Detection and Diagnosis

  • Early diagnosis can be made by the ophthalmologist in the course of periodic eye examination.
  • In our center every patient over 40 years of age is subjected to non contact tonometry to measure the eye pressure.
  • A fundus examination is done to examine the back of your eye to see if your optic nerve is healthy and no damage is occurring.
  • An automated visual field test is done to see for the shrinkage of the side vision or blind spots. We have a Humphrey Visual Field Analyzer Which is very sensitive to early field changes in glaucoma.
  • Optical Coherence Tomography (OCT)

 

Retinal Nerve Fibre Layer Analysis (RNFL) with a OCT helps to detect glaucoma damage at a much earlier stage.

 

Optical Coherence Tomography (OCT)

  • Mirchia centre we are equipped with one of the latest to verier OPTOVUE OCT
  • It reveals the layers of the retina in a high-resolution, cross-sectional view, giving the practitioner far more information than topographic technologies.
  • OCT has opened new vistas in precise early diagnosis and treatment of Glaucoma.
  • Retinal Nerve Fibre Layer Analysis, Macular thickness Analysis, Optic Nerve Head Analysis is done to detect Glaucoma damage at an earlier stage.

 

Loss of vision is largely preventable

  • If you are over age of 40, you should have your eyes checked for glaucoma every 2 to 4 years.
  • If you have a family history of glaucoma or are a diabetic or use minus (-) numbers, then every year a check up is a must.
  • When diagnosed promptly, eye pressure can be brought under control and future glaucoma attacks can be prevented.
  • As a rule damage caused by glaucoma cannot be reversed. So patients with any type of glaucoma need very periodic examination.

 

Management

  • Medication
    • Glaucoma is usually controlled with eye drops given in various combinations.
    • To be effective, these medications must be taken regularly and continuously.
    • Medication should never be stopped without consulting your doctor.
  • Laser in Glaucoma
    • In some cases, almost painless surgery without incision can be done with a laser beam.
    • Argon Laser trabeculoplasty may be successful in patients with open angle glaucoma.
    • In angle closure glaucoma a hole is made with the help of Laser (Irodotomy) to create an alternate drainage passage.
  • Surgery
    • If medications are poorly tolerated or not effective in controlling glaucoma, surgery may become necessary. An alternate drainage canal is made in the eye for the aqueous outflow (Filtration Surgery).
    • You may still have to use medication for glaucoma after the surgery if the pressures are not within the target range.

 

Complications of Surgery

  • Complications such as cataract or infection may occur.
  • Fortunately, serious complications of modern glaucoma surgery are rare.

 

In most cases, recommended surgery is safer then permitting continuing loss of the optic nerve from glaucoma.

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