Department of Glaucoma

Glaucoma Treatment Glaucoma Treatment Glaucoma Treatment

Glaucoma is a result of collection of fluid within the eye & the resultant increase in intraocular pressure. This pressure affects the sensitive optic nerve resulting in irreversible damage.

Glaucoma has been rightly called “the silent stealer of eyesight.

What is most tragic is that vision loss due to Glaucoma is irreversible. Medicine, LASER & surgery can at best preserve the residual eyesight of the patient.

Types of Glaucoma

1) Chronic open angle glaucoma (Chronic simple glaucoma): -
 

a) Persistent diminution of vision.
b) Heaviness of head particular
c) Another relevant symptom is frequent chnges in reading glass.
d) The person may have defective dark adaptation i.e. can take a longer time to adapt to darkness.

2) Acute angle glaucoma (Congestive glaucoma): -
 

This is of sudden onset. Blurred vision, severe pain, rainbow holes around light, nausea & vomiting are the immediate symptoms. Unless immediate medical attention is provided, blindness can result in a day or two.

3) Congenital Glaucoma: -
 

Photophobia in the infant – This is visible literally from birth, since the eye of an infant is more elastic than of an adult, the increase of pressure leads to the eye bulging out.

4) Low tension Glaucoma: -
 

Normal limit of Intra ocular pressure – 22 mm Hg. Sometimes even with this normal intraocular pressure there is continuous damage to optic nerve

   

Secondary Glaucoma

1) Inflammatory – Iridocylitis
2) Lens induced
3) Neovascular glaucoma
4) Steroid induced glaucoma
5) Intraocular tumours
6) Pigmentary glaucoma

Treatment

1) This is the first choice of treatment only in cases where medication is poorly tolerated or not effective in controlling the intraocular pressure, other options are looked for which include LASER treatment or surgery.
2) LASER treatment: -

a) YAG LASER iridotomy for Angle Closure Glaucome and suspect.
b) ARGON Laser Iridoplasty for Plateau Iris Syndrome
c) Selective Laser treabeculoplasty for open angle glaucoma & ocular hypertension.
d) Laser suturelysis.

3) Glaucoma Surgery: -

a) Trabeculectomy with & without antimetabolites. b) Valves Surgery. c) Non penetrate glaucoma surgery.

   

Know Your Consultants

Glaucoma Department
Dr. Amit Porwal
D.O.M.S. (Ophthalmology
Cornea & Refractive Surgery
Dr. Ritu Verma
D.O.M.S. (Ophthalmology)
Glaucoma Department
Dr.Tina Damani
M.S. (Ophthalmology)
Pediatric Ophthalmology
Dr. Pradeep Ramteke
M.S. (Ophthalmology)
Community Ophthalmology
Dr.Shekhar Mankad
M.S. (Ophthalmology)
Anterior Segment Department
Dr. Jagriti Jain
M.S. (Ophthalmology)
Community Ophthalmology
Dr. Milind Rokade
M.S. (Ophthalmology)
Anterior Segment Department
Dr. Asha Pal
DOMS
Community Ophthalmology
Dr. Ruchi Verma
DOMS
Physician
Dr. Sanjay Bhatnager
MD Medicine
Pathology
Dr.Ashok Kumar Dosi
MBBS
Administration
Dr. Shailbala Patil
M.S. (Ophthalmology)

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