Glaucoma filtration? How can it be good

Glaucoma is a group of diseases characterized by optic nerve atrophy and visual field defects, and pathologic intraocular hypertension is a major risk factor. Glaucoma is one of the leading causes of blinding eye disease, and there is a certain genetic predisposition. It is divided into primary glaucoma, secondary glaucoma, congenital glaucoma, and developmental glaucoma.

Commonly used methods include surgery to reduce intraocular pressure. Surgical methods include surgery to relieve pupillary block, surgery to remove trabecular meshwork obstruction, surgery to establish an external drainage channel for aqueous humor, surgery to reduce aqueous humor production. Glaucoma iritis syndrome is a condition in which both diseases occur at the same time.

It is recommended that you go to the ophthalmology department of the hospital for a detailed examination. At present, the more authoritative one in China is C-MER Ophthalmology, and there are many cases of good treatment, and Dr. Lin is still very famous.

**Avoid smoking and alcohol during the period. Tobacco and alcohol will increase the patient's intraocular pressure and cause serious consequences, which is not conducive to the work of glaucoma. Properly control the amount of water intake, drinking too much water at one time will dilute the patient's blood, resulting in a decrease in blood pressure, a relative increase in the production of aqueous humor, resulting in an increase in intraocular pressure.

Adopting the right diet, good lifestyle habits, and a healthy mindset play a very important role in glaucoma. In addition, it is recommended to drink some Zheng Jiuwei Tongren tea every day, which can improve glaucoma, reduce intraocular pressure, promote eye metabolism, and relieve eye fatigue.

If it is a white bruise that appears above, it may be a relaxation of the filter vesicle. At present, the most commonly used anti-glaucoma surgery is to make an external drainage channel above the eyeball, and a slightly pale blister will be formed directly above the black eyeball, which is the filter blister, which is the result of the operation, sometimes the blister will be slightly relaxed, and the conjunctiva on the surface of part of the eye will move down to cover part of the black eyeball, like bruises, it doesn't matter, don't touch him with your hands, once the blister is broken, there will be infection, low intraocular pressure and other complications, it is difficult to deal with.

For some glaucoma, surgery is an option**. The main role of anti-glaucoma surgery is to prevent angle obstruction, accelerate the excretion of aqueous humor and reduce aqueous humor production.

Preventing angle obstruction, the so-called "internal drainage" procedure. One is peripheral iridectomy, which is indicated for the early stage of primary angle-closure glaucoma with relative pupillary block (preclinical, premonitory), the postictal gap phase with normal trabecular drainage function (angle opening greater than 1 2), and chronic angle-closure glaucoma. The other is segmental iridectomy, which is indicated for the same as peripheral iridectomy, and is used in the following situations:

The cornea** is cloudy and the fundus cannot be examined.

Displaced pupils. Long-term use of mydriasis does not allow the pupils to recover naturally. The collar area of the pupil is obstructed by a residual membrane or a mechanized membrane.

A separate channel is created to accelerate the drainage of aqueous humor, i.e., "external drainage" or "filtration" surgery. There are trabeculectomy, sclerectomy, scleral cautery. Trabeculectomy is now commonly used, especially after various modified trabeculectomy, with a wide range of indications, few postoperative complications and good efficacy.

This type of surgery can be used for open-angle glaucoma that does not respond to medications**, closed-angle glaucoma with impaired trabecular filtration and angle closure greater than 1 2, most secondary glaucoma, and advanced congenital glaucoma. For those who have dilated pupils, hyperemia, and poor intraocular pressure control after an acute attack of angle-closure glaucoma, the above three surgeries are difficult to be effective, and iris incarceration can be used at this time.

To reduce aqueous humor production, there are cyclophesis and ciliary cryotherapy. This type of surgery has a high complication rate and is generally used after multiple failed procedures for aphakic glaucoma, absolute phase glaucoma, neovascular glaucoma, and other anti-glaucoma procedures.

There are also several specific anti-glaucoma surgeries: goniotomy or trabeculotomy is an option for early congenital glaucoma; Patients with poorly controlled glaucoma and obvious cataract are treated with trabeculectomy combined with cataract extraction; If malignant glaucoma drugs** are ineffective, posterior scleral incision, anterior chamber gas injection, planus vitrectomy, and lens extraction if necessary; Filtration catheter implantation is used for refractory glaucoma, neovascular glaucoma, juvenile and aphakic glaucoma, and uveitis and mixed glaucoma, which are not successful by conventional surgery.

Periidotomy is a type of intraocular drainage surgery, glaucoma filtration surgery such as trabeculectomy, glaucoma decompression valve, etc.

On the premise of ensuring basic nutrition, glaucoma patients should avoid major supplements after surgery, and their diet should be light, and they can eat some low-protein edible liquid cherry blossoms. Special attention should also be paid to not taking ginseng, American ginseng, American ginseng, codonopsis ginseng and other ginseng supplements and drugs that promote blood circulation and eliminate blood stasis after surgery, because these supplements may cause anterior chamber hemorrhage. It is hoped that glaucoma patients can pay attention to the maintenance of glaucoma after surgery to reduce the disease.

If you can drink Zheng Jiuwei pupil tea on the basis of daily meals, it can clear away heat, eliminate eye astringency, and enhance and improve vision.

