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Suggest Treatment For Eye Pressure After A Retinal Detachment Surgery
Question: A month back i have had a surgery for ratinal detachment. Later they found my eye pressure is high and prescribed eye drops Dorzox t and a tab Diamox. After taking this tablet i felt shirt of breath and then i stopped. I had seen doctor and nebuliser were used. This happened 3 days back and today i feel better and noticed gradually improving. I am asthmatic and using foracort puffs for few yeas also I am having nasal polyps.
Kindly advise on this and how i can reduse eye pressure. According to Dr i am also having glucoma. I will be attaching the docs
Kindly advise on this and how i can reduse eye pressure. According to Dr i am also having glucoma. I will be attaching the docs
Brief Answer:
trabiculectomy would have been been better to control glaucoma.with detachment surgery
Detailed Answer:
You are having retinal detachment with glaucoma diamox which reduces the IOT but it is also diuretic that is why feeling short of breath, so it is better you are using nebulizer.Electrolyte balancing should be done and deficiency should be supplemented. Consult pulmunologist for clinical examination of lung field. If bronchospasm is present then you can take tablet Deriphyllin.You can also take Bronchodyl. Monitoring for IOT should be done in my opinion. For surgery, trabeculectomy should have been done then it would have controlled IOT and part of trabicularmesh work would have been removed. Proper drainage would have been maintained. Field tracing should have been done. Scotoma is detected then peripheral visual field should be assessed. Since it causes tubular vision, give detail of detachment surgery. Indirect ophthalmoscopy should be done for wider field and to assess status of detachment surgery. Consult retina surgeon.Visual acuity be noted.Cup disc ratio to be noted before that detail of retinal detachment surgery. Laser therapy for re attachment may be done.Look for peripheral detachment and tears, hole etc can be sealed by laser application. After hearing about the procedure and result of postoperative procedure further advice can be given. Problems are multi ferrous and all are to be tackled differently.
trabiculectomy would have been been better to control glaucoma.with detachment surgery
Detailed Answer:
You are having retinal detachment with glaucoma diamox which reduces the IOT but it is also diuretic that is why feeling short of breath, so it is better you are using nebulizer.Electrolyte balancing should be done and deficiency should be supplemented. Consult pulmunologist for clinical examination of lung field. If bronchospasm is present then you can take tablet Deriphyllin.You can also take Bronchodyl. Monitoring for IOT should be done in my opinion. For surgery, trabeculectomy should have been done then it would have controlled IOT and part of trabicularmesh work would have been removed. Proper drainage would have been maintained. Field tracing should have been done. Scotoma is detected then peripheral visual field should be assessed. Since it causes tubular vision, give detail of detachment surgery. Indirect ophthalmoscopy should be done for wider field and to assess status of detachment surgery. Consult retina surgeon.Visual acuity be noted.Cup disc ratio to be noted before that detail of retinal detachment surgery. Laser therapy for re attachment may be done.Look for peripheral detachment and tears, hole etc can be sealed by laser application. After hearing about the procedure and result of postoperative procedure further advice can be given. Problems are multi ferrous and all are to be tackled differently.
Above answer was peer-reviewed by :
Dr. Kampana
I recently had an eye surgery for ratina detachment abd my eye pressure seems to be high. Even before the surgery on my tight eye i had noticed the eye ball of the right eye kind of pushing out of the socket and pain on top of my right eyebrow. I visited Eye specialist and one said eye pressure is high and later snother said its not high. Anf finally now i had to undergo surgery.
My question is is this could be due to any of that mentioned in my CT report which i am sending. I have been taking foracort 200 inhalation twice a day for wuite a long time along with fluxanol for my polyps.
My question is is this could be due to any of that mentioned in my CT report which i am sending. I have been taking foracort 200 inhalation twice a day for wuite a long time along with fluxanol for my polyps.
Brief Answer:
second opinion for confirming glaucoma should be taken . i
Detailed Answer:
you are under going surgery means glaucoma is confirmed. foracort is steroid which should be avoided.in any form it is going to aggravate your problem. tapering of steroid should be done. can take second opinion to confirm glaucoma.iot measurement can be repeated fundus examination for other finding has to be done. field tracing is to be done peripheral field tomark tubular vision should be watched
second opinion for confirming glaucoma should be taken . i
Detailed Answer:
you are under going surgery means glaucoma is confirmed. foracort is steroid which should be avoided.in any form it is going to aggravate your problem. tapering of steroid should be done. can take second opinion to confirm glaucoma.iot measurement can be repeated fundus examination for other finding has to be done. field tracing is to be done peripheral field tomark tubular vision should be watched
Above answer was peer-reviewed by :
Dr. Kampana
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