Glaucoma Treatment and Surgery
Treatment
The most common treatments for glaucoma are eye drops and rarely, pills. There are a number of different categories of eye drops, but all are used to either decrease the amount of fluid (aqueous humor) in the eye or improve its outward flow. Sometimes we will prescribe a combination of eye drops.
Laser Surgery
Doctors often recommend laser surgery before filtering microsurgery, unless the eye pressure is very high or the optic nerve is badly damaged. During laser surgery, a focused beam of light is used to make a very small burn or opening in the eye’s trabecular meshwork (the eye’s drainage system).This helps increase the flow of fluid out of the eye.
Conventional Surgery
In contrast, conventional surgery (filtering microsurgery) involves creating a drainage hole with the use of a small surgical tool. This new opening allows the intraocular fluid to bypass the clogged drainage canals and flow out of this new, artificial drainage canal.
When laser surgery does not successfully lower eye pressure, or the pressure begins to rise again, the doctor may recommend conventional surgery. If necessary, glaucoma surgery can be done several times without substantial risk.