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Eye Care (Expert Forum)
vitreoretinal surgery for glaucoma patients
Answered by
Michael J Kutryb, MD - Ophthalmology, Cataract Surgery, glaucoma, Laser Vision Correct
Kutryb Eye Institute - Titusville
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.
vitreoretinal surgery for glaucoma patients
by BUTTERCUP109, Jul 05, 2009 07:24PM
Does having glaucoma pose an additional risk factor or contraindication to having vitreoretinal surgery (specifically ERM/ILM peel for macular pucker that has accompanied 14 months of macular edema)?
Doctor's Answer
by Michael J Kutryb, MD, Jul 08, 2009 09:20PM
, Jul 08, 2009 09:20PM
Probably not a big problem as long as the glaucoma is mild and well controlled. It would be very important to closely monitor the pressure postoperatively. Postop steroids can also cause some increase in eye pressure in 10-15% of patients also. If the glaucoma is very advanced and difficult to control, it could be a much more complicated to have safe ELM peeling since any spikes in pressure could put the optic nerve in jeopardy. You would have to carefully weigh the risk vs benefits in that case.
Michael Kutryb, MD
Michael Kutryb, MD
