What is glaucoma?
A group of diseases that damage the optic nerve—often due to elevated eye pressure—leading to gradual, irreversible vision loss that typically starts in side (peripheral) vision. Early detection is critical.
Follow‑up matters
Glaucoma care is lifelong. We tailor therapy and monitoring (pressure checks, visual fields, imaging) to preserve your remaining vision.
Our stepwise care
Medications
Eye drops and/or pills to lower pressure by reducing fluid production or improving fluid outflow.
Laser procedures (in‑office)
The cloudy lens is removed and replaced with a clear intraocular lens (IOL); most patients notice crisper vision within days, with full healing over several weeks.
- Selective Laser Trabeculoplasty (SLT): Targets the eye’s drain to improve outflow in open‑angle glaucoma.
- Laser Peripheral Iridotomy (LPI): Creates a tiny opening in the iris to relieve angle‑closure or narrow‑angle risk.
- Laser Iridoplasty: Shrinks the peripheral iris to help open a narrow drainage angle when appropriate.
MIGS (minimally invasive glaucoma surgery)
Micro‑procedures, often combined with cataract surgery and with a quicker recovery:
- Goniotomy / Canaloplasty: Opens the draining channel from the inside to enhance outflow.
- iStent inject®: Tiny stents placed to bypass the trabecular meshwork and lower pressure.
- XEN® Gel Stent: A soft microshunt that creates a new path between the front cavity and the surface of the eyeball.
Drainage implants
Devices that route fluid to a reservoir under the eyelid tissues:
- Ahmed® valve & Baerveldt®: Ahmed® valve (flow‑regulated) and Baerveldt® implant (non‑valved) for moderate–advanced disease.
Trabeculectomy
Creates a new drainage channel (bleb) to lower pressure in advanced cases.
Cyclophotocoagulation (CPC)
Laser treatment to the ciliary body to reduce fluid production in refractory glaucoma.
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FAQs
- Glaucoma is usually slowly progressive and with early detection and treatment, vision loss can often be prevented or slowed under periodic glaucoma evaluation - however, glaucoma cannot be cured.
- At least twice a year, if glaucoma is well-controlled.
- Otherwise, more frequent evaluations are necessary.
Yes. While lifestyle changes cannot cure glaucoma, they may support eye health:
- Regular exercise (unless advised otherwise by your doctor)
- Eating a diet rich in leafy greens and omega-3s
- Avoiding smoking and drinking alcohol
- Protecting eyes from injury
- Taking prescribed drops consistently
- Be cautious of steroid use.
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