Glaucoma Care @ Laxmi

Presently, glaucoma treatment is aimed at reducing intraocular pressure whatever be the type of Glaucoma.

In an Angle closure glaucoma, one needs to start treatment with a Laser, followed by Medications / Surgery. Reduction in intra Ocular Pressure (IOP) can be achieved by medication (eye drops or tablets), laser, or surgery. It is important to remember that there is no cure for glaucoma, and that nerve damage that has already occurred cannot be reversed. In other words, vision that has been lost due to glaucoma cannot be regained; vision can only be retained.

  1. Medications – there are a number of medications, which can either reduce the aqueous production or increase the aqueous outflow. They can be used either singly or in combination to get to the Target IOP. After starting treatment, your glaucoma specialist will call you back to confirm its efficacy and to look for any minor side effects.
  2. Laser Peripheral Iridotomy (PI) – This is done with the help of a YAG Laser. This procedure helps in opening up a closed ‘angle’, the area in the eye from which the fluid drains by making a small hole in the iris (coloured part of the eye). Overcoming this block can automatically prevent eye pressure fluctuations in patients with this type of glaucoma and prevent an acute attack of angle closure from setting in.
  3. Selective Laser Trabeculoplasty (SLT) – Laxmi Eye Institute is one of the few centres in India which offers this advanced modality. SLT is suited for patients with primary open angle glaucoma. This laser acts on the trabecular meshwork and opens it out, thereby enhancing the aqueous outflow. It provides long-term freedom from eye drops.
  4. Trabeculectomy – Trabeculectomy surgery is the gold standard in glaucoma surgery, and is primarily used in patients in whom the eye pressure cannot be controlled with medication. Here a new pathway is created for the aqueous to be able to drain out, thereby relieving hight eye pressure. To get better outcomes anti-fibrotic agents like Mitomycin-C are used.
  5. High Frequency Deep Sclerotomy (HFDS) – this is a minimally invasive glaucoma surgery effective at lowering the eye pressure in patients with an open angle Glaucoma, with very few side-effects. Laxmi Eye Institute is one of the only centres in India to offer this surgery, and was one of six centres around the world involved in the development of this technology.
  6. Valve implants – Valves such as the Ahmed valve and Addi valve can be placed in the eye to control eye pressure, especially in complicated cases. Surgeons at Laxmi Eye Institute have great experience and results in such cases. In certain conditions like neovascular glaucoma and ICE syndrome, valves are used as primary treatment.
  7. In Congenital Glaucoma – surgical treatment is the way to go, and combined Trabeculotomy-Trabeculectomy has been proven to give the best results.

Glaucoma Club
The Glaucoma Club is a special initiative of Laxmi Eye Institute, by which members can avail of special discounts in consultation fees and procedure charges. This club also provides a platform for patients with this disease to interact with each other, to share their experiences and stories, and motivate one another.

Lifelong Treatment
There is no cure for glaucoma. Just like diabetes and hypertension, glaucoma is a lifelong disease, needing regular and lifelong treatment. Because the disease can worsen silently, regular checkups and repeated tests are essential to ensure stability.

Do not despair!
Glaucoma can be controlled, and patients can lead happy, healthy and productive lives if the disease is detected in time and monitored regularly.