Does surgery guarantee cure for glaucoma and freedom from glaucoma medication for a lifetime?

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I wish it were true. In 80-90% of cases, the visual fields may stop deteriorating and the pressure may remain below target forever. However there is a 10-20% possibility of the pressure remaining uncontrolled or visual fields continuing to worsen even after uneventful surgery. This may happen immediately after surgery or even several years after seeming ‘cure’. Therefore, even after successful surgery you should continue to see your eye surgeon at regular intervals as called, to confirm, “all is still well”! More importantly, we must realize that at best, surgery can only prevent further loss of vision- it cannot restore vision already lost, unlike cataract surgery. In other words, delaying glaucoma treatment, medical or surgical, is like going down a one way street- there is no coming back!

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About Author

Dr. Quresh B. Maskati, President (2014-2015) at All India Ophthalmological Society Gold medallist in DOMS. Passed MS (ophth) in 1983 at 1st attempt. Super specialised in diseases of cornea and anterior segment in Rochester and Boston, USA. Is the only ophthalmologist in the world with extensive experience in both the Pintucci and the Boston Keratoprosthesis. Specialties Squint, paediatric ophthalmology, cornea and ocular surface disorders, keratoprosthesis surgery and research, oculoplasty and LASIK