Opzioni Terapeutiche

Opzioni Terapeutiche


There are a number of treatments for open angle glaucoma that can successfully manage glaucoma and significantly reduce progression of the condition. The most common treatment option is to prescribe eye drops. Drops either increase the outflow of fluid leaving the eye or reduce the amount of aqueous fluid production. It is common to prescribe more than one type of drop. However, sometimes patients forget to take their drops and for some people drops can cause complications such as an increase in redness, dry eyes or sunken eyes. Where compliance and complications to drops becomes an issue, Selective Laser Trabeculoplasty (or SLT) offers a non-invasive treatment that can increase aqueous outflow and reduce eye pressure. Minimally Invasive Glaucoma Surgery (MIGS), is a treatment where tiny devices are placed into or through the trabecular meshwork – thereby increasing aqueous outflow and reducing eye pressure. MIGS devices offer lower risks compared to more invasive glaucoma surgery and are generally recommended in early to moderate glaucoma. When drops, SLT or MIGS have not been effective, glaucoma surgery such as a Trabeculectomy or Glaucoma Drainage Device surgery is recommended. Although Trabeculectomy is very effective in controlling eye pressure, surgery using glaucoma drainage devices such as tubes or shunts is recently being adopted as an alternative to traditional trabeculectomy to reduced complications such as scarring of the bleb. Glaucoma drainage devices are effective in lowering eye pressure but complications such as scarring of the implant, bleeding into the eye and infection are possible. In advanced glaucoma, where other treatments have failed, Cyclodiode laser treatment is recommended to protect any remaining vision. In this procedure, a pen-like probe is placed along the sclera. The cyclodiode laser is a highly concentrated beam of light, which is used to target and treat a selected area of the ciliary body. In summary, there are a number of treatments for glaucoma that should be considered at various stages of severity. Your glaucoma specialist will discuss the risks and benefits of these procedures.