Glaucoma Treatment

Everyone is at risk for glaucoma. For this reason, we recommend that you get tested often. As a standard procedure, The Georgia Center for Sight does routine glaucoma testing with each eye exam. This routine test examines intraocular pressure. While elevated intraocular pressure is the most important risk factor for glaucoma, a significant percentage of people diagnosed with glaucoma have normal or even low pressure. Therefore, we recommend that each person should get a complete eye exam, including eye dilation, every one or two years.

What is Glaucoma?

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According to The Eye Diseases Prevalence Research Group, more than 2.6 million people in the United States are affected by glaucoma. Glaucoma is a group of eye diseases that can damage the optic nerve and results in vision loss and blindness. This disease generally affects both eyes as fluid pressure within the eyes rises. However, with early treatment, you can often protect your eyes against serious vision loss.

Types of Glaucoma

Open Angle Glaucoma

where draining angle is open.
open angle glaucoma

Risk factors include:
  • Typically affects African Americans over 40 years old, everyone over 60 years old, family history of Glaucoma
  • Peripheral vision is gradually lost, nearly always affecting both eyes
  • In advanced stages, the patient has tunnel vision

How is it treated?
  • Medicius (drops and pills) - tissues: side effect & compliance
  • Laser trabeculoplasty - not permanent effect
  • Conventional filtration Sx - extensive post-op care. Dr. Dong is the only eye surgeon to use Express-shunt to reduce the complication of glaucoma Sx in the area.
  • MIGS (minimal invasive glaucoma surgery) - such as ?iSTENT? surgery, only offered by Dr. Dong in the Athens area. Further reduce glaucoma risk to the level of routine cataract treatment.

Narrow Angle Glaucoma

The fluid in the eye can't reach the angle
to be drained out of the eye.

narrow angle glaucoma
Risk factors include:
  • Very far sighted eye
  • Cataract formation
  • Certain medications
  • Eye pain, usually severe (often accompanied by nausea, and sometimes vomiting)
  • Blurred vision
  • Lights appear to have extra halo-like glows around them
  • Red eyes
  • Sudden, unexpected vision problems, especially when lighting is poor
How is it treated?

Laser peripheral iridectomy - if significant cataract is present, removal of cataract will cure this condition.

Narrow angle glaucoma can cause sudden decrease vision irreversibly, so prevention is critical.

Other Types of Glaucoma

Such as congenital, pigmentary, neovascular, inflammation glaucoma will be treated based on each underlying etiology.

iStent Inject Patient Video