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Treatment of glaucoma

Glaucoma is a dangerous condition which manifests itself in increased intraocular pressure and optic disc changes, right up to atrophy.

The goal of glaucoma treatment is to bring intraocular pressure back to normal and prevent irreversible loss of vision. Today’s ophthalmology offers reliable methods of solving this issue. However, keep in mind that patient-doctor cooperation is very important for fighting this disease!

Methods of glaucoma treatment

Excimer offers their patients the best and most advanced methods of glaucoma treatment. All the most efficient developments in today’s ophthalmology are at your service!

You will be offered the best method of treatment based on integrated optical examination using advanced diagnostics equipment.

Conservative treatment (drug therapy)

Excimer offers the latest-generation combined action drug therapy to reduce intraocular pressure, improve eye tissue metabolism, blood circulation in the inner lining of the eye and the intraocular section of the nerve.

Excimer doctors select the antiglaucoma regimen, taking into account optical specifics and general condition of each patient. All possible contraindications are evaluated, and the patient is also screened for incompatible medications, if he or she is on a concurrent drug regimen. The patient-oriented approach makes it possible to choose the best method of fighting the disease and obtaining the best possible result.

Glaucoma surgeries

Surgical intervention is, in many cases, the most effective method for glaucoma. We use the most advanced surgical methods and the newest microsurgical equipment to curb regression of eyesight, which can lead to irreversible blindness in patients with glaucoma.

Excimer offers non-penetrating deep sclerectomy (NPDS) interventions for open-angle glaucomas.
Fluid draining microdevices may be implanted into the eye during the surgery in case intraocular pressure rises. Excimer uses EXPRESS draining devices, Glautex biodegradable drainage implants and drainage systems (AHMED valve) for NPDS interventions to help restore natural intraocular fluid equilibrium.

Angle-closure glaucoma

Both conventional interventions such as laser iridotomy (YAG) or scleral angle reconstruction (SAR), and other methods such as lensectomy and intraocular lens implantation (if the lens size does not match the eye size) are used for angle-closure glaucoma. These microsurgical interventions aim at normalization of intraocular pressure to prevent loss of vision.

Glaucoma & cataract treatment

Excimer offers treatment of glaucoma and cataract using the same procedure to preserve the patient’s eyes and restore vision without any additional surgical interventions!

For patients with a combination of cataract and secondary glaucoma, Excimer offers ultrasound phacoemulsification of cataract and artificial lens or intraocular lens implantation.

An artificial lens does not inhibit fluid drainage to help normalize intraocular pressure. This intervention makes it possible to eliminate cataract and assess glaucoma progression.

If cataract is the result of glaucoma, Excimer surgeon perform two interventions simultaneously, i.e. ultrasound cataract phacoemulsification and non-penetrating deep sclerectomy (NPDS), a surgery which is performed with drainage implants, where required. NPDS helps recover natural intraocular fluid equilibrium and normalize intraocular pressure, while ultrasound phacoemulsification eliminates cataract.

Treatment of glaucoma in children

Glaucoma in children is a rare condition which is one of the main causes of early irreversible blindness. Urgent treatment is the only way to preserve vision, and only a skilled professional is able to prescribe a required regimen after thorough examination of the child’s visual system.

Glaucoma surgeries with the aim to eliminate obstructions of the way of intraocular fluid flow are the most radical and effective method of glaucoma treatment in children.

Drug therapy is an important part of an integrated treatment regimen which includes approaches aimed at stabilization of intraocular pressure, prevention of rough cicatrization, preservation and improvement of visual functions, desensibilization and general systemic improvement.

Children with suspected or confirmed glaucoma undergo compulsory monthly examinations to measure their intraocular pressure, cornea diameter, limbus width and evaluate their visual functions.

Emergency care for acute angle-closure glaucoma attack

The main goal for acute glaucoma attacks is to reduce intraocular pressure and normalize intraocular circulation to provide nutrition for the retina and optical nerve.

The high risk group is people with confirmed glaucoma. Attacks may be induced by stress, hypothermia, excess exercise, prolonged work with head down. The symptoms of acute glaucoma attack are sharp irradiating pain in the eye which causes headaches and may be accompanied by nausea, vomiting, discomfort in the area of the heart and bradycardia, and general weakness. These symptoms make it difficult to diagnose the condition correctly; that is why patients sometimes never receive emergency care required for acute glaucoma attack. See more about acute glaucoma attack.

Intraocular pressure must be reduced within several hours after the onset of the attack to prevent irreversible loss of vision!

What you need to know if you have glaucoma

  • Medications do not recover intraocular fluid equilibrium but only help control it.
  • Glaucoma surgeries normalize intraocular fluid equilibrium. It is a radical solution which eliminates the need for drug therapy or helps minimize the amount of drugs required to control the condition.
  • Patients diagnosed with glaucoma must be supervised by an ophthalmologist, as this condition tends to progress rapidly, if uncontrolled, and leads to blindness. Patients must be supervised by a specialized physician even after a surgical intervention to avoid relapses and loss of visual functions.
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