Monday, 29 June 2015

Glaucoma Treatment in Mumbai at Affordable Cost

Glaucoma is a disease of the optic nerve. The optic nerve carries electrical signals from the eye to the brain and damage to it affects the vision. Glaucoma is usually a silent disease and also dangerous as the damage to the nerve is irreversible.

By the time a person realizes the symptoms, the disease is usually advanced. This makes early detection and treatment very important especially for older people.

Eye is like a ball. A clear liquid called as aqueous humor is constantly produced in very small quantities. An equal amount of this fluid flows out of the eye through microscopic drainage system. When this drainage system is blocked, excess fluid is retained, raising the pressure within the eyeball. The raised pressure pushes against the optic nerve and damages it. Sometimes there may be an acute attack due to sudden blockage causing a steep rise in the pressure with acute symptoms. This is an emergency.

People with glaucoma often do not have symptoms until vision loss occurs. When symptoms are present, they are :
  • Severe eye pain
  • Headache
  • Nausea / Vomiting
  • Rainbow Haloes Around Lights
  • Age above 40
  • Elevated eye pressure
  • Family history of glaucoma
  • High refractive errors
  • Past eye injuries
  • Thinner central cornea
  • Diabetes and migraine headache
  • Regular eye examination with routine measurement of intraocular pressure ( IOP ).
  • Optic nerve head evaluation.
  • Gonioscopy and ultrasound biomicroscopy ( UBM ) to check the drainage angles.
  •  Visual field analysis to check the function of the optic nerve.
  • Pachymetry for central corneal thickness
  • Newer imaging modalities like OCT, HRT and GDX may be required to document the anatomical damage to the optic nerve.
The treatment is aimed at arresting the progress of the disease. It is in the form of eye drops, laser and surgery. are a variety of anti glaucoma medications available which have reduced the need for surgery. Some eye drops work to reduce the production of aqueous humor, whereas some work to open the drainage channels. Also combinations of medicines are available as eye drops for enhanced effect.

Laser Iridectomy ot Trabeculoplasty is helpful in certain cases to increase the drainage of fluid from the eye.

The surgical techniques of Trabeculectomy or modified Trabeculectomy with Mitomycin C are to be undertaken if medication is not able to arrest the progression of the disease.

New modality for control of glaucoma is the Express Shunt. Advanced Glaucoma might require the use of valve surgery to control the intra ocular pressure.

The purpose of treatment is to prevent further loss of vision. This is important because vision once lost due to glaucoma cannot be regained.

  • Always keep the medicine in stock before it gets over.
  • If more than one drug is used, wait for 10 minutes between dosages.
  • If one misses a dose, do not increase the number or amount of medication taken next time.
  • Do not stop taking medication while travelling.
  • Ask your doctor about how to use drops properly.
Don't Forget
  • Treatment for glaucoma requires a 'team' made up of both a compliant patient and doctor ( ophthalmologist ).
  • Doctor can prescribe treatment for glaucoma, but only patient can make sure to put eye drops regularly.
  • Do not change or stop taking medications without consulting the doctor ( ophthalmologist ).
  • Frequent eye examinations and test are important to monitor the eyes for any changes.

    Glaucoma generally has no signs or symptoms until serious loss of vision has occurred. The best way to protect the damage is early diagnosis, proper treatment and regular follow ups. Krishna Eye Centre provides glaucoma treatments at affordable cost.

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