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Glaucoma: treatment

Glaucoma is common eye condition in which elevated intraocular pressure damages the optic nerve. There are two types of glaucoma: chronic glaucoma (“open-angle glaucoma”) and acute glaucoma (“closed-angle glaucoma”).

When eye drops no longer help, we can treat you with the latest laser technology or surgery.

  • Completely painless
  • Via laser
  • The latest stent technology
  • Reliable results

Symptoms of glaucoma

Although glaucoma is most common in people over the age of 45, the condition can manifest itself at any age.

Open-angle glaucoma

Open-angle glaucoma is the most common form and is characterised by

  • elevated intraocular pressure
  • an optic nerve abnormality
  • an abnormal visual field

In the early stage, this particular form can be treated successfully. In open-angle glaucoma, the eye’s drainage canals have become clogged over time, causing an increase in internal eye pressure (usually > 21 mmHg). If intraocular pressure remains elevated for any length of time, the ensuing damage will cause the optic nerve fibres to die off, leading to sight loss.

Chronic glaucoma

Chronic glaucoma tends to be a silent condition. It isn’t painful and central vision remains good for a long time. This is why it is not always timely noticed.

  • trouble driving, reading, working on the computer
  • deteriorated vision in poor light or in the dark are some of the signs.
  • in serious cases, patients may develop tunnel vision.
  • in cases of advanced glaucoma, the most central part can also be affected and lead to blindness.

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Glaucoma: treatment

Glaucoma is best detected before the symptoms manifest themselves. A mere measuring of the intraocular pressure gives a false sense of security. Not everyone diagnosed with elevated intraocular pressure develops glaucoma, because the optic nerve cells of some people can cope with raised intraocular pressure. On the other hand, not everyone with a normal intraocular pressure reading is home and dry because some people have sensitive optic nerve cells that start to die off at an intraocular pressure of < 21 mmHg. Often, the problem is compounded by poor circulation in the eye. A fundoscopy (an examination of the inside of the eye to detect any retinal abnormalities) is performed to ascertain the degree of optic nerve cupping. This can also be established by means of photographs. An increase in cupping over consecutive visits is a sign of glaucoma.

Other diagnostic methods:

  • Intraocular pressure readings by means of the non-contact or contact method.
  • Visual field test or perimetry to detect blind spots early, long before the patient notices them himself.
  • Gonioscopy (examination of the interior chamber) to determine the form of glaucoma.
  • Pachymetry (measuring the thickness of the cornea) as a means to cross-check the intraocular pressure reading.
  • “Scheimpflug” analysis (examination of the (angle) of the anterior chamber)
  • OCT analysis of the optic nerve and nerve fibre layers.

If glaucoma has been diagnosed, your ophthalmologist will first try to reduce the intraocular pressure with eye drops.

If eye drops don’t/no longer keep the condition at bay, laser treatment can help. Chronic glaucoma is treated by means of laser trabeculoplasty, a technique that uses laser energy to open the drainage canals of the intraocular fluid to reduce the intraocular pressure.

If laser treatment is unsuccessful, surgery is required. For chronic glaucoma, filtration surgery is carried out.

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Personal advice from our experts

Our highly specialised surgeons thoroughly examine your eyes and make a detailed diagnosis. They discuss all the options with you in all objectivity.

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All the knowledge in-house for a wide range of eye treatments. Meet the team

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Personalised eye care

Each eye has its own unique profile, just like your fingerprints. This is why we apply the ultra-personalised topo-guided technique.

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We continuously invest in the latest, most reliable technology. We have the most comprehensive and modern technological platform for laser eye treatment and lens surgery.

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Our laser centre combines experts in their field with a warm welcome in a stylish setting so that you get to have your treatment in all peace and comfort.

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