Glaucoma Treatments


Glaucoma Treatment

The diagnosis of glaucoma is made by tonometry, which measures the pressure of the fluid inside the eye (the 'intra-ocular pressure'). Another way of diagnosing glaucoma is by studying the appearance of the inside of the eye using a special torch called the ophthalmoscope, or by evaluating the vision using special charts.

The medical treatments of glaucoma involves different kinds of eye drops. This includes drops to slow down the production of fluid inside the eye or to unblock its drainage. Examples of these are:

  • beta blocker drops to reduce the amount of fluid (though these are not suitable for those who have asthma or heart failure)
  • adrenaline drops, which improve the flow of fluid by opening the drainage canal
  • pilocarpine drops, which improve the flow of fluid by opening the drainage canal
  • prostaglandin analogues and carbonic anhydrase inhibitors, newer drugs used in association with the above

About half of those who have glaucoma need to take more than one type of eye drop and sometimes it may be difficult to distinguish between the different bottles. Luckily, there are special preparations of drops which contain two of the necessary ingredients together in a single eye drop to save the trouble of having to remember to use all the necessary drops.

Surgery for glaucoma is performed either by using lasers or by conventional methods:

  • Laser surgery, called laser trabeculoplasty, involves drilling about 50-100 holes inside the eye to help drain the fluid, but drop may still be needed after the operation. More than half of the patients develop the symptoms again within two years of the operation.
  • Conventional surgery is similar, creating a small hole in the eye using a suitable scalpel

These Glaucoma treatments may correct the pressure of the fluid but can't reverse the existing damage to the optic nerve.

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