Glaucoma – Treatment

In case of glaucoma, patients need a systematic and prolonged treatment, mandatory under medical supervision. It is true that some damages like nerve damage made by the glaucoma can not be cured but in general, with the help of an appropriate treatment the condition can be kept in line . The treatment can keep the intraocular pressure under normal parameters and in this way further nerve damage or other problems are avoided.

Usually, treatment begins with the administration of medicinal preparations such as eye drops. For the treatment of primary open angle glaucoma there are many choices, for instance beta-blockers twice a day that reduce the eye secretions. This eye drops is better to be avoided by people with asthma or heart conditions. Also twice a day are used carbonic anhydrase inhibitors when they are used along with beta blocker or 3, 4 times in 24 hours when they are used alone.



Carbonic anhydrase inhibitors also reduce the secretions. For the same purpose exist adrenaline-type drops . in order to help the eye drainage doctors may use prostaglandin analogues but the bad news is that this drops may change the eye color. Another treatment that helps the drainage but that has another side effect include the miotics. The problem is that this drops make booth pupils to become smaller.

Though this is not a solution on the long run, the laser treatment may be a choice for glaucoma treatment. The laser acts on the drainage system and improves the intraocular fluid discharge. The laser treatment is painless and does not take much time. The advantage of this treatment is the fact that the eyeball is not subject to surgical action. The laser treatment can be effective only in early stages of the disease, when intraocular pressure is not very increased.

The most common form of treatment of glaucoma is surgery. The trabeculectomy helps the drainage . It can have also side effects.

The closed angle glaucoma is also treated by laser in some cases, by making a hole in the iris. It can also be treated by carbonic anhydrase inhibitors and when none of this two methods is not working, surgery is the next step.

For the postoperative period to pass without complications, the first weeks try not to sleep on the side of the operated eye, use sunglasses on the street, avoid physical activity a month, don’t touch the operated eye with the hands.

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