Glaucoma | Miranza - Clínica Muiños
Treatment options for glaucoma are greater when it is diagnosed early. That is why it is important to get periodical check-ups, which allow the detection of the disease in initial stages, since it does not have any symptoms.
The treatment of this disease is based on three basic concepts:
To regularize the secretion of the aqueous humor.
To facilitate its drainage by using a trabecular mesh or a uveo-scleral outflow.
To protect the retinal cells and, consequently, the optic nerve fibers to maintain the visual field.
Glaucoma treatment has two stages.:
According to the characteristics of each patient, different medicines are prescribed. In mild cases, it is quite probable that the disease can be kept under control with the use of ocular eye drops that lower the pressure. These eye drops are applied one or many times per day, according to the recipe of the ophthalmologist, and they have to be used indefinitely.
There are two types of surgery: laser surgery and normal surgery.
Laser Treatment (trabeculoplasty): In chronic glaucoma, laser is applied to the area that is obstructed and prevents the passage of the aqueous humor, to improve its drainage, and to decrease intraocular pressure. This technique is quite useful for patients who do not tolerate the medicine or who have to stop taking it due to collateral effects.
It is also recommended for patients who, in spite of the medical treatment, cannot maintain their intraocular pressure within normal limits.
Laser treatment options are limited. They are not too efficient when patients are young, and in serious cases, they are insufficient. In acute glaucoma, the application of laser is quite efficient and it is used to drill a hole in the iris that links the anterior to the posterior chambers of the eye. This procedure is called iridotomy and must be done in both eyes when acute glaucoma attacks exist in only one eye. It is also recommended as a preventive measure, for patients who have one or more risk factors of suffering from this type of glaucoma.
The advantage of the laser treatment is that it does not produce much trauma, but the disadvantage of these techniques is that they cannot be applied to all types of glaucoma. Additionally, in many cases, its effect is temporary.
Surgical Intervention (trabeculectomy): This surgical technique is used for cases diagnosed in very advanced stages or when medical treatment or laser surgery have not produced the results that were expected. The operation entails creating a new path for the drainage of the aqueous humor, so that it will leave the ocular global and for pressure to be maintained within normal limits. Or another option is to use the non-perforating deep sclerotomy technique, which leaves a small internal film, without having to perforate the globe. This technique allows the patient to recover quickly.
Whatever treatment is chosen, we must remember that the process requires for the intraocular pressure, visual field, and condition of the optic nerve to be monitored and followed-up.
If you want to be treated for glaucoma in Tenerife, visit our website for additional information.