Medical treatment: –
Your doctor will prescribe you certain medication (eye drops and tablets) so as to lower your eye pressure which must be taken regularly as directed by the ophthalmologist.
You should not stop medicines even if you do not have symptoms.
A regular follow up, as advised by your doctor, is mandatory.
As damage to nerve caused by glaucoma cannot be reversed, the aim of the treatment is to prevent or reduce further damage to the optic nerve. The first step to do that is to lower the eye pressure. The three modalities of treatment are:-
ANTI GLAUCOMA DROPS
Laser treatment: –
If glaucoma is not controlled with the help of medicines, if the side effects of the medicines are not well tolerated and the patient is non compliant, or cannot afford the cost of the medicines, the second option is LASER TREATMENT.
(example being YAG Laser iridotomy for angle closure glaucoma/ selective laser trabeculoplasty for open angle glaucoma.)
SELECTIVE LASER TRABECULOPLASTY FOR OPEN ANGLE GLAUCOMA BEING PERFORMED
MECHANISM OF LASER BEAM BEING TRANSMITTED AND ACTING AT TRABECULAR MESHWORK OF THE EYE TO INCREASE THE AQUEOUS OUTFLOW AND DECREASE EYE PRESSURE.
(Glaucoma Filtering Microsurgeryeg. Trabeculectomy or “By-pass” surgery of eye)
Operation for glaucoma is the only option left for patients in whom the eye pressure is not controlled with medication or laser. It is also the treatment of choice in non-compliant patients, and in infants and children with glaucoma. Filtering microsurgery involves creating a drainage hole with the use of a small surgical tool, to bypass the blockage in the eye’s trabecular meshwork (the eye’s drainage system). This opening helps increase the flow of fluid out of the eye and thereby reduce the eye pressure.
TRABECULECTOMY SURGERY BEING PERFORMED
MECHANISM OF AQUEOUS OUTFLOW AFTER TRABECULECTOMY SURGERY