low IOP after preserflo

[Sarahmb81]

I was diagnosed with glaucoma last year following accident and after trying all the meds that couldn't get my pressure below 38-45 they decided to do a preserflo shunt. I had this a month ago and my IOP hasn't gone above 5 and is currently at 3 for the past 2weeks. I know this is an odd question but anyone know how I can raise my pressure whilst not bending, lifting or being too active as still on light duties. For example sleeping position etc.

[Toby_from_London]

Hi Sarahmb81

I had the microshunt op around 8 weeks ago and it can take a while for pressures to rise; I started at 5 and am currently sitting at 9, down from 42.

The eye can be easily damaged while pressures are low so please take care. I'm sure it will correct itself given time; what does your consultant say?

Wishing you a speedy recovery!

[Sarahmb81 in reply to Toby_from_London]

Thanks for replying, day 1 was 2iop, week 1 and 2 was 5 and weeks 3 and 4 back to 3. Consultant says I have a few folds in retina but they continue to reduce steroids from hourly to 2 hourly and now 6 tines a day. Vision is slowly getting worse than what it was week 1 post op but never had good vision due to cataracts and 10 years without lens and uviatis. Consultant just says take it easy and work from home not in office with no bending or lifting. Just wondered if sleeping position could hinder recovery but still wearing eye shield at night and losing skin due to tape.

[Toby_from_London in reply to Sarahmb81]

Those 2 hourly drops are a nightmare!

Just wishing you well; I know it’s frustrating but try and take things as easy as possible. From what I’ve read on this forum recovery is a long an unpredictable process. I’m currently on 4 drops a day and looking forward to being drop free at some stage!

Take care and wishing you a speedy recovery 🙂

[Trish_GlaucomaUK Partner]

Hello Sarahmb81.

As your pressures are low, I would recommend you don't try anything to raise the eye pressure. This is something the consultant will be addressing, so wait for his opinion before trying anything. You only had the Presaflo last month, so early stages of recovery.

[MatthewC]

Hi Sarah. I hope your pressure gradually gets back to where you and your surgeon want it.If there's one thing I've learned from my experience so far, it's that pressures can be unpredictable post surgery!

I had a trab rather than a shunt, but am same age as you.

Pre op pressure was 35-40 with drops and regular mannitol.

1 day post op my pressure was 4.

2 days later it was 40!

After some poking and prodding from the surgeon it's since been measured at around 19 (day 4 and 6) and I have my fingers crossed there's no more wild swings.

With time I hope it'll stabilise for you.