Postoperatively, artificial tears eye drops should be used locally to relieve the uncomfortable symptoms of dryness, keeping a happy mood is very important for glaucoma patients, keeping the stool smooth, TV can be watched, but it is necessary to reasonably grasp the time of eye use, keep the room well lit, reduce the time spent in the dark light environment, rationally use intraocular blood pressure drugs, and regularly go to the hospital to check the intraocular pressure and visual field.

It should be noted that open-angle glaucoma, or some chronic angle-closure glaucoma, does not have too obvious symptoms, and patients often do not have good eye habits, so the probability of blindness caused by glaucoma will be greater, so we should be vigilant.

2 Some patients with glaucoma actually do not have enough understanding of the dangers of glaucoma, and some people just work hard and do not understand the condition, so that the disease will progress further until the patient can clearly feel the narrowing of the field of vision, and then go to the hospital for treatment.

3 Some patients often can't take medication on time even if they have ** glaucoma, for example, they will order medicine when they have symptoms, and they will not order medicine when they have no symptoms, and they will never pay attention to measuring their intraocular pressure, which is likely to cause further development of the disease and even cause blindness.

Glaucoma surgery should be rechecked in time to ensure that the intraocular pressure is within the tolerance range, if the intraocular pressure remains high, the visual damage will continue to worsen, please check with the ophthalmologist.

1. Maintain optimism, avoid emotional agitation, and prevent the intraocular pressure of the operated eye from rising or without surgery.

2. The diet structure is reasonable, it is advisable to mix meat and vegetables, and attention should be paid to eating more crude fiber foods such as vegetables and fruits to promote intestinal peristalsis and keep the stool smooth.

3. Take medication on time according to the doctor's instructions, and avoid adding or decreasing the dosage at will, so as to reduce excessive fluctuations in intraocular pressure and drugs during surgery.

4. Due to the unsatisfactory intraocular pressure control after surgery, some patients need long-term eye drops after surgery to prevent further damage to visual function.

5. How to maintain glaucoma after surgery? For refractory glaucoma that has failed multiple anti-glaucoma surgeries and has value for visual acuity, glaucoma valve implantation surgery can be used if the ideal intraocular pressure cannot be controlled by the combination of drugs.

6. For patients who have undergone trabeculectomy, if the intraocular pressure is elevated and needs to be operated again, trabeculectomy can be taken again and mitomycin and other drugs to prevent ** can be used in combination with the operation.

7. For patients who have undergone multiple surgeries, if the intraocular pressure is elevated and needs to be operated again, ciliary cryosurgery, ciliary laser photocoagulation surgery, or vitrectomy combined with intraocular ciliary laser photocoagulation surgery are often required.

8. For glaucoma patients with cataract, if anti-glaucoma surgery is required, if cataract has seriously affected vision, cataract glaucoma intraocular lens (triple) surgery can be combined.

9. How to maintain regular outpatient review after glaucoma surgery, the main examinations include: visual acuity, eye routine examination, intraocular pressure, shape and color of optic nerve, visual field and angle, etc.

10. Some patients who have undergone iris root resection or outpatient laser iridotomy and non-penetrating trabeculotomy often need to undergo trabeculectomy if the intraocular pressure is elevated and need to be operated again.

11. For glaucoma that has completely lost vision, if the intraocular pressure is difficult to control and the eye pain is severe, it is necessary to take the optic nerve cutting surgery behind the eyeball or the removal of the ocular contents.

Experts said that after being discharged from the hospital, you should not massage or touch the surgical eye at will, so as not to rupture the follicle due to improper massage and touch. If you need to massage the eye area, you must do it under the guidance of a doctor.

Condition analysis: Glaucoma surgery**, re-examination once a week within one month after discharge, if the intraocular pressure is unstable in the early postoperative period, or the eye has an obvious inflammatory reaction, it must be re-examined once in three to five days to find the lesion, symptomatic**, until the eye condition is stable; After one month, if the intraocular pressure is well controlled, or if a functional filter bubble is formed, it can be rechecked every two weeks or a month. Later, depending on the change of the condition, it can be changed to once.

Pay attention to a reasonable diet and pay attention to rest.

It belongs to filtration, and the basic principle is to remove a part of the corneal scleral trabecular tissue to form a fistula, through which the aqueous humor drains to the subconjunctival space and then absorbed by the capillaries and lymphatic vessels of the conjunctival tissue to achieve the purpose of intraocular pressure.

Then the optic nerve atrophy caused by glaucoma, we can also use traditional Chinese medicine**.

Judging from your description, it is considered that it may be related to the obstruction of yellow water reflux caused by congenital genetics, congenital dysplasia, or traumatic eye diseases. It is suggested that since it is surgery, there may be certain risks, such as local tissue damage, surgical failure, etc., but the pros and cons are weighed, and it is generally recommended that if surgery is not operated, the intraocular pressure will increase, which may lead to optic nerve atrophy and irreversible vision loss.

1. The postoperative response is light, the recovery is fast, the complications are few, and it is safe and effective.

2. If the laser surgery fails, it will not affect the effect of filtration surgery or other surgeries.

3. The operation is simple, fast and convenient, and the patient suffers little, and the outpatient clinic can be carried out.

4. The amount of surgery is easy to control, and the laser can be repeated many times**.

5. The laser action point is accurate, and the damage to adjacent tissues is small.

Baoding Xinshi Eye Hospital.