Complications

Complication
Timeframe
Likelihood
long term
high

Vision loss will start peripherally and progress to affect central vision. By the time patients with glaucoma develop symptomatic vision loss, they typically have advanced optic nerve injury. Consequently, the risk of blindness due to glaucoma is significant if the disease is detected late or is not adequately treated; the risk is much lower if patients receive timely treatment.[13]

long term
high

Surgeries can lead to decreased visual acuity and make the eye more susceptible to infection and inflammation. [ Cochrane Clinical Answers logo ] ​​ Infections are treated aggressively with ophthalmic and intra-ocular antibiotics. Any associated inflammation will subside as the infection subsides.

Mild loss of vision may resolve in time or be permanent.

Antifibrotic agents may be considered to reduce post-operative scarring in patients undergoing trabeculectomy, but they may increase the risks of bleb leak, infection, and hypotony.[8]

long term
high

Glaucoma has been implicated as a risk factor for falls and fractures in older adults, with an apparent increased risk with comorbid cataract and/or age-related macular degeneration.[106]

Frailty

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