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Laser Surgery for
Glaucoma
Before laser surgery
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Continue your current glaucoma medication
treatment program up until the time of your laser appointment
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Plan to spend 90 minutes at the Marin Ophthalmic
Surgery Center
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If you have questions, call the MarinEyes
surgical coordinator at 415-454-5565
Laser surgery
Eye drops are administered
prior to your laser treatment.
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The laser treatment is performed in the laser
room at Marin Ophthalmic Surgery Center.
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For the treatment you sit in
front of a microscope like the ones we use in the clinic for examination
except that the laser is connected to the microscope.
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The procedure takes 5 to 15
minutes.
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Post-laser eye drop instructions and a follow-up
pressure test scheduled for 2 hours later.
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Occasionally there is a high pressure that needs additional treatment.
After laser surgery:
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There are no limitations on activity. You can
resume full activity.
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Eye drops are prescribed.
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Little if any discomfort is expected. Minor ache
responds well to Tylenol. IF THE EYE HURTS, call the office (415) 454 -
5565.
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A post-operative examination is scheduled one to
four weeks after your laser treatment.
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Incisional Glaucoma Surgery Incisional
glaucoma surgery
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Your eye is prepared for surgery by surgical
nurses. This takes 30-45 minutes.
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Our anesthesiologist will give
you relaxing medicine, and your surgeon will anesthetize the eye.
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After the eye is anesthetized, it is cleansed
with antiseptic and draped for surgery using sterile technique.
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This is microscopic surgery. It takes 30-60 minutes, depending on the complexity of the situation.
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After surgery, you will rest in the recovery area
for approximately 30 minutes.
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Plan on spending a total of about 2.5
hours at the surgery center.
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After surgery, a friend or relative must drive and escort
you to your home where you should relax quietly for the rest of the day.
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Most patients feel well but tired. You'll probably
sleep very well that night.
After glaucoma surgery
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You will wear an eye patch overnight.
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A list of postoperative instructions will be given to you and
reviewed with you before you leave the surgery center.
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Most patients experience little or no pain afterward,
although some have low to moderate discomfort.
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You will come in for a postoperative exam the day after
surgery. Expect your vision to be blurry at first. Best vision and intraocular
pressure control take up to 2 months after surgery.
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A follow-up visit is scheduled and postoperative instructions
reviewed. Eye drops are typically used on a tapering schedule for 8 weeks
postoperatively.
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Permitted activities levels are reviewed with you at your first
postoperative visit. Your initial restrictions will be at least as cautious as
after
cataract surgery. The limitations will be maintained for a longer
period.
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