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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Reduced Vision After Laser Surgery?

Hi , My mother is around 48 years of age , she is suffering from Glucoma, from past 3 years , for treatment she has undergone 2 laser surgeries and one eye operation , after this she was fine and optic pressure was normal and she was taking her eye drops regularly, but in last month her vision got reduced and she can now only see from one corner of the eye, we consulted doctor and her eye pressure was way above normal , it was 70 mm, now after medication it got reduced , but still the vision in not there, can you please help me in knowing how her vision can be improved..
Mon, 23 Jun 2014
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Ophthalmologist 's  Response
Hi
In such a glaucoma there is silent vision loss.
Whatever vision is lost, is not recoverable. Only we have to prevent further vision loss.
In your case after laser surgery and other glaucoma filtering surgery and continued medication eye pressure was controlled.
But it needs regular follow up by measuring eye pressure ( IOP ) and auto perimetry ( if possible OCT). Sometimes the continued treatment becomes refractory i.e. ineffective and you have to change or modify the treatment.

In glaucoma even with the best control of IOP the vision loss may still progress. This is the dilemma

ANY HOW we have to provide the best control of IOP and keep monitoring.
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What Causes Reduced Vision After Laser Surgery?

Hi In such a glaucoma there is silent vision loss. Whatever vision is lost, is not recoverable. Only we have to prevent further vision loss. In your case after laser surgery and other glaucoma filtering surgery and continued medication eye pressure was controlled. But it needs regular follow up by measuring eye pressure ( IOP ) and auto perimetry ( if possible OCT). Sometimes the continued treatment becomes refractory i.e. ineffective and you have to change or modify the treatment. In glaucoma even with the best control of IOP the vision loss may still progress. This is the dilemma ANY HOW we have to provide the best control of IOP and keep monitoring.