Glaucoma Medication Adherence and Compliance

Types of Treatment

 

Types of Procedure


Glaucoma TreatmentLASER

  • Laser Iridotomy - in the upper part of the iris (colored part of the eye) under the eyelid to treat narrow angles and angle-closure. View Handout.

  • ALT- uses an argon laser to mechanically open up the drainage spaces in the trabecular meshwork

  • SLT- uses a frequency-doubled YAG laser to open up the drainage spaces in the trabecular meshwork by using the body's own immune cells to remove the debris in the trabecular meshwork (more info)

  • Diode cyclophotocoagulation (View Information)-uses a diode laser to reduce the fluid production of the eye; most commonly used in eyes with poor vision


SURGERY

  • Trabeculectomy (View Diagram)

  • Also called filtering surgery

  • The most common form of surgery for glaucoma, highly successful in routine patients

  • Outpatient, done under local anesthesia

  • Creates a new drain out of the wall of the eye under the upper lid, covered by the conjunctiva (skin of the eye), bypassing the existing clogged drainage system

  • No foreign material is implanted

  • May not last a lifetime and may need to be supplemented with eye drops or to be repeated in the future

  • Your doctor can discuss your individual risks and benefits with you

  • Video

  • Glaucoma Surgery

  • Combined cataract extraction and trabeculectomy

  • Tube shunt - Baerveldt or Ahmed

  • Tube vs. Trabeculectomy Study 5 year results link:

http://glaucomatoday.com/2013/02/key-findings-from-the-tube-versus-trabeculectomy-study/

  • Cataract surgery*

Cataract surgery with Endoscopic Cyclophotocoagulation (View Information)* http://www.endooptiks.com/eo_patients.html

*Please Note: We only perform cataract surgery in patients having a diagnosis on the glaucoma spectrum.

Glaucoma Consultants

6565 N. Charles St, Suite 302, Baltimore, MD 21204