PostOp Eyes

Trabeculectomy Week 1: What to Expect

General information about typical recovery, not medical advice. Every eye and every surgery is different, and your surgeon's instructions override anything on this page. Read our full disclaimer.

Week one is the heaviest week for drops and appointments. EyeWiki describes a first postoperative day visit and then a visit at about one week, with visits every one to two weeks after that for the first two months. Your surgeon is watching the eye pressure, the shape of the bleb, and whether the front of the eye is holding its normal depth.

Vision in the operated eye is usually poor this week. The American Academy of Ophthalmology says vision may be blurry for several weeks after trabeculectomy, and the Glaucoma Research Foundation describes blurred vision for about six weeks before it usually returns to its earlier level. Do not judge the result of the surgery from what you see in week one.

The drop schedule is intense on purpose. EyeWiki describes topical corticosteroids given four times daily up to as often as every two hours, along with an antibiotic four times daily for the first week. The American Academy of Ophthalmology says these medicines are prescribed for several weeks to help prevent infection, discomfort, and scarring. Set alarms, and do not stop or change any drop on your own.

Usually normal at this stage

  • blurry vision in the operated eye
  • a gritty or scratchy feeling from stitches on the surface
  • watering and tearing
  • redness of the white of the eye
  • a droopy or heavy feeling upper eyelid
  • mild ache or soreness around the eye

Still off-limits

  • no bending over, straining, or lifting heavy objects
  • no rubbing the eye
  • keep water out of the eye, and no swimming
  • no driving until your surgeon clears you
  • take a break from reading and close work as advised
  • no contact lenses unless your surgeon approves

More on trabeculectomy recovery

Sources