GLAUCOMA TREATMENT OPTIONS
Glaucoma Sarasota, FL
As a rule, damage caused by glaucoma cannot be reversed. Eye drops, pills and laser, and surgical operations are used to prevent or slow further damage from occurring.
With any type of glaucoma, periodic examinations are very important to prevent vision loss. Because glaucoma can worsen without you being aware of it, treatment may need to be changed over time.
Medicines
Glaucoma is usually controlled with eye drops taken several times a day, sometimes in combination with pills. These medications decrease eye pressure, either by slowing the production of aqueous fluid within the eye or by improving the flow leaving the drainage angle.
For these medications to work, you must take them regularly and continuously. It is also important to tell all of your doctors about the eye medications you are using.
Glaucoma medications can have side effects. You should notify your ophthalmologist immediately if you think you may be experiencing side effects.
Some eye drops may cause:
- A stinging sensation
- Red eyes
- Blurred vision
- Headaches
- Changes in pulse, heartbeat or breathing.
Pills sometimes cause:
- Tingling of fingers and toes
- Drowsiness
- Loss of appetite
- Bowel irregularities
- Kidney stones
- Anemia or easy bleeding
Surgical Options
Laser Surgery
Laser surgery treatments may be effective for different types of glaucoma. The laser is usually used in one of two ways.
In open-angle glaucoma, the drain itself is treated. The laser is used to enlarge the drain (trabeculoplasty) to help control eye pressure.
In angle-closure glaucoma, the laser creates a hole in the iris (iridotomy) to improve the flow of aqueous fluid to the drain.
Operative Surgery
When operative surgery is needed to control glaucoma, your ophthalmologist uses miniature instruments to create a new drainage channel for the aqueous fluid to leave the eye. The new channel helps to lower the pressure.
Though serious complications of modern glaucoma surgery are rare, they can occur, as with any surgery. Surgery is recommended only if your ophthalmologist feels that it is safer to operate than to allow optic nerve damage to continue.