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Gloucoma (eye operation)??


Question: is eye operation for close angle gloucoma effective? then so why? my wife has close angle gloucoma and she had two laser operation last year, and her doctor recommended an eye operation to relieve the pressure on her left eye, which as of latest account was 68? please help
Answers: Ive had this operation on both eyes 1 year ago with no ill affects. Only problem is I can no longer use contacts due to possibility of infection. Your wife needs to do something quickly before there is optic nerve damage.
Surgery is the only treatment for closed angle glaucoma. There are several different procedures depending on what kind of closed angle glaucoma she has. They are effective but sometimes the disease progresses and further surgery is needed.

See the Wills Hospital Link below for detailed information
An intraocular pressure of 68 is an emergency. She needs to be seen today, have a laser opening of the iris so the fluid behind the iris can get into the front where the drain is located.

Basics:
The outer layer of the eye is white, except in the front where it is clear. We look through the cornea (clear part) and see the blue/brown/green/gray part with the hole in the middle. The space between the cornea and the iris is called the anterior chamber. At the edge of the iris where the colored part meets the white part and the clear part, that angle between the iris and the cornea is called the angle . At the apex of that angle is a meshwork of tissue through which the fluid (aqueous) drains from the eye.

In people with closed angles, there's no way for the fluid to get out of the eye as it can't get to the drainage area because the iris is pushed up against the back of the cornea. The fluid producing cells behind the iris don't know about this. So, they keep on making fluid which doesn't drain, hence the pressure goes up. If the pressure gets high enough, it'll damage the blood vessels around the nerve way back in the back of the eye. If it shuts off the retinal artery, she's got about 90 minutes to get that fixed or the damage is permanent.

Go to an emergency room or call her ophthalmologist and tell them she's in pain, has angle closure glaucoma. She needs to be seen NOW.

If you are in southern California, contact me, I'll do it! Just get somewhere and get it done!


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