Is an ache around the eye normal after tube shunt surgery?

What's normal

The plate is stitched to the wall of the eye behind the eyelid, so a dull ache or heavy feeling in that area during the first weeks is common, especially when you look far in that direction. The Glaucoma Research Foundation says the surgery itself is done under local anesthesia with sedation and involves no pain during the procedure, and that patients take prescribed medications afterward to control inflammation.

Pressure changes can also be felt as an ache. EyeWiki describes a hypertensive phase of elevated pressure, typically in the 30 to 50 mm Hg range, occurring anywhere between 1 and 6 weeks after surgery, and notes it is more common with valved implants. A brow ache in that window is worth reporting so the pressure can be checked.

Usually mild and fading over the first 2 to 4 weeks. A new brow ache in weeks 1 to 6 may reflect a pressure rise and should be checked.

When it stops being normal

The American Academy of Ophthalmology says to call your ophthalmologist immediately if your eye is red, painful, or just does not feel right, because this could be a sign of infection that must be treated right away. The Glaucoma Research Foundation also says to watch for redness, severe pain, or decreased vision and contact your physician immediately if they occur.

Pain that is getting worse instead of better, pain not relieved by your prescribed drops, or pain with nausea, halos, or a sudden drop in vision all need same day attention.