How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. A.S. Desai Your Own Question

Dr. A.S. Desai
Dr. A.S. Desai, Ophthalmologist
Category: Eye
Satisfied Customers: 2069
Experience:  MS Ophthalmology with 11 years of surgical expereince
Type Your Eye Question Here...
Dr. A.S. Desai is online now
A new question is answered every 9 seconds

I am originally from Peru but live in the US for many years;

Resolved Question:

I am originally from Peru but live in the US for many years; my entire family, including my mother lives in Peru.

Not too long ago, my mother was diagnosed with Glaucoma. I am not exactly sure what type, but after 3 to 4 months of treatment, she was told by more than one doctor that she needed to go through a trabeculectomy surgery to control the pressure in both eyes.

It’s been 8 weeks now since she has had the surgery in the right eye and she has been complaining of some pain that she’s been feeling in her eye since the day of the surgery. It comes and goes and it’s sharp. She also complained about something inside her eye bothering her; as if she had an eyelid hair inside. Is this normal?

She also initially reported that her vision was blurry immediately after surgery, but three to four weeks after she was impressed at how much clearer she was able to see. Just last week her vision started to decline though, she said that now her vision is back to post-surgery levels. Is this normal after a trabeculectomy?

Lastly, she has developed since the surgery a small sponge like formation, in an entirely different area of the incision in the eye since the surgery. So, for example when she cries the tears stick to this area
(the formation is in lower area of the eye) and it doesn't allow to see her well. What could this be? She didn't have this before.

I would appreciate your answers. She is very anxious about her condition; she is older and lives alone and only speaks Spanish. She has gone to her surgeon, but doesn't remember everything and she is not either too inquisitive.

Thanks,
Maritza
Submitted: 3 years ago via Glaucoma Research Foundation.
Category: Eye
Expert:  Dr. A.S. Desai replied 3 years ago.
Hello,

Welcome to Just Answer

Do you mean that there is a sponge like tissue at the lower part ( between lower lid at lower margin of the colored part of the eye)? Do you find any raised tissue in the upper part of the white of the eye ( better seen if you lift the upper lid)?

Was any mention of cataracts developing in her eyes?
Customer: replied 3 years ago.
hello;
Thanks for your prompt response. Yes, she went to 4 specilists and even though they mentioned that she did have a minor case of cataracts, 3 of them agreed that she didn't need to address it at this time. The 4th one though, wanted to do a surgery facotrabeluctomy. I guess it is a trabeculectomy that also address the cataract issue?

Could that sponge like tissue be a cataract? developing this fast after the surgery? iS this the reason why her vission is deteriorating? it's not even be 8 weeks after the surgery...

I appreaciate your help.
Expert:  Dr. A.S. Desai replied 3 years ago.
Thank you for the reply and additional information.

The sponge like tissue is not likely to be a cataract because cataract is in the centre of the eye ( seen as a greyish white color in the pupillary area). It is common for cataracts to progress within weeks after trabeculectomy especially in pre-existing immature cataracts. One of the possibility for the vision deteriorating after trabeculectomy surgery is a progression of pre-existing cataract. In such a case the cataract can be surgically removed and an intraocular lens can be placed ( vision usually becomes better after this).

In glaucoma there is raised intraocular pressure ( IOP ) usually which causes optic nerve fibres to get degenerated resulting in reduced vision which is irreversible though further damage can be prevented by trabeculectomy surgery.

In the usual protocol followed all over the world, trabeculectomy is one of the last options , done when medical line of therapy fails. The first line of therapy is usually anti-glaucoma medicines which are tried initially with one drug , then multi drug regime for 6 months atleast before a failed medical line of treatment is diagnosed. The next option is argon laser trabeculotomy . When all these methods fail then surgical line of treatment is considered. In your mother's case I feel that the percentage of optic nerve fibres affected must have been quite high and that is why surgical line of treatment was considered. In such a case post-trabeculectomy no improvement in vision is to be expected . This surgery aims at retaining the existing functional fibres and residual vision. A cataract occuring in such cases will decrease vision further but its removal will improve vision only to some extent .

I'm afraid I will not be able to exactly tell what the spongy tissue is at the lower part of the eye without a proper eye exam. A feeling of hair like object in the eye may be due to sutures put in the trabeculectomy incision ( sometimes releasable sutures are left long too). This sensation will sibside over a period of time as sutures are not removed completely at times.

Thanks and best wishes

If you are satisfied with the answer , please press the accept button so that I get my dues.

A bonus and positive feedback are welcome.

Views expressed are for information purpose only and cannot substitute a visit to an ophthalmologist
Dr. A.S. Desai, Ophthalmologist
Category: Eye
Satisfied Customers: 2069
Experience: MS Ophthalmology with 11 years of surgical expereince
Dr. A.S. Desai and other Eye Specialists are ready to help you
Expert:  Dr. A.S. Desai replied 3 years ago.
yes, phacotrabeculectomy is a surgery in which both cataract removal and glaucoma surgery are done together and is decided upon the density of cataract along with the glaucoma status.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology
 
 
 

Related Eye Questions