Trabectome surgery increases the amount of fluid exiting the eye. The tip of the Trabectome removes the strainer-like tissue (trabecular meshwork) that reduces flow into the natural drainage system. This is done through the same small corneal incision as cataract surgery.
Yes, Trabectome is an outpatient surgery that normally takes 5 to 15 minutes. Numbing drops or injectable anesthetic and IV sedation are used for comfort. You will go home the same day of surgery and be seen the next day in the eye clinic to check for any inflammation and or infection. You must have someone with you to drive you home as you are not allowed to use any transportation on your own because the medication can cause drowsiness.
Studies indicate that Trabectome usually lowers the eye pressure by about 30%, while also decreasing the number of glaucoma eye drops that need to be taken.
As with almost any eye surgery, heavy lifting and other strenuous activities should be avoided for at least one week. Although some patients enjoy clear vision the next day, the visual recovery in many cases is not as rapid as following cataract surgery, and may take several days to improve. The vision can vary between good and bad for several days and may affect your ability to drive or handle equipment during this time.
Your glaucoma drops will be gradually tapered off after surgery per your doctors recommendation.