What is Glaucoma?
Glaucoma is a common disease characterized by progressive damage to the vision nerve with different types, visual field losses and high intraocular pressure.
If glaucoma is recognized and treated on time, vision loss can be prevented.
Many people do not know if they have glaucoma.
The main risk factor in glaucoma is high intraocular pressure.
Intraocular pressure increases due to the development of resistance to the excretion of intraocular fluid for various reasons.
This high pressure causes damage to the vision nerve over time.
Treatment of glaucoma is aimed at lowering intraocular pressure.
For this purpose, various drugs, laser and surgical methods are used.
The methods used are aimed at reducing the intraocular fluid volume or increasing the flow of intraocular fluid through the eye to reduce intraocular pressure.
Keeping the intraocular pressure at a desired level stops the progression of the damage to the vision nerve.
Drugs used or surgery may not be able to control intraocular pressure over time, in this case, treatment method or drugs may need to be changed or new drugs added.
Drug Treatment of Glaucoma
Glaucoma drops are usually used once or twice a day. However, some medications may need to be used several times a day.
These drugs generally do not cause side effects in most patients. However, some drops can cause complaints such as burning, stinging, redness and dryness in some people. Some medications may cause headaches, shortness of breath and other side effects.
When these side effects occur, the ophthalmologist should be informed and the medicines or their doses changed with the advice of the doctor.
Since glaucoma is usually a symptom-free, insidious disease, some patients may stop or forget the medication without their complaints. Glaucoma is a lifelong disease. That’s why do not forget to have your eye pressure measured every year.
Therefore, as long as the intraocular pressure control of the drugs is provided, it should be used for a lifetime. Regular administration of the treatment is very important to prevent glaucoma damage.
Surgical Treatment of Glaucoma
The purpose of glaucoma surgery is to facilitate the outflow of fluid in the eye in terms of anterior chamber. Although different surgical methods are used in adults, the most applied technique is trabeculectomy surgery.
The purpose of this surgery is to create a way to facilitate the drainage (outflow) of intraocular fluid, which has accumulated in excessive amounts. In congenital glaucoma, trabeculectomy surgery is the third option, the first surgical techniques are either goniotomy or trabeculotomy.
The purpose of these two surgeries is to cut the abnormal tissue in the anterior chamber angle and to easily drain the intraocular fluid.
If results cannot be obtained with these two surgical methods, trabeculectomy surgery is performed. If these surgeries are insufficient, apparatus (Ahmed valv, etc.), which transports intraocular fluid, which we call implant surgery, is used. If no result can be obtained from this, diode laser is applied, which reduces the production of intraocular fluid.