Glaucoma Diagnosis & Treatment

Every second individual is seeking for the best treatment for glaucoma. At Dr Agarwal’s Eye Hospital, we provide all types of glaucoma treatment – open angle glaucoma, closed angle glaucoma, secondary glaucoma, malignant glaucoma, congenital glaucoma, and lens induced glaucoma.

You can schedule your visit for detailed diagnosis of your eye-diseases!

Glaucoma Diagnosis

If you detect any problem, we analyse your eyes’ condition while tracing back your medical history. After a thorough examination, doctors diagnose different types of glaucoma, including primary open angle glaucoma and secondary glaucoma. The tests include:

• Dilated Eye Examination

  This is the foremost step performed to identify the damage to your optic nerve at the back of your eye.

• Gonioscopy

  It is a painless eye examination to examine the drainage angle (where the iris and sclera meet).

• Tonometry

  Doctors perform this test to measure intraocular pressure (pressure in your eyes).

• Visual Field Test (Perimetry)

  This test is done to detect visual field loss.

• Pachymetry

  Eye specialists execute this eye test to measure corneal thickness.

Glaucoma Treatment

Glaucoma is of different types, including congenital glaucoma, lens induced glaucoma, malignant glaucoma, secondary glaucoma, open angle glaucoma, and closed angle glaucoma. Depending on the type of glaucoma, the experts of Dr Agarwal’s Eye Hospital proceed with the treatment – glaucoma test, medications, or surgical treatment for glaucoma.

Here are the treatment options for glaucoma treatment:

• Medications

  There are multiple medications offered for alleviating glaucoma. Doctors prescribe eye drops that may decrease the amount of fluid in your eyes. Depending on the intraocular pressure you get a prescription for eye drops. Some eye drops for glaucoma include:

  1(a) Prostaglandins

  These medications lower intraocular pressure in your eyes, including Travatan, Xalatan, Z, Zioptan, Rescula, Lumigan, and Vyzulta eye drops. Doctors prescribe to use this once a day.

  1(b) Beta Blockers

  Reducing fluid production, these medications lower your eyes’ pressure. Beta blockers eye drops include Betimol, Istalol, Carteolol, and Timoptic and may be prescribed to use once or twice a day.

  1(c) Alpha-Adrenergic Agonists

  Medications like Iopidine, Alphagan P, Propine, and Qoliana are used to reduce fluid production in the eyes. Eye specialists may prescribe it to use it twice or thrice a day.

  1(d) Carbonic Anhydrase Inhibitors

  Lowering the production of fluid that eyes produce continuously, these medications relieve your eyes from fluid pressure. These include, Brinzolamide and Dorzolamide. Based on the condition, it is prescribed to use twice or thrice a day.

  1(e) Miotics (Cholinergic Agents)

  These medications reduce pupil size, allowing increased fluid outflow from the eye. Resultantly, it reduces pressure on your eyes. Echothiophate and Pilocarpine are some of its prescribed medications. You may need to use it four times a day and are prescribed rarely due to its side effects.

  The eyedrops mentioned above may have side effects, so ensure to consult our eye care specialists before starting your medication routine. If the condition worsens or you observe any insignificant changes in your body, visit Dr Agarwal’s Eye Hospital immediately.

• Oral Medications

Eye drops may not solely reduce your eye pressure, so eye specialists often treat eye glaucoma with oral medications like Acetazolamide.

• Laser Treatment

  Laser therapy is the most preferred and frequently used option for glaucoma treatment. Your doctor may perform the following laser for glaucoma treatment:

  3 (a) Laser Trabeculoplasty

  The laser trabeculoplasty technique is usually performed for primary open angle glaucoma treatment. In this procedure, doctors use a laser to widen the drainage in your eyes, facilitating easy drainage of the fluid from the eyes.

  This glaucoma laser surgery is performed through argon laser trabeculoplasty (ALT) and selective laser trabeculoplasty (SLT). In recent years, the SLT laser has superseded the ALT laser.

  3 (b) YAG Peripheral Iridotomy (YAG PI)

  Yag PI laser is done in case of angle closure glaucoma treatment. In this, eye surgeons create a hole in the iris using the laser to improve the flow of aqueous humour, lowering the eye pressure. This process is also called laser iridotomy surgery.

• Surgical Treatment

  Dr Agarwal’s Eye Hospital has several surgical treatment options for glaucoma treatment. It is an invasive technique but may give you faster results. Let’s have a look at the following surgical methods for glaucoma treatment:

  4 (a) Trabeculectomy Glaucoma Surgery

  Trabeculectomy surgery is performed when medications and laser therapy do not successfully lower intraocular pressure. Usually, eye specialists perform trab surgery for open-angle glaucoma treatment.

  Our eye surgeons carefully make an opening in anterior chamber from underneath partial thickness scleral flap under your eyelid. Through this opening, the extra fluid is drained out, reducing the pressure in your eyes.

  4 (b) Drainage Tube Shunt Surgery

  This is also called glaucoma shunt surgery, baerveldt glaucoma implant, or seton glaucoma surgery. It is done for managing intraocular pressure in your eyes to treat glaucoma. In this drainage implant surgery, eye specialists implant a drainage tube inside the eye to clear out excess fluid from the eyes and reduce the pressure in the eyes.

  4 (c) Minimally Invasive Glaucoma Surgery (MIGS)

  After examining your eye condition, doctors may recommend undergoing minimally invasive or non penetrating glaucoma surgery to manage eye pressure. This glaucoma treatment is performed using microscopic implants, minor incisions in the eye, and precision lasers. MIGS glaucoma treatment is performed in several ways, and our eye specialists analyse the right technique for glaucoma treatment. Some MIGS techniques include:

  • iStent

    iStent is a device made of titanium, implanted in the eye’s drainage system. It creates a bypass between the eye’s natural drainage path and the front part of the eye. This increases the liquid flow, reducing the eye pressure.

  • Canaloplasty

    Canaloplasty is a non-penetrating glaucoma treatment generally performed for open angle glaucoma. In this surgery, a microcatheter (a small tube to pass medicines or devices) is placed in the Schlemm canal (the eye’s natural drainage site). It enlarges the drainage canal, resulting in lower pressure inside the eye.

  • Kahook Dual Blade Goniotomy

    Eye specialists perform this surgical procedure for open angle glaucoma treatment and ocular hypertension. Specialists carefully use a micro-engineered blade for incisions in goniotomy surgery to remove the wall that blocks the drainage. Thus, it relieves the pressure in your eyes.

We at Dr Agarwal’s Eye Hospital provide comprehensive treatment for various eye diseases. The diseases are listed here:

For various eye-related diseases, our eye treatment or surgery options include the following:

If you observe any glaucoma symptoms in your eyes, consult our highly certified eye care professionals for effective treatment. To mitigate this eye problem and root out its causes, you can visit Dr Agarwals Eye Hospital. After thoroughly examining your eyes’ condition, we initiate treatment with the latest tech-enabled solutions. We perform surgical and non-surgical glaucoma treatment methods using advanced techniques and equipment. Our well-trained staff also provide post-surgery care to help you heal fast and effectively.

Housing a team of over 400 expert professionals, we are committed to providing the best healthcare solutions with world-class infrastructure facilities. We offer unwavering support to our patients with our individual and personalised care.

Book your appointment today to get the best treatment for glaucoma.