Our Summary

This study aimed to identify risk factors that can negatively affect the healing process after a specific type of glaucoma surgery. This surgery involves placing a gel implant, known as XEN®, under the outer membrane of the eye. The researchers found that certain conditions and behaviors, including dry eye, allergies, the use of eye drops with preservatives, and having had previous eye surgeries, can make the healing process more difficult. However, they also found that certain pre-surgery treatments, such as the use of artificial tears, corticosteroids, and switching to preservative-free eye drops, can help normalize the eye’s condition and support better healing after surgery.

FAQs

  1. What are some risk factors that can negatively affect the healing process after glaucoma surgery?
  2. What pre-surgery treatments can help support better healing after glaucoma surgery?
  3. How can the use of eye drops with preservatives impact the healing process after glaucoma surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about glaucoma surgery is to follow all pre-surgery instructions carefully, including any recommended treatments to improve the health of the eye before the procedure. This can help optimize the healing process and reduce the risk of complications after surgery. Additionally, it is important to attend all follow-up appointments and adhere to any post-operative care instructions to ensure the best possible outcome.

Suitable For

Patients who are typically recommended for glaucoma surgery are those who have been diagnosed with glaucoma and have not responded well to other treatment options such as medication or laser therapy. Additionally, patients who have significant vision loss, high eye pressure, or progressive damage to the optic nerve may also be recommended for surgery. It is important for patients to discuss with their ophthalmologist the risks and benefits of glaucoma surgery and to determine if they are a good candidate for the procedure.

Timeline

Before glaucoma surgery:

  • Patient may experience symptoms of glaucoma such as blurry vision, eye pain, and halos around lights
  • Patient undergoes a comprehensive eye exam to determine the severity of glaucoma and if surgery is necessary
  • Surgeon discusses the risks and benefits of surgery with the patient
  • Patient may undergo additional tests such as imaging scans to prepare for surgery

After glaucoma surgery:

  • Patient may experience some discomfort, redness, and blurry vision immediately after surgery
  • Patient is prescribed eye drops and medications to prevent infection and reduce inflammation
  • Patient is advised to avoid strenuous activities and heavy lifting for a certain period of time
  • Follow-up appointments are scheduled to monitor the healing process and adjust medications as needed
  • Patient gradually resumes normal activities as the eye heals and vision improves

Overall, the timeline for a patient before and after glaucoma surgery involves thorough evaluation, preparation, and post-operative care to ensure a successful outcome and improved vision.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with XEN® gel implant surgery for glaucoma?

  2. How likely is it that I will experience dry eye or allergies after the surgery, and what can be done to manage these symptoms?

  3. Should I discontinue the use of certain eye drops with preservatives before the surgery, and if so, how far in advance should I stop using them?

  4. How does having had previous eye surgeries affect the healing process after XEN® gel implant surgery?

  5. Are there any specific pre-surgery treatments or medications that I should consider to help improve the healing process and reduce the risk of complications?

  6. How long does it typically take to fully recover and see improvements in vision after XEN® gel implant surgery?

  7. Will I need to follow a specific post-operative care routine, such as using eye drops or attending follow-up appointments, to monitor my progress and ensure successful healing?

  8. What signs or symptoms should I watch out for after the surgery that may indicate complications or the need for immediate medical attention?

  9. Are there any lifestyle changes or adaptations I should make during the healing process to support better outcomes after XEN® gel implant surgery?

  10. How often will I need to have my eyes checked and monitored for glaucoma progression following the surgery?

Reference

Authors: Erb C, Schargus M, Klabe K, Voykov B, Jünemann A. Journal: Ophthalmologe. 2021 Feb;118(2):139-143. doi: 10.1007/s00347-020-01121-6. PMID: 32430610