GRAFT Update

[mohammed]

AM 2 months post graft in my left eye and went for my check up yesterday. Was told all is well BUT my eye pressure is at 25 which is too high as it should be 21 and was 18 2 weeks post graft. What does this eye pressure do/affect?

Had my eye drops changed from Deximasolose to Predissolone.

Anyone been through this and does the change reduce the eye pressure.

Anything else I can do to reduce it?

Next app 4-5 weeks

[Andrew MacLean]

High eye pressure can damage the optic nerve, so they keep a careful check on things. Steriods can cause high Intra Ocular Pressure, and I guess that this is why they ahve changed your steroid to Prednisolone.

I hope things are back to normal when you next go to your ophthalmologist.

Yours aye

Andrew

[jayuk]

Mohammed

That is an elevated pressure....but for optic damage to occur the values would need to be alot higher (50+) as far as I can recall....(assuming its an adult eye, etc etc)

Fluctuations in eye pressure do occur well into the post 6 month mark.......but if its caught it is generally easy to bring down; unless there is something fundamentaly wrong with the inner working of the eye and eye ball (vitreous , etc etc)

Hope things do get better!

J

[Vic]

Mohammed,

I was on dexamethasone following a rejection episode, and it gave me raised pressure as well. However they changed it to prednisolone and monitored it, and the pressure did reduce again back to normal range, with no long-term effects.

Good thing they picked up on it, hope all goes well and it gets better.

Vic

[John Smith]

I had the same issues with Dexamethasone (Maxidex) after my 2nd rejection. I was then switched to FML and the problems sort of went away. I'm now on Xalatan as well as FML though to try and bring the pressure down to nearer the 15 mark.

[Asif]

My IOP had risen from 16 which was day after graft to 21 1 month after graft. I was taking dexamethasone 3x a day. Steroid eye drops can increase your IOP. I was then put onto prednisolone 6 weeks post graft which is a weaker steroid drop 3x a day for another 6 weeks. after that I was put onto FML which is an even weaker steroid drop. I am now 10 months post graft take FML once a day and on my last checkup 3 weeks ago my IOP was at 12.

A high IOP doesnt really affect the optic nerve unless it is at very high levels. Howver depending on whether the iop is too low or too high can cause glaucoma. But from a graft perspective you can imagine that if the IOP rises the eye will swell/bulge so you can imagine what effects it will have on the stitches attached to the cornea, which is why it is controlled.

As mentioned IOP can fluctuate, even during the day. Another thing you may notice is that you may also experince flucuations in vision from day to day, which is nothing to worry about unless your vision has become significantly worse..

[Sweet]

Wishing you the best of luck and hoping that things get better soon with the pressure.


Take it easy, Sweet X x X

[mohammed]

thanks sweet/others for your replies