Glaucoma Treatment

Glaucoma Treatment

"Glaucoma” describes a whole group of diseases affecting the eye wherein owing to
an unhealthy pressure within the eye,

GLAUCOMA

Glaucoma Treatment

The Glaucoma Department at The Eye Foundation is well equipped with all latest instruments for the management of various disorders pertaining to eye pressure.

PROCEDURES AND SERVICES

We have state-of-the-art facilities required for the diagnosis and management of glaucoma. We at The Eye Foundation provides the best glaucoma treatment and its related surgeries at an affordable cost

Initial workup includes measurement of intraocular pressure (IOP) with help of Goldmann’s Applanation tonometer. Usually, IOP for normal individuals should be <21 mmHg. Any values more than that warrants further glaucoma evaluation for glaucoma surgery.

Glaucoma Treatment at low cost

Measurement of central corneal thickness is mandatory before starting the patient on medications. It is done using Pachymeter which measures corneal thickness and gives us adjusted intra ocular pressure.

The angle of the anterior or iritis chamber is assessed by gonioscopy lens and if found occludable and left untreated can lead to an angle-closure attack. This is further confirmed by Ultrasound Bio Microscopy (UBM) and if the angles are confirmed to be narrow, the patient is advised Nd: YAG Laser iridotomy in which laser beam is used to open up the blocked passage. It is painless and is done on an outpatient basis.

Advanced Treatment for Glaucoma in Eye Foundation - Goniocscopy facility
Advanced Treatment for Glaucoma in Eye Foundation - YAG Laser iridotomy

Visual fields analysis is an integral part of glaucoma management. We have Zeiss Humphrey’s Field analyzer which allows us to interpret visual fields, locates non seeing areas of patient and to assess progression and plan or change medications accordingly.

Advanced Treatment for Glaucoma in Eye Foundation - Humphrey Field Analysis

Stereoscopic photographs of disc for documentation and progression is taken on Heidelberg fundus camera.

Optical Coherence Tomography (OCT) ,the latest advancement, gives us an analysis of optic nerve head and retinal nerve fiber layer, the parts of the eye which is first affected in glaucoma. We have Optovue Spectral Domain OCT which gives high resolution,3 D images of retina and optic nerve to assess the severity of damage and it also measures progression of glaucoma.

OCT Treatment for Glaucoma

Although medical management is the mainstay of glaucoma treatment and medications, some patients with advanced glaucoma, with co-existing cataracts, not controlled by medical therapy, for such patients glaucoma laser surgery is the treatment of choice.

GLAUCOMA SURGERY

We do Glaucoma surgeries like trabeculectomy with antimetabolites to create alternate pathways for fluid to flow, Gonioscopy assisted Transluminal Trabeculotomy(GATT), the latest technique for early to moderate glaucoma and glaucoma drainage valve implants for refractory glaucoma performed by highly qualified surgeons at our center.

Glaucoma Surgery in Eye Foundation - Trabeculotomy

TRABECULECTOMY

Advanced Treatment for Glaucoma in Eye Foundation -  Glaucoma Drainage Device

GLAUCOMA DRAINAGE DEVICE

Glaucoma Surgery at best cost

GLAUCOMA SURGERY

Frequently Asked Questions (FAQ)

WHAT IS GLAUCOMA?

Glaucoma is a common eye condition in which fluid pressure inside the eye rises to a level higher than that is healthy for that eye, thereby causing damage to optic nerve leading to irreversible loss of vision and even blindness.

WHAT ARE THE TYPES OF GLAUCOMA?

It could be open angle type which is usually asymptomatic and hence gets diagnosed only in later stages. In closed angle type, the eye pressure rises due to block in outflow pathway.


Normal Glaucoma Treatment

NORMAL

Mild Glaucoma Image

MILD

Moderate Glaucoma Image

MODERATE

Advanced Glaucoma Treatment

ADVANCED

WHAT ARE THE SYMPTOMS?

It is usually asymptomatic, commonly called as” silent theft. ”It depends on type of glaucoma. Open angle glaucoma do not cause any symptoms, some can compliant of haloes and defective side vision. Acute angle closure glaucoma can cause severe headache, eye pain, nausea, vomiting, blurred vision, haloes and redness of eyes.

WHO IS PRONE FOR GLAUCOMA?

Anyone can develop glaucoma after 40 years. If there is a strong family history of glaucoma, they are at high risk. Such patients should get it checked annually.

WHAT HAPPENS IF I HAVE GLAUCOMA?

Once Glaucoma is confirmed, your doctor prescribes medications so that you intra ocular pressure is under control. You must be very compliant with medications as glaucoma is mostly managed by medications. Laser is done for closed angles. Surgical treatment is for those with advanced glaucoma and in those not controlled by medications and in congenital glaucoma.

IS THIS LASER PAINFUL?

No. It is a simple outpatient procedure, requires no injections. It uses laser to create a passage for fluid to egress so that your eye pressure is under control.

WHAT HAPPENS WHEN I COME TO HOSPITAL?

During your visit, you will first be taken through a routine checkup of your refraction by a qualified team of optometrist. A routine glaucoma work up includes measurement of intra ocular pressure, corneal thickness and angle evaluation. If your angles are narrow, you would require a prophylactic YAG peripheral iridotomy, which is done on same day. If there is any suspicion of glaucoma by looking at your optic nerve, you might be asked to do further tests like visual fields and OCT. Following dilatation, it might be difficult to drive for several hours.

DO THE DROPS HAVE ANY SIDE EFFECTS?

Some medications can cause dry eyes. Beta blockers are contra indicated in cardiac patients and asthmatics. Most of the medications are to be avoided in pregnancy and lactation unless benefits exceed the risk.

Glaucoma Helpline: +91-9442217796
Email: glaucoma@theeyefoundation.com

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