Glaucoma Care

In a normal eye, a clear, transparent fluid called 'aqueous humor' is continuously secreted and drained through microscopic channels, eventually entering the blood vessels. If these channels become blocked, fluid accumulates, increasing intraocular pressure. If unchecked, this pressure damages the optic nerve, leading to blindness.

Glaucoma is broadly categorised into 'open-angle' and 'closed-angle' (or 'angle-closure') types. 

Open-angle glaucoma, the most common form, involves a gradual and painless loss of vision. It is often detected during routine eye check-ups.

Symptoms

• Gradual diminution of vision with blurred or foggy vision.
• Frequent change of eye-glass with no significant improvement in vision.
• Mild chronic headache, scotomas in peripheral visual field.
• Coloured halos around lights

Acute / Closed Angle Glaucoma: in certain individuals, the angle from where fluid drains from the eye is genetically narrow. It can be blocked suddenly due to many reasons resulting in sudden increase in eye pressure.

Symptoms

• Severe pain in the eye with headache and facial pain.
• Sudden blurring of vision.
• Cloudy vision with halos around the lights.
• Redness in the eye with nausea and vomiting.

Glaucoma treatment

The goal of glaucoma treatment is to lower eye pressure to a level that prevents damage to the optic nerve, thereby halting further vision loss. However, it is important to note that any existing damage to the optic nerve cannot be reversed.

The modalities of treatment are

• Instilling eye drops regularly as prescribed by the eye doctor to reduce and control intraocular fluid pressure.
• Using tablets over a short span of time to decrease the pressure during acute attacks or to help in bringing down the pressure when eye drops alone are not sufficient
• Laser treatment which are of two types: Laser Iridotomy and Laser Trabeculoplasty

1. Laser iridotomy

This procedure is done for acute or narrow angle glaucoma with laser. A ‘hole’ or opening is made in the iris to relieve the blockage of the drainage channels.

2. Laser trabeculoplasty

This is useful in open angle glaucoma cases. Here the laser is used to open the blocked passages in the eye, thereby facilitating the aqueous fluid from within to reach the outside of the eye.

Surgery for Glaucoma or Trabeculectomy

This surgery involves creating an additional channel to drain excess fluid, bypassing the blocked channels. It is effective for most types of glaucoma.

Iridotomy trabeculectomy

The most effective defence against glaucoma is regular eye check-ups, particularly after the age of forty. It's essential for all adults, especially those with a family history of glaucoma, to undergo routine eye examinations.

Glaucoma drainage devices

These devices are typically reserved for patients with severe, uncontrolled glaucoma who have not responded well to previous glaucoma surgeries. They also offer advantages as a primary procedure for patients at high risk of trabeculectomy failure, such as those with neovascular and uveitic glaucoma. Additionally, they are commonly used to manage congenital and developmental glaucomas. Other indications include traumatic glaucoma, aphakic and pseudophakic glaucoma, post-keratoplasty glaucoma, and various secondary glaucomas. Recently, there has been growing interest in using these devices as a primary surgical intervention for uncontrolled primary open-angle glaucoma. Your eye surgeon is the best resource for guidance on these devices.

Are you looking for Glaucoma Treatment in Mumbai City?

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If you are looking for Glaucoma Treatment in Mumbai City, Surya Eye Hospital is here to assist. Surya Eye Hospital can help with your Glaucoma Treatment.

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Contact Surya Eye Hospital today for all your Glaucoma Treatment needs in Mumbai City at Call us +91 8070504504

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