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About Glaucoma

Glaucoma is a group of eye conditions that are connected to optic nerve damage. The optic nerve is directly responsible for the vision, and its degeneration impacts the overall vision negatively. It is the leading cause of vision loss in people over the age of 60. Though aging is a common risk factor behind glaucoma, it is not the only one. Nerve damage due to glaucoma occurs primarily due to the accumulation of fluids and increased eye pressure. If diagnosed in time, the eye pressure can be reduced and the patient’s impending blindness can be prevented or slowed down.
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Overview

Glaucoma-Overview
Causes of Glaucoma
  • Atherosclerosis, i.e., deposition of fatty cells in arteries near the eye
  • Elevated eye pressure
  • Congenital disorders
  • Hereditary
  • Undue eye pressure or strain
  • Trauma
Symptoms of Glaucoma
  • Tunnel vision
  • Patchy blind spots obstructing the central or peripheral vision in both eyes
  • Headaches with eye pain
  • Halos around lights
  • Eye redness
  • Nausea and vomiting
  • Blurry vision
Risk factors of Glaucoma
  • High intraocular pressure (internal eye pressure)
  • Family history of glaucoma
  • 60+ years of age
  • Diseases that affect nerves and vessels like diabetes, heart disease, high blood pressure, sickle-cell anemia, atherosclerosis
  • Thin corneas (especially in the center)
  • Corticosteroid medications (especially eyedrops)
  • Eye injury
  • Surgical complications from previous eye treatments/surgeries
  • Severe myopia/hypermetropia
Types of Glaucoma
  • Open-angle glaucoma
  • Angle-closure glaucoma
  • Infantile glaucoma
  • Normal-tension glaucoma
  • Pigmentary glaucoma
Doctor-performing-Glaucoma-surgery-in-Chennai

Glaucoma Treatment

Diagnosis of Glaucoma

Before getting treatment, the patient should get a thorough diagnosis. Diagnosis for glaucoma includes a detailed patient history and imaging test. Common diagnostic tests required for glaucoma are:

  • Physical examination: Your ophthalmologist will take a detailed medical and family history and perform a comprehensive eye exam to look for any signs of redness, dryness, swelling, decreased visual acuity, etc.
  • Tonometry: Tonometry helps measure intraocular pressure by applying slight air pressure to the cornea to gauge the severity of the condition.
  • Retinal imaging test: Retinal imaging test provides a digital image of about 80% of the eye and helps in diagnosing eye disorders.
  • Visual field test: A visual field test helps assess peripheral vision and check for areas of vision loss. 
  • Pachymetry: Pachymetry is a quick and painless test that helps measure the corneal thickness to determine if the glaucoma is caused due to a corneal abnormality.
  • Gonioscopy: For gonioscopy, the eye doctor uses a  special lens and slit lamp to inspect the drainage angle of the eye to diagnose the type and cause of glaucoma. 

Glaucoma Treatment and Surgery

  • Medical management: Medical management for glaucoma is done through eyedrops and tablets that help lower intraocular pressure. However, to ensure the success of the treatment, the patient should make sure they do not skip or delay their medicine. Prescription eyedrops and oral medicines for glaucoma include prostaglandins, beta blockers, alpha-adrenergic drugs, carbonic anhydrase inhibitors, rho-kinase inhibitors, or cholinergic drugs.
  • Laser therapy: Laser treatment helps clear any blockages in the trabecular system and restore the flow to decrease intraocular pressure and manage glaucoma. Common laser treatments for glaucoma include YAG laser peripheral iridotomy, argon laser trabeculoplasty, diode laser myeloablation, and selective laser trabeculoplasty (SLT).
  • TRAB surgery (Trabeculectomy): During a trabeculectomy, the eye surgeon creates a flap in the sclera to expose the internal trabecular network and create an alternative pathway for the drainage of an extra aqueous liquid to control intraocular pressure. After the surgery, there is a small swelling under the eyebrow where the liquid collects before draining out.
  • Minimally invasive glaucoma surgery (MIGS): MIGS is a collection of low-risk eye surgeries that helps reduce intraocular pressure by alternative approaches such as bypassing the trabecular network, increasing outflow through micro eye stents, creating an alternative pathway for liquid drainage through valvular surgery, etc. The surgery is less risky than trabeculectomy and yields better results.

 

Why Pristyn Care?

Delivering Seamless Surgical Experience in India

01.

Pristyn Care is COVID-19 safe

Your safety is taken care of by thermal screening, social distancing, sanitized clinics and hospital rooms, sterilized surgical equipment and mandatory PPE kits during surgery.

02.

Assisted Surgery Experience

A dedicated Care Coordinator assists you throughout the surgery journey from insurance paperwork, to free commute from home to hospital & back and admission-discharge process at the hospital.

03.

Medical Expertise With Technology

Our surgeons spend a lot of time with you to diagnose your condition. You are assisted in all pre-surgery medical diagnostics. We offer advanced laser and laparoscopic surgical treatment. Our procedures are USFDA approved.

04.

Post Surgery Care

We offer free follow-up consultations and instructions including dietary tips as well as exercises to every patient to ensure they have a smooth recovery to their daily routines.

Pristyn Care in Numbers

2M+

Happy Patients

150+

Clinics

45+

Cities

150K+

Surgeries

400+

Doctors

800+

Hospitals

Frequently Asked Question

Is glaucoma eye surgery safe?

