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Glaucoma

Glaucoma is a rather common disease. It occurs mainly in people over 40 years old. However, this disorder may develop in young people and even in newborns. Currently, the ophthalmology knows only one way to prevent blindness at glaucoma – early detection and correct treatment.

Due to modern treatment methods, most patients manage to preserve their vision and enjoy the perception of the surrounding world.

Heredity plays an important role in the development of glaucoma. If your relatives had glaucoma, you should be especially cautious and regularly visit your ophthalmologist. Please note that people suffering from diabetes mellitus, hypertensive disease and asteroesclerosis are more susceptible to glaucoma. Therefore, in addition to regular visits to a therapist or endocrinologist, they should be examined by an ophthalmologist at least twice a year.

DO NOT FORGET! Any person should visit an ophthalmologist at least once a year.

TREATMENT

Patients with glaucoma need regular and lengthy treatment, always under a doctor’s supervision. As a rule, the treatment starts with the use of medications: eye drops to reduce the intraocular pressure; tablets to improve the nutrition of the optic nerve and the retina. In some, unfortunately rare, cases the intraocular pressure normalizes and the condition of the optic nerve does not deteriorate. In this situation the drug treatment is sufficient, however, the patient will have to take medications for life.

Therefore, specialists have developed qualitatively new methods to treat glaucoma: effective, safe and low-traumatic. The include a laser surgery and surgical intervention. In the first case, a laser ray, freely penetrating in the eye, influences the drainage system and improves the intraocular fluid outflow. Laser treatment is painless, not lengthy and is performed out-patiently. Its significant advantage is the fact that the eyeball is not subjected to the surgical intervention.

Unfortunately, not all patients can be cured by a laser ray. This treatment can be effective only at initial stages of the disease, when the intraocular pressure is not significantly increases, or in attacks of glaucoma described above. For the vast majority of patients suffering from this disease, the most effective treatment method is a surgery.

According to specialists, glaucoma should be diagnosed and surgically treated much earlier than it is done now. It was shown that conventional medications are not only useless, but adversely affect the eye. The most popular medications for the reduction of eye pressure suppress the production of the intraocular fluid. This worsens nutrition of the whole eye structure, increases dystrophic changes in the optic nerve and the retina. A surgery for creation of new outflow route for intraocular fluid, performed as early as possible, will preserve the vision in glaucoma patients.

This surgery is called “non-penetrating deep sclerectomy”. It can be successful for treating any form of open-angle glaucoma. The most important advantage of the surgery is the fact that it does not require cutting the eyeball. This excludes any infection and significantly reduces the risk of intraoperative complications.

Non-penetrating deep sclerectomy is performed under local anesthesia using drops, with mandatory participation of anesthesiologists who prepare the patient for the surgical intervention and help relieve nervous tension. The intervention uses excimer laser, special microsurgical tools with blades made of diamond, sapphire and other high-strength materials. The surgery lasts in average for 15-20 minutes.

The surgery is performed for various types of primary, congenital and secondary glaucoma on eyes with preserved visual functions (field of vision) The total time required for treating one eye is 10 days (preoperative examination – 2-3 days, surgery – on the 4th day).

In addition to non-penetrating deep sclerectomy, the leading ophthalmologic clinics of the world have developed other types of anti-glaucoma surgeries that are performed in Eye Microsurgery CSTC by indication.

If in addition to glaucoma you have been diagnosed cataract, you need a surgical treatment, which consists of non-penetrating deep sclerectomy and cataract removal with replacement of the cloudy eye lens with an artificial one – reliable and perfect. Depending on indications, the intervention may be sequential or simultaneous.

After surgery, your will need to use anti-inflammatory drops, so you have to buy them beforehand, according to the doctor’s recommendation. When prescriptions are followed, the erythema of the operated eye disappears within 9-14 days. You will be able to look at light, you will not suffer from lacrimation and sensation of a foreign body in the eye.

If the surgery is timely made, it will normalize the intraocular pressure and preserve the vision.

In future, we recommend you regularly, 2-3 times a year, visit your ophthalmologist to check the visual acuity and monitor the eye pressure, as the progression of vascular and drainage system disorders and excessive scarring in the anti-glaucoma surgery area may result in an intraocular pressure increase in a small percentage of cases (1.5-2.2%). An ophthalmologist will establish the cause of an insufficiently effective surgery and conduct the treatment required.

A number of innovative treatment methods focused on the preservation of vision in glaucoma patients have been developed. They include: magnetic and laser stimulation of the optic nerve that improves the vision in severe glaucoma cases or a vasoreconstructive surgery. This surgery is made strictly in compliance with indications on patients with impaired blood flow in eyes, which, unfortunately, often develops even when the intraocular pressure is in norm. As a result of a simple surgical procedure, the eye will receive more blood carrying nutrients.

Laser treatment of glaucoma

An extensive use of the laser to manage glaucoma began as early as in the 1970s. Currently, the laser treatment of glaucoma have proven to be the most effective and safe method around the world. The laser treatment of glaucoma can be performed as an independent treatment method or in combination with an anti-glaucoma microsurgery.

Advantages of the laser treatment of glaucoma:

  • restoration of the outflow of intraocular fluid from the eye along its natural routes;
  • highly efficient reduction of intraocular pressure;
  • minimum risk of complications;
  • laser interventions are painless, they are performed under local anesthesia with anesthetic drops;
  • laser treatment is not lengthy and is performed out-patiently;
  • short, not lengthy period of recovery (rehabilitation).

The laser treatment of glaucoma is the most effective at early stages of the disease.

Depending on the type of glaucoma – open-angle or close-angle glaucoma, the nature of changes in the eye drainage system, various types of laser interventions (surgeries) can be made. Laser treatment is carried out using the most innovative original technologies developed by the Eye Microsurgery CSTC and advanced, innovative techniques used in the world practice. Our specialists use the cutting-edge equipment and up-to-date laser systems that allow a wide range of laser procedures for effective treatment of glaucoma.

Specialists of the Eye Microsurgery CSTC will select the glaucoma treatment method which is optimal for you to preserve your vision and bring back the joy of life.