Topic: Visual Recovery After Tube Surgery


I’m just wondering if anyone has had good luck with visual
recovery after tube implant surgery.  I
was born with cataracts, which were removed (along with my lenses) almost immediately,
leaving me with decent vision.  I was
diagnosed with Glaucoma at age 7.  When I
was 15 I had a trabeculectomy in my right eye, then a tube implant in the same
eye at age 19.  I am 33 now.  I also recently had a cornea transplant in the right eye because it decompensated - likely due to all of the \'trauma\' from past surgeries, and possibly partly due to the tube rubbing on the cornea over time.

Somewhere amidst those glaucoma surgeries (10+ years ago) I lost functional vision/acuity
in my right eye although the tube has kept the pressure low. My left eye has
been fairly stable with eye drops until recently, but the pressure is creeping up and I may
require surgery in that eye.  I’m
obviously nervous to loose functional vision in that eye following surgery – it
is all I have left, but I can’t leave the pressure high for very long either.

I’m just curious to know if anyone has had tube surgery, and
what the outcome was in terms of post-op visual recovery/acuity.



Posted : 3 years 4 months ago top

Hi Jeff

I didn\'t see your post before just now but  i\'m going to have a tube implant in 2 weeks. I don\'t expect any visual recovery in the eye but I\'m hoping it will keep the pressures stable as previous ops have ultimately failed. 

Posted : 3 years 4 months ago top


I hope it works out well.  i guess my wording was misleading.  I wouldn\'t expect you to recover any \'lost\' vision due to glaucoma damage.  I was mostly curious to know if the vision returns to where it was prior to the operation (after the eye is healed from the actual surgery), or if you feel that there is/was any long-term/permanent vision changes/loss due to the surgery itself.

Please let me know how things work out.

All the best,

Posted : 3 years 3 months ago top

Hi again Jeff

Well, two days down the line I\'m not feeling too bad. I didn\'t like the surgery - it took longer (I think) than the trab and laser and was much more fiddly. To be expected I guess. Was very relieved at the end and felt a bit shell shocked for the rest of the day.

Went back to see the surgeon yesterday and he said he was very pleased with how it was looking. I had an eye test and couldn\'t see much until they dropped down the bit with holes in that you cover one eye with and I managed to read down to the 4th line. But, back home now, I\'m not making anything out with that eye - just blurred shapes and light/dark areas. I guess that will improve; I\'ll post again in a week or two.

I was told the pressures would be low for a while, then start to pick up. I\'m going back in 2 weeks unless anything untoward happens in the meantime. 

I gingerly had a bit of a look at a couple of Ahmed valve surgery videos on you Tube. Too squeamish for me to watch properly and I felt myself letting out gasps of horror. YUK!

I\'ve been out and about a bit, though - and can drive OK as the other eye is fine with a contact lens. I\'m just putting in post op eye drops as well - none of the glaucoma drops for the time being and am hoping that if this thing works well, I may be able to finish with the drops but my surgeon says I may still need them. Tsk.



Posted : 3 years 3 months ago top

Hello Jeff. I hope everything works out well for you. I have just been told I have to have a trabeculectomy and I don\'t like what I\'ve been reading about it as far as the long-term results are concerned. I\'m just now realizing that my doctor may only do one eye. That\'s a small relief. I\'m in the US and I think I\'m going to make a point of finding an opthalmalogist has does A LOT of these surgeries. My doctor says he does two a month. I want the guy who does 10 a week. I beleive that will help my chances.  

Posted : 3 years 2 months ago top

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