Glaucoma surgery is very advanced and helps protect vision even in patients with severe glaucoma. However, like most other surgeries, there is still some risk associated with it. Common risks of glaucoma surgery are cataracts, corneal issues, low intraocular pressure, vision loss, etc. 

 

How much does glaucoma surgery cost in Chennai?

The cost of glaucoma surgery in Chennai ranges from Rs. 35,000 to Rs. 40,000. The cost range is a little arbitrary and can easily vary depending on the severity of the patient’s condition, patient’s eye health, whether they require other treatments, etc.

 

Is glaucoma surgery in Chennai covered under insurance?

Yes, glaucoma treatment is covered under most major health insurance policies in Chennai, as it causes irreversible damage to the optic nerve and can lead to permanent vision loss if not treated properly and promptly. 

 

What kind of treatment does Pristyn Care provide for glaucoma treatment in Chennai?

At Pristyn Care eye clinics in Chennai, you can receive advanced glaucoma treatment. Pristyn Care has retina exerts that can provide medical management, laser treatment (selective laser trabeculoplasty or SLT), trabeculectomy (TRAB surgery), and minimally invasive glaucoma surgery (MIGS) like eye stents and valvular surgery for glaucoma management. 

 

Can glaucoma return even after surgery?

Glaucoma surgery is a very effective method of controlling eye pressure and managing glaucoma. However, it does not get rid of glaucoma completely, it merely controls its progression and protects the optic nerve from further damage. It can recur if the patient does not follow proper care and precautions after the surgery.

 

Which surgery is best for glaucoma correction?

When it comes to surgical intervention for glaucoma management, no particular surgery can be labeled the best. Your eye doctor will carefully evaluate your symptoms and the severity of the condition to figure out the best treatment option for you. 

 

Does glaucoma surgery improve vision?

No, generally, the vision loss caused due to glaucoma is permanent, but in very rare cases, if the patient has other eye problems like cataracts, etc., then surgery can cause a little improvement in vision.

 

Can glaucoma affect infants?

Yes, glaucoma that is present at birth is known as congenital glaucoma and appears with symptoms like bluish and water eyes, along with photophobia (a tendency to avoid light). It is very common in children born from parents with familial relations (cousins and relatives) and needs immediate attention to prevent permanent blindness.

Can glaucoma be cured completely?

No, glaucoma can’t be completely treated or eliminated. However, its symptoms can be controlled and managed through medicines and surgery. 

How long does it take to recover from glaucoma surgery?

The recovery period after glaucoma depends on the extent of the condition and the type of surgery. For most patients, the eye pressure normalizes within 1-2 weeks and they can return to light activities such as reading, watching TV, and using other electronic devices like mobile phones, computers, etc. within this time period. Complete recovery takes about 4-6 weeks, but most patients are advised to avoid heavy weightlifting and other strenuous activities for the rest of their lives to prevent eye strain.

Can I avoid glaucoma surgery?

Glaucoma is a progressive condition that usually worsens over time. There are various eyedrops and oral medications that can help manage it and help reduce internal eye pressure. However, ultimately the most successful and long-term treatment for glaucoma is surgery. 

 

How can the patient improve recovery after glaucoma surgery?

Although glaucoma surgery can lower eye pressure and help stabilize vision, it does not completely eliminate glaucoma. To ensure that the surgical benefits last for a long time, the patient should follow the following tips:

  • The patient has mild redness, swelling, and irritation around the eye, however, to avoid rubbing the eye and potentially causing complications, the patient should wear protective eyewear.
  • The patient should follow their post surgical prescription for eyedrops and medicines without fail.
  • Make sure you contact your eye surgeon immediately if you experience any complications such as unbearable pain, pus, or discharge from the eye, a shadow in the visual field, a decrease in vision, etc.
  • During the first couple of weeks, the patient should restrict bending, running, and lifting activities. 
  • The patient may need lifelong precautions for swimming, diving, and other similar activities.
  • Reusable contact lenses can help or delay the recovery based on the individual patient, so make sure you consult your doctor regarding the same.
  • Consult your surgeon before you start using eye makeup or other eye products.

Lifestyle tips to prevent worsening of glaucoma

  • Make sure you take your prescription eyedrops and medications on time. Skipped doses and delays in taking medicines can worsen your condition. Additionally, if you are taking medicines for other conditions, make sure none of it includes corticosteroids. Do not self-medicate for any health problem.
  • Try your best to avoid falls and accidents, as any injury to the eye can aid in glaucoma progression.
  • Avoid excessive intake of tea or coffee as they can elevate internal eye pressure. Also, avoid drinking a large quantity of water in one go.
  • Exercise safely. While some exercise is helpful in maintaining intraocular pressure, excessive exercising can increase eye strain and pressure. Perform aerobic exercises about 3-4 times a week for 25 minutes. This can include swimming, jogging or walking, or riding a bike.
  • Avoid lifting heavy weights and pushups as they can cause eye strain. Yoga poses like shirshasana that strain the head region should also be avoided.
  • If you are pregnant, make sure you consult both your eye doctor and your obstetrician regarding your medicines, as glaucoma medicines can affect the developing fetus.
  • Take small breaks if you are using digital screens for long periods in your daily life.
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