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early complications in adults, e.g., persistent hyphema, pressure spike, hypotony; mostly transient. Varies by technique and glaucoma type."},"contraindications":["Active eye infection or inflammation until controlled","Angle-closure glaucoma with extensive synechial closure (relative)","Neovascular glaucoma with active neovascularization (relative)","Unmanageable bleeding disorder or anticoagulation (relative)","Cannot lie still under local anesthesia (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Same-day discharge after uncomplicated adult surgery."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Strenuous exercise, heavy lifting and swimming after surgeon clearance; light walking is allowed from the first days."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Pressure and vision stabilize; medications may be adjusted during this time."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After the day-1 and week-1 reviews show stable pressure and no significant hyphema; surgeon clearance required."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":1,"max":2,"unit":"days","qualifier":"Day-1 check of pressure, hyphema and anterior chamber."}},{"purpose":"assessment","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"Week-1 check of pressure, healing and drop regimen."}},{"purpose":"result_review","requirement":"routine","after":{"min":28,"max":90,"unit":"days","qualifier":"Pressure control and medication adjustment."}}],"indications":["Adult open-angle glaucoma uncontrolled or progressing despite maximal medication","Adult open-angle glaucoma with intolerance to glaucoma eye drops"],"main_risks":["Hyphema, usually transient","Transient high or low intraocular pressure","Inflammation and blurred vision","Failure to reach target pressure, needing medication or further surgery","Cataract progression","Choroidal detachment or shallow chamber (uncommon)","Infection or endophthalmitis (rare)"],"pain":"Little pain during surgery; mild to moderate discomfort, foreign-body sensation and redness for a few days.","preparation":["Eye assessment: pressure, gonioscopy, optic nerve, visual fields","General health and medication review with the surgeon","Treatment of active eye infection or inflammation beforehand","Transport home and help after surgery","Facility fasting instructions"],"recovery_timeline":[{"phase":"Day 0-3","description":"Eye shielded; blurred vision, mild discomfort and redness; start prescribed drops. 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Later reviews possible at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon's experience and proficiency with the glaucoma procedure proposed, since selection should weigh it","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Ask how the proposed procedure fits the patient's disease severity and stability","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Ask about the risk of complications and the possibility of additional surgery","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that the surgeon who consults with you is the same person who will carry out the 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accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"The offer recommends one procedure without an individual assessment of the patient","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"The surgeon cannot explain how the proposed procedure fits the patient's disease severity and stability","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"The diagnosis rests only on an eye-pressure check, with no complete eye exam","scope":"treatment_type","source":{"url":"https://www.aao.org/eye-health/diseases/what-is-glaucoma","host":"aao.org","quote":"A glaucoma screening that only checks eye pressure is not enough to find glaucoma.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Worsening eye drainage","urgency":"contact_clinic","general":false,"source":{"url":"https://www.chp.edu/our-services/ophthalmology/ophthalmology-patient-procedures/trabeculotomy","host":"chp.edu","quote":"Signs of infection, such as eye drainage that has gotten worse or has changed to green or yellow","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Worsening eye pain","urgency":"contact_clinic","general":false,"source":{"url":"https://www.chp.edu/our-services/ophthalmology/ophthalmology-patient-procedures/trabeculotomy","host":"chp.edu","quote":"Pain that has gotten worse","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Persistent nausea and vomiting","urgency":"contact_clinic","general":true,"source":{"url":"https://www.chp.edu/our-services/ophthalmology/ophthalmology-patient-procedures/trabeculotomy","host":"chp.edu","quote":"Nausea and vomiting that won’t go away","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge 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