Familiarity with Treatment

This combined procedure is often performed for patients who have both glaucoma and cataracts. Trabeculectomy is a surgical procedure to treat glaucoma by creating a drainage pathway to lower intraocular pressure (IOP). Cataract surgery involves removing the cloudy lens and replacing it with an intraocular lens (IOL). A monofocal IOL is a type of lens that provides clear vision at one distance, typically either near or far.

Procedure Explanation

1. Trabeculectomy:
   • A small flap is created in the sclera (white part of the eye).
   • A drainage pathway is made to allow fluid to escape from the eye, reducing IOP.
   • A small reservoir (bleb) forms under the conjunctiva (the outer covering of the eye) to collect the fluid.
2. Cataract Surgery:
   • The cloudy natural lens is removed through a small incision.
   • A monofocal IOL is implanted to replace the natural lens, providing clear vision at a single distance.

Who is it Suitable For?

• Patients with both glaucoma and cataracts.
• Individuals who need to lower their IOP and improve their vision simultaneously.
• Patients who prefer a single surgical procedure to address both conditions.

Who is it Not Suitable For?

• Patients with severe eye infections or inflammation.
• Individuals with certain types of glaucoma that may not respond well to trabeculectomy.
• Patients who require multifocal vision correction (near and far) may not benefit from a monofocal IOL.

Advantages

• Combined Procedure: Addresses both glaucoma and cataracts in one surgery.
• Improved Vision: Monofocal IOL provides clear vision at one distance.
• Reduced IOP: Trabeculectomy effectively lowers intraocular pressure.
• Convenience: One surgical recovery period instead of two separate ones.

Complications

• Infection: Risk of infection in the eye.
• Bleeding: Possible bleeding during or after surgery.
• Vision Issues: Potential for blurred vision or glare.
• Bleb Failure: The drainage bleb may fail, requiring additional surgery.
• Cataract Formation: Trabeculectomy can sometimes accelerate cataract formation if not already present.

Previous Care

• Preoperative Assessment: Comprehensive eye examination and measurements.
• Medication Review: Adjustments to current medications, especially those affecting IOP.
• Health Evaluation: General health check to ensure suitability for surgery.

Aftercare

• Medications: Use prescribed eye drops to prevent infection and control inflammation.
• Follow-Up Visits: Regular check-ups to monitor IOP and healing.
• Activity Restrictions: Avoid strenuous activities and protect the eye from injury.
• Vision Monitoring: Report any changes in vision or discomfort to your ophthalmologist immediately.