What is included in postoperative monitoring following trabeculectomy?

Updated: May 18, 2020
  • Author: Maria Hannah Pia Uyloan de Guzman, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Answer

Answer

The proper postoperative care of a trabeculectomy is as important as good surgical technique. A technically perfect trabeculectomy surgery could still fail if necessary postoperative interventions are not performed in time. The challenge of postoperative trabeculectomy management lies in recognizing that there is a need for a postoperative intervention, choosing the type of intervention needed, and intervening at the right time. The bleb appearance, IOP, and anterior chamber status are routinely checked in the posttrabeculectomy period. Gonioscopy and dilated fundus examination are also performed when indicated. See the image below.

A conjunctival bleb a few days after trabeculectom A conjunctival bleb a few days after trabeculectomy. The bleb is of an ideal height and is diffusely elevated. Although it has slightly dilated blood vessels, they are not excessively tortuous. The limbal sutures should have been buried or tucked under the conjunctiva.

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