Deep Sclerectomy: Assessment, Risks and Follow-up

Deep sclerectomy is a non-penetrating glaucoma operation intended to improve drainage of aqueous fluid and reduce pressure inside the eye. It is not suitable for every form or stage of glaucoma, and pressure reduction or preservation of vision cannot be guaranteed.

Assessment and alternatives

An ophthalmologist should confirm the glaucoma type, angle anatomy, optic-nerve damage, visual fields, current pressure, medicines, previous laser or surgery and the target pressure for that eye. Alternatives may include drops, laser treatment, another drainage procedure or monitoring, depending on the clinical findings.

Procedure and limitations

The operation creates a controlled drainage route while avoiding full entry into the front chamber of the eye. Technique, use of an implant or antimetabolite and follow-up interventions vary. Some patients may still need medicines, laser goniopuncture or further surgery.

Risks and follow-up

Risks include bleeding, infection, inflammation, pressure that remains too high or becomes too low, fluid leakage, scarring, cataract, vision change and further procedures. Glaucoma damage already present is generally irreversible, so long-term pressure, optic-nerve and visual-field monitoring remains important.

Review Revitalize’s glaucoma treatment information, named doctors and assessment route.