Glaucoma Consultation

Service Description

Glaucoma is a group of eye conditions that damage the optic nerve, the health of which is vital for good vision. This damage is often caused by an abnormally high pressure in your eye. Glaucoma is one of the leading causes of blindness for people over the age of 60. It can occur at any age but is more common in older adults. Many forms of glaucoma have no warning signs. The effect is so gradual that you may not notice a change in vision until the condition is at an advanced stage. Because vision loss due to glaucoma can't be recovered, it's important to have regular eye exams that include measurements of your eye pressure so a diagnosis can be made in its early stages and treated appropriately. If glaucoma is recognized early, vision loss can be slowed or prevented. If you have the condition, you'll generally need treatment for the rest of your life. Open-angle glaucoma - Patchy blind spots in your side (peripheral) or central vision, frequently in both eyes, Tunnel vision in the advanced stages Acute angle-closure glaucoma - Severe headache, Eye pain, Nausea and vomiting, Blurred vision, Halos around lights, Eye redness If left untreated, glaucoma will eventually cause blindness. Even with treatment, about 15 percent of people with glaucoma become blind in at least one eye within 20 years. Hence its very important that an early treatment is initiated. We at Parshwa Netralaya, offer the following Investigations and Treatment modalities for early diagnosis and management of your glaucoma - Investigations - 1. 90 D stereoscopic biomicroscopy to evaluate the optic nerve 2. Intraocular pressure with iCare and GA tonomtery 3. 4M Gonioscopy to assess the angle of the eye 4. Disc and Macular OCT for early diagnosis and computerised monitoring of optic nerve status Management - 1. Medical management - with eye drops to control the pressure and improve the eye blood flow. 2. Laser glaucoma surgery - In the form of Nd:YAG peripheral iridotomy to improve the flow of aqueous in your eye i.e. water inside of your eye 3. Traditional glaucoma surgery - Trabeculectomy with or without antimetabolites MMC/5FU. This option is chosen when eye drops are not enough to control the damage. 4. Non penetrating glaucoma surgery - NPGS - This option is best for people with open angle glaucoma with mild to moderate damage. Safety profile of NPGS is better than traditional surgery 5. Glaucoma shunt impantation - Some forms of glaucoma are not amnable to traditional methods and shunts remain the sole viable option in such patients. Modern shunts provide excellent safety and pressure control profiles.

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