Glaucoma Treatment

There is no cure for glaucoma but in most cases it can be successfully controlled with medical or surgical treatment. Newer and safer medication can more effectively treat glaucoma, meaning that fewer patients need to undergo surgery.

The adequacy of glaucoma control can only be determined by your eye doctor, and regular follow-up is essential in ensuring that the glaucoma control is optimal.

1 / Laser Treatment

Laser treatment can help certain forms of glaucoma, particularly angle-closure glaucoma. In this case, a small opening in the coloured part of the eye (iris) is made using lasers to create a bypass channel for fluid to exit. It is performed as a simple out-patient procedure which only takes a few minutes to complete. This is performed for the eye with the condition as well as the opposite eye as a preventive measure.

2 / Glaucoma Surgery

In patients with more advanced glaucoma where medication does not optimally control the glaucoma, surgical treatment may be necessary. Traditional glaucoma surgery is usually in the form of a filtering operation known as a trabeculectomy, where a bypass channel is created to allow fluid to exit the eye thereby reducing the internal eye pressure. In those with previous failed trabeculectomies or those with complex glaucoma conditions, an external tube implant may be performed. These are major operations that are associated with potential risks. Hence, these are usually reserved for those with glaucoma that are not medically controlled.

3 / Minimally Invasive Glaucoma Surgery

New surgical treatments for glaucoma have been developed to help improve eye pressure control for those with mild to moderate glaucoma. Because of the potential complications associated with standard glaucoma surgery, minimally invasive glaucoma system (MIGS) is a promising surgical alternative.

These procedures are less invasive, have a higher safety profile with fewer complications and have a more rapid recovery time compared to traditional surgery. However, with the increase in safety, there is a trade-off in the extent of pressure lowering effect, which is why these are reserved for those with mild to moderate glaucoma patients and are not suitable for those with advanced glaucoma.

Prevention

Simple self-care measures can help to prevent or slow down glaucoma progression.

1. Eye screening or regular monitoring: Early detection of glaucoma can be achieved through regular comprehensive eye examinations. It is advisable to have an eye check for those above the age of 45 years old, so that diseases may be diagnosed.

2. Use eye drops as directed regularly: Most patients with glaucoma are treated with medication. With glaucoma drops, your risk progressive nerve damage is greatly reduced.

Determine the Best Possible Treatment With Early Glaucoma Screening

Glaucoma progresses slowly and insidiously. Most people only have minimal symptoms during the early phase of the disease. They are only aware of the condition during the late stages. Glaucoma eye screening is very useful in picking up the disease early so that the best possible treatment may be started.