What To Do When Drops Have Failed To Treat Glaucoma?

Glaucoma is one of the major eye conditions prevalent worldwide. When diagnosed early, a simple treatment such as eye drops before bedtime may help manage the condition for many people. However, it is observed that nearly one in ten people do not respond positively to traditional treatment methods. For these individuals, eye drops and oral medications may be ineffective, potentially leading to blindness. Therefore, early treatment with laser therapy and other alternative options is crucial.

Pharmacotherapy: 

Oral medications and eye drops are used to relieve intraocular pressure. They work by making biological changes in the eyes, such as increasing fluid drainage and preventing the production of aqueous humor. However, eye drops may sometimes fail to work as intended. Patients with arthritis or hand tremors may find it difficult to administer the drops. Additionally, some patients may forget to take their medication, and some treatments may have side effects that lead to complications. Occasionally, additional drops are used alongside regular drops to enhance their effectiveness.

Laser Therapy: 

Also known as selective laser trabeculoplasty, this procedure is used to relieve intraocular pressure. It is often used in conjunction with glaucoma drops and is effective for most people. For others, additional surgery or medication may be necessary. Laser therapy helps increase the drainage of eye fluid.

Filtration Surgery: 

Also known as trabeculectomy, this surgical procedure creates a channel for the drainage of eye fluid, allowing excess fluid to be reabsorbed by the blood vessels around the eye. This is considered a final treatment option for glaucoma and is performed when other treatments have been ineffective.

Drainage Implants: 

When trabeculectomy is not effective, drainage implants may be used. These implants are placed in the front chamber of the eye and include small plates. Excess fluid is directed to these plates, where the surrounding tissues absorb it.

Patients need to be informed about glaucoma to manage it effectively. Consult your doctor to learn more about treatment options.

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