bandage-green

Glaucoma Surgery (Trabeculectomy, Laser Trabeculoplasty, Drainage Device)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, Bed turned 90 degrees
Time : 30-60 min (short)
Blood Loss : Low (10-50 ml)
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : No
Blocks : Retrobulbar
Considerations : PONV, Oculocardiac Reflex

Anesthetic Approaches

1MAC, Conscious Sedation
2Local Anesthetic
3GETT
The Surgery

Laser trabeculoplasty - the trabecular meshwork is treated through a contact lens in a clinic chair, with topical anesthesia and nothing else. Conjunctival flap and scleral flap - for a...

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