Postoperative Management After Trabeculectomy, eyedrops, suture removal

👁 Postoperative Management After Trabeculectomy

Trabeculectomy remains the standard surgical approach for glaucoma.
However, postoperative care is critical to ensure long-term IOP control and bleb function.

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💧 1. Eye Drops After Surgery

Drop TypePurpose

Antibiotics	Prevent bleb infection and endophthalmitis
Steroids	Suppress inflammation and protect drainage
Cycloplegics	Relax ciliary body, deepen anterior chamber

✅ Start antibiotics immediately
✅ Start steroids ~post-op day 2
✅ Use atropine for 1–4 weeks with tapering

 

 

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✂ 2. Suture Removal

InfoDetail

Purpose	Adjust outflow from scleral flap
Timing	Usually 2–3 weeks post-op (with MMC)
Methods

• Argon laser suture lysis
• Releasable sutures
• Manual needle removal

➡ Timing aligns with ciliary body recovery to ensure stable IOP

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✅ Summary

• Post-op care = not optional, it’s essential
• Drops + suture management are key to success
• Next: Learn about digital massage and needle revision for IOP control