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Suggest Remedy For High Intraocular Pressure After SLT Surgery

Posted on Tue, 3 Mar 2015

Question: I had SLT surgery 10 days ago. My IOP pressure is rising and now is at 27. Before the surgery the pressure was with drops at 16-19 Why is the pressure so much higher and will it get better? What causes the increase and what should the next steps be. The procedure was 360 degees.

Answered by Dr. Dadapeer K (41 minutes later)

Brief Answer:
Transient rise in intraocular pressure occurs because of inflammation.

Detailed Answer:
Hello
Welcome to Health care magic

I am Dr. DADAPEER K, an Ophthalmologist and I answer health problems related to eye.

I reviewed your history.
Transient rise in the intraocular pressure can occur following selective laser trabeculoplasty.
This will decrease once the inflammation caused by laser decreases. This requires use of steroid eye drops and antiglaucoma drugs.
I guess your doctor would have prescribed these drugs.

Hence no need to be worried once the inflammation decreases you will be fine.

Hope I have answered your question and the information is helpful to you.

Thank you
With regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dadapeer K (10 minutes later)

After the surgery I was on steroid eye drops for 3 days which is what the doctor prescribed. Ill be seeing the doctor on Friday for follow up. I had the pressure checked and I mentioned the pressure is rising. How long does the inflammation usually takes to subside? Would it be practical to use steroid drops a bit longer. As a side note I read about pigmentation so I was concerned that this could also be the problem. Please advice.

Answered by Dr. Dadapeer K (35 minutes later)

Brief Answer:
Inflammation takes 1-2 weeks to subside.

Detailed Answer:
Hello
Thank you for the follow up question.

The inflammation usually takes 1-2 weeks to subside.
Steroid eye drops can be used for 3-4 weeks without any side effects.

Increased pigmentation is usually associated with more inflammation.
Hope I have a answered your questions and the information is helpful to you.

Thank you
With regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dadapeer K (16 minutes later)

Very helpful. In your pratice what is the percentage of patients that develop inflammation and do they all eventually recover ? Articles I read in the internet are very conflicting and at times scary. The good news is that by adding Alphagan I was able to bring the pressure down to 17. I hope this is a good sign.

Answered by Dr. Dadapeer K (9 minutes later)

Brief Answer:
More than 50%develop inflammation.

Detailed Answer:
Hello
Thank you for the follow up question.

More than 50% of people develop inflammation following laser and almost all recover by 2 weeks. Rarely the inflammation takes 4-6 weeks to respond.

Hence no need to be worried, you will be fine.

Hope I have a answered your questions and the information is helpful to you.

Thank you
With regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar