๐ 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.
๐ง 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 |
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Start antibiotics immediately
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Start steroids ~post-op day 2
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Use atropine for 1–4 weeks with tapering
โ 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
โก Timing aligns with ciliary body recovery to ensure stable IOP
โ 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
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