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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pressure In The Eyeball. Going For Surgery. Is It Safe?

My husband is 61 years old and is going to have a shunt put in his right eye due to high eyeball pressure. Just needing information on the success of the surgery........has had laser but pressure in right eye did not get lower than 27. Just worried about the risks and loss of his vision- they say it is about the size of a piece or rice
Mon, 4 Feb 2013
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Ophthalmologist,  's  Response
Dear madam, Since your husband is suffering from glaucoma and the IOP is not controlled by medication or drops he requires filtering surgery.Depending on surgeon he may wish to do trabeculectomy or EX-press shunt.From your query I could make out that the surgeon is planning for Ex-press mini glaucoma shunt which is a new technique. It has good results in patients.It is about the size of a rice grain ie 3mm and is put under a scleral flap for the fluid inside the eye to be drained.It has complications like extrusion of implant, hypotony, and blockage of the shunt.But these things can be managed easily .The advantage of surgery is ,you may not use the IOP lowering drops and the nerve damage is stabilized.I advise your husband to go for surgery as there is always a risk benefit ratio in all surgeries....TC Bye...Dr Ajay Shankar Kar, Cornea consultant, Sankar Foundation eye hospital, Vizag.
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Pressure In The Eyeball. Going For Surgery. Is It Safe?

Dear madam, Since your husband is suffering from glaucoma and the IOP is not controlled by medication or drops he requires filtering surgery.Depending on surgeon he may wish to do trabeculectomy or EX-press shunt.From your query I could make out that the surgeon is planning for Ex-press mini glaucoma shunt which is a new technique. It has good results in patients.It is about the size of a rice grain ie 3mm and is put under a scleral flap for the fluid inside the eye to be drained.It has complications like extrusion of implant, hypotony, and blockage of the shunt.But these things can be managed easily .The advantage of surgery is ,you may not use the IOP lowering drops and the nerve damage is stabilized.I advise your husband to go for surgery as there is always a risk benefit ratio in all surgeries....TC Bye...Dr Ajay Shankar Kar, Cornea consultant, Sankar Foundation eye hospital, Vizag.