There are several types of glaucoma but the most common type, primary open-angle glaucoma, is a chronic disease that develops gradually. Loss of peripheral vision occurs because the optic nerve is damaged by high pressure in the eyeball. Detecting and relieving this high pressure is an effective treatment.

If you have elevated eye pressure you will not have any symptoms, and it is only when you have tonometry as part of your eye test that the rise in pressure is detected. Tonometry is a routine part of an eye test with your optician; if he or she notes that you have raised eye pressures you will be referred to your GP, who can then arrange for you to see an ophthalmologist.

At The London Clinic we provide a full treatment and monitoring service for people at risk of developing glaucoma due to chronically raised eye pressures, and we can also treat the rarer types of glaucoma. These include primary closed-angle glaucoma, which can develop more suddenly, secondary glaucoma due to uveitis or eye injury, or congenital glaucoma that occurs in children.

If we can control your eye pressure using either beta-blocker eye drops or drops that contain prostaglandins, which will prevent glaucoma indefinitely, we will use this treatment method. However, if your eye pressure continues to rise, you may need surgical treatment.

Laser surgery for glaucoma

This involves using a laser to create extra drainage holes in the trabecular meshwork at the side of the eyeball to help fluid leave the eye and keep the eye pressure down.

In most ophthalmology centres, laser surgery for glaucoma is performed using argon laser trabeculoplasty (ALT). At The London Clinic Eye Centre, we now have the latest equipment to perform a selective laser trabeculoplasty (SLT), which employs laser at much lower levels than ALT. It is therefore easier to treat part of the trabecular meshwork while leaving other parts unaffected. This makes it possible to do subsequent treatments more easily and avoid over-draining the eye.

Trabeculectomy

Trabeculectomy surgery involves inserting a drainage channel into the white of the eye just below the upper eyelid to bypass the blocked drainage channels that cause raised eye pressures. It is only considered for patients who have not responded to other available treatments.

Glaucoma treatment at The London Clinic Eye Centre

For more information on private glaucoma treatment click here and complete the confidential enquiry form or call the enquiry line on +44 (0) 207 616 7693.

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