know because I just found out that I’m going to have to have it done. I was diagnosed 5 years ago. I’m also a high myope (-12.25 in the worst eye). The specialist said even though my pressures have been running around 17 with meds, there has been some progression of optic nerve damage (visual fields are ok) and he feels that the trabeculectomy is the way to go, even though I’m only 54. I’d love to hear success stories about this procedure! Sherry
Response:
Steven, We’ve looked at the alternatives. Pilocarpine can put one at risk for retinal detachment, which I’m already been warned about because of my myopia. Meds I’ve tried that I’m either allergic to or had no effect are Betopic S, Timoptic XE, Trusopt, Propine, Betagan and Iopdinine. I’ve been on Xalatan for four years now and he added Alphagan in the worst eye, which had minimal effect. The specialist would have tried beta blockers if I weren’t so horridly sensistive to them. In fact, that’s what I started out with. They did a great job of lowering the pressure at the expense of severe headaches, which I certainly didn’t need! I’ve been getting visual fields annually for the past five years, pressure checks every 3-4 months. After the last visual field, the opth muttered something about "central depression" and didn’t feel that the fields were much different from the last ones done, however, the specialist looked at them from the first one he had (five years ago) to the current one (a couple months ago) and did see changes he didn’t like. I’ve been told by a friend who also has glaucoma that this specialist was referred to by her opth as the "guru of glaucoma". I’ve been doing some asking around and he has an excellent reputation in the community. That certainly puts my mind at ease about the surgery, although I wish it didn’t have to be. stephen.spe…@btinternet.nospam.com (Stephen Spence) wrote in <8u1lqn$6b…@neptunium.btinternet.com>: – Hide quoted text — Show quoted text ->Sherry, >Sometimes the older remedies are worth a look. Pilocarpine is effective >but has to be taken 4 times a day which can get boring. Pilogel is meant >to be a sustained release version. >There are other classes of drops to try too like Trusupt or Cosopt >(Trusopt+Betagan) >Make sure you get regular fields tests and have them computerised for >easier analysis.
Response:
Sherry, I am only talking about having the pressures checked by an opthalmic nurse every 2 hours for a day on a day care ward. I can’t believe six tests with a nurse that last 5 minutes each is going to come to much. In this case it was a ward full of people going in for cataract surgery – believe me, they all left looking a lot happier then when they went in!. "C’est Moi" <TansyRagw…@netscape.net> wrote in message
news:8FE295070TansyRagwortNetscape@208.8.213.10… – Hide quoted text — Show quoted text -> I doubt we’d find insurance companies willing to pay for something like > this here in the States!! I shudder when I see the types of surgeries done > on an outpatient basis – patients being sent home a couple hours after > surgery, and how quickly they’re moved on out of the hospital after a more > extensive surgery! I work in a nursing home that has a sub-acute floor and > I’m never ceased to be amazed at how ill these people are when they’re > transferred from the hospital to us for rehab. > stephen.spe…@btinternet.nospam.com (Stephen Spence) wrote in > <8u1lj5$5g…@neptunium.btinternet.com>: > >I think any decent opthalmologist ought to be able to organise this. I had > >it done on a Day Care ward in Moorfields Hospital (the nurses there are > >trained to do this). > >"John" <n…@none.com> wrote in message > >news:3VkDOok7YRDTyob26i+3evO5BSf6@4ax.com… > >> On Fri, 3 Nov 2000 22:50:16 -0000, "Stephen Spence" > >> <stephen.spe…@btinternet.nospam.com> wrote: > >> >I would suggest to Sherry to go in for a days testing and have the > >pressure > >> >checked every couple of hours for 12 hours to see what is really going > >on. > >> And where, pray tell, could one get this done? Certainly not by any > >> ophthalmologist I have known. > >> John
Response:
stephen.spe…@btinternet.nospam.com (Stephen Spence) wrote in <8tvffg$eo…@neptunium.btinternet.com>: <snip> >I would suggest to Sherry to go in for a days testing and have the >pressure checked every couple of hours for 12 hours to see what is >really going on. Also, what medication are you on? Some are better than >others and some have progressive release. >I had this ‘phasing’ test done and my IOP was fluctuating wildly. I had >the Trab in May 1983 and it’s been OK until very recently (in my case >tha bleb has moved out of position slightly but I am still off >medication).
The doc didn’t mention that sort of testing. I’m on Xalatan, which has been keeping the pressure at about 17. When my regular opth noticed the damage, he added Alphagan, hoping to lower the pressure. It went down only about 2 notches – he had expected more. I think the specialist would have put me on a beta blocker, but I’ve been there, tried that and the different ones tried made me sick. I’ve been through at least six different meds that I couldn’t tolerate or didn’t work until we hit on Xalatan. When I saw the specialist, the pressure was at 21, which I know isn’t high, but probably is for me. I usually see the opth about the same time of day, late morning. I guess the feeling is that the damage could be partly due to the myopia also, but there’s not much we can do about that and lowering the pressure as much as we can is the way to go. Sherry
Response:
I had a trab done when I was 35, 11 yrs. ago. My IOP was spiking at 45, now it is 25, with meds. Seems to do the trick! Sent via Deja.com http://www.deja.com/ Before you buy.
Response:
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