Understanding How To Treat Your Glaucoma


When your eye care professional diagnoses you with glaucoma, it's important that you understand what kind of treatment to expect. Most eye doctors start with a treatment plan that includes medicated eye drops for pressure regulation. If the eye drops don't reduce the pressure in your eyes or condition worsens, your doctor may suggest that you undergo surgery. Here's a look at a few of the surgical choices to talk over with your eye doctor before you settle on a treatment.

Methods of Increasing Drainage

One of the most important steps for dealing with glaucoma is to ease the pressure of the fluid in the eye. 

  • Trabeculectomy - A trabeculectomy can do just that by creating an opening where the fluid can drain. The process involves making an incision in the eye and removing a small amount of the tissue to create that space. 
  • Tube-Shunt - A tube-shunt, on the other hand, requires the placement of a small tube into a similar incision. The fluid buildup in the eye should flow out of that incision.
  • Trabeculoplasty - Trabeculoplasty is a laser procedure. The laser is targeted to burn a small opening in the eye.
  • Slerostomy - A sclerostomy is also a laser procedure, but it is a procedure in which the laser removes a small part of the white of your eye. 

Ways of Maintaining Drainage

In addition to establishing drainage outlets, you may also be guided to treatments for maintaining the drainage to keep the pressure at bay. Sometimes, that means creating an additional incision in the iris to encourage the fluid to drain. This is often used for patients who have narrow drain tubes or openings. If your doctor uses traditional surgical methods for this process, it's known as an iridectomy. For doctors who do the treatment with laser surgery, it's known as an iridotomy.

Options to Slow Fluid Production

Sometimes, even the most extensive interventions like these aren't sufficient for glaucoma. If your eye doctor finds that these treatment options aren't sufficient, he or she may suggest a more extensive intervention. This procedure involves actually removing the portion of your eye that produces the fluid that's accumulating. It is usually reserved for severe cases where no other intervention works.

With so many different methods to address your glaucoma, your eye doctor is sure to find something that will work. If you have been having a hard time with pressure accumulation in your eyes and no other treatments are working, you should talk to your eye doctor about the potential for pursuing surgery. Now that you understand these options and how they can affect your situation, you can make a reasonable decision about what is best for your situation. Places like Shamir Optical Lab can help you explore your vision correction choices after treatment.


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