a procedure in which the surgeon makes a small opening in the outer covering of the eye-ball to reduce intraocular pressure (IOP) in patients with open-angle glaucoma.
A sclerostomy allows the fluid to collect under the conjunctiva, which is the thin membrane lining the eyelids, to form a filtration bleb.
According to the National Eye Institute, sclerostomy is 80-90% effective in lowering intraocular pressure. The success rate is highest in patients who have not had previous eye surgery.
the surgeon applies an enzyme called collagenase to the eye to increase the release of aqueous humor. The collagenase is applied through an applicator that is attached to the eye with tissue glue for 22-24 hours
They should apply eye drops prescribed by the ophthalmologist to prevent infection, manage pain, and reduce swelling. They should also avoid rubbing, bumping, or getting water into the operated eye.
the surgeon makes a tiny hole in the sclera as a passageway for aqueous humor. Some surgeons use an erbium YAG laser to create the hole. Most surgeons apply an antimetabolite drug during the procedure