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Article

Postoperative management of trabeculectomy and glaucoma drainage implant surgery

Joseph F. PanarelliDepartment of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai and the Icahn School of Medicine at Mount Sinai, New York, USANatasha V. NayakDepartment of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai and the Icahn School of Medicine at Mount Sinai, New York, USAPaul A. SidotiDepartment of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai and the Icahn School of Medicine at Mount Sinai, New York, USA
2015en
ABI

Abstract

PURPOSE OF REVIEW: This article describes important aspects of postoperative management after trabeculectomy and glaucoma drainage implant surgery. RECENT FINDINGS: Postoperative management of glaucoma drainage implant surgery includes stabilization of intraocular pressure, possible ligature release, and management of complications such as corneal edema, and tube/plate exposure. Postoperative management of trabeculectomy includes evaluation of bleb encapsulation, management of hypotony, and assessment of need for adjuvant therapy. Recent advances in surgical techniques, device/tissue availability, and imaging continue to shape the postoperative course. SUMMARY: Careful preoperative planning and postoperative care may decrease the likelihood of complications in tube surgery or trabeculectomy.

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