Post-operative precautions for glaucoma patients

  1, not the lower the post-operative eye pressure, the better. If the eye pressure is too low or there is a feeling of “tearing”, be alert to the occurrence of complications, and seek medical attention promptly!
  2. If you have eye swelling and pain, or even headache and nausea, you should seek medical attention promptly. Be alert to the occurrence of malignant glaucoma and consult a doctor promptly!
  3.No abnormal discomfort, you should also follow up on time. Ensure timely observation of anterior chamber, intraocular pressure, visual acuity, and fundus condition.
  4.Some patients, postoperative IOP is still high, plus IOP-lowering drugs can control IOP, need long-term medication to control IOP.
  5.Some patients whose postoperative IOP is still high and cannot be controlled by IOP-lowering drugs should be operated again.
  6. In some patients, IOP is controlled after surgery, but there is still a progressive decline in visual function. Therefore, it is necessary to follow up on time!
  7. There is no comparability between different patients and different types of glaucoma in terms of surgical methods and postoperative response. Don’t compare them indiscriminately and add to your worries!
  8, refractory glaucoma, the prognosis of surgery is relatively poor, patients should pay more attention to the changes in the condition of the operated eye.
  9, learn to finger test the eye pressure, learn to massage their own eyes, self-perception of eye pressure out of control, should be promptly to seek medical advice!
  10, the first few days after surgery, there is a slight foreign body feeling, eye redness is normal, do not care too much.
  11.Be sure to follow the doctor’s instructions and take the medication on time, do not increase or decrease the medication at will!
  12.When using more than two kinds of eye drops, interval should be more than 10 minutes.
  13.Wash your hands before using the medication, point your eyes correctly, and ensure that the eye medication bottle is not contaminated.
  14.Light activity after surgery, try to rest quietly. Avoid rubbing your eyes.
  15.Wash your face and shower gently and do not let the water flow into your eyes. Prohibit bending over to wash your hair for 2 weeks after surgery.
  Regular examination: especially the changes of visual acuity, intraocular pressure, visual field and optic disc. Generally once every three months or six months.
  Do not use random medication, and read the drug instructions carefully before using medication. This is because some drugs can cause an increase in IOP, such as atropine, scopolamine, belladonna, probenecid, gastrofacial, valium and oral contraceptives.
  Avoid excessive eye use and do not lower your head for too long when reading a book. Avoid insufficient light. You should not wear sunglasses and avoid staying in the dark for too long; the darkness will dilate the pupils. Avoid actions that cause increased abdominal pressure, such as: excessive bending, head down, breath-holding, and weight-bearing activities to avoid increased abdominal pressure causing increased intraocular pressure and aggravating the condition.
  Avoid anger: Excessive mood swings can often cause pupil dilatation and increased intraocular pressure, aggravating the condition.
  Pay attention to diet.
  1, the diet should be light, eat more vegetables and fruits, keep the bowel movement smooth, avoid constipation.
  2, avoid drinking a lot of water at once, and eat less food that is easy to thirst.
  3, try not to eat or eat less chili, raw onion, pepper and other irritating food.
  4, avoid smoking, avoid alcohol, avoid drinking strong tea.
  Because the nicotine in tobacco can cause retinal vascular spasm, leading to optic nerve ischemia, toxic amblyopia, endangering visual function. Drinking large amounts of alcohol can cause eye capillary dilation, eye congestion aggravated, and even lead to acute attacks of glaucoma. Drinking strong tea often causes excessive excitement, affecting sleep, and leads to increased intraocular pressure.