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Glaucoma

We Offer The Best Treatment Options For You.

What is Glaucoma?

Glaucoma is a disease that affects the optic nerve connection between the eye and the brain. The optic nerve is a bundle of millions of smaller nerve fibers wrapped together. These individual nerve fibers can be damaged if the fluid circulating within the eye fails to drain properly, causing pressure in the eye, which results in damage to the optic nerve.

When nerve fibers die, small blind spots begin to develop in a person’s field of vision. At first, the effect can be so subtle that most people will not notice it until the disease is already well advanced. If left untreated, glaucoma eventually causes blindness. For this reason, regular eye exams with modern diagnostic equipment are critical for glaucoma treatment, particularly for those at higher risk of the disease.

Studies have shown that certain groups, such as African Americans, have a higher incidence of glaucoma and experience it at a younger age than other racial groups. Others considered at risk are people with diabetes, anyone who has had a serious eye injury, people who have close relatives with glaucoma and older people in general.

ARE YOU A CANDIDATE?

Do you have

Eye Pain or Eye Ball Changes?

Tunnel Vision?

Blurred Vision or Sudden Visual Disturbance?

Eye Swelling and Redness?

The objective of Glaucoma surgery

The goal of the new age of glaucoma surgery is to improve safety while tailoring the surgery to the individual patient’s disease stage and lifestyle. Glaucoma can be treated with eye drops, pills, laser surgery, traditional surgery or a combination of these methods. The goal of any treatment is to prevent loss of vision, as vision loss from glaucoma is irreversible.


During your visit

When glaucoma is detected early and treated with the proper medication, vision can usually be preserved. At Atlantic Eye our surgeons are glaucoma specialists. They have helped thousands of patients in Central New Jersey retain good vision either through drug treatment or glaucoma surgery.

WHAT TO EXPECT BEFORE, DURING AND AFTER SURGERY

Pre-Operative

A Pre-Operative Assessment and physical examination will be performed prior to your surgery day.

If you are having combined cataract and any glaucoma surgery, you must stop your blood thinners in consultation with your family doctor or specialist.

Our nurses will prepare you by confirming your details and starting some preparatory eye drops. You’ll receive a medication to help you relax and usually an injection of anesthetic to numb your eye. A freezing gel will be applied to your eye for all surgeries just before you enter the operating room.

Procedure

Depending on your condition your surgeon will decide which surgery is best for you.

Filtering surgery – Using small instruments under an operating microscope, your surgeon creates an opening in the sclera — the white of your eye — and removes a small piece of eye tissue at the base of your cornea through which fluid drains from your eye.
Drainage implants – Some people with advanced glaucoma, or secondary glaucoma may be eligible for drainage implants. In this procedure, your eye surgeon inserts a small tube in your eye to facilitate draining fluid (aqueous humor) from your eye to reduce the pressure.
Argon laser trabeculoplasty (ALT) – This opens clogs in your eye so fluid can drain out. Your doctor may treat half of the clogs first, see how well it works, then treat the other half later. ALT works in about 75% of people with the most common kind of glaucoma.
Selective laser trabeculoplasty (SLT) – If ALT doesn’t work so well, your doctor may decide to beam a highly targeted low-level laser at just the spots where there’s pressure. You can do SLT a little at a time.
Laser peripheral iridotomy (LPI) – If the space between your eye’s iris and cornea is too small, you can get narrow-angle glaucoma. Fluid and pressure build up in this area. LPI uses a laser beam to create a tiny hole in the iris.
Cyclophotocoagulation – If other laser treatment or surgery doesn’t ease fluid buildup and pressure, your doctor can try this. He’ll beam a laser into a structure inside your eye to ease pressure. You may need to repeat it over time to keep your glaucoma in check.

Post-Operative

After your operation you will be taken to the Recovery area for about 30-40 minutes and then discharged home. You will be given post-operative instructions for Trabeculectomy surgery along with a prescription for new drops, and an appointment for follow-up before you leave the facility.

Do not drive after surgery. You will need a relative or friend to stay with you for 24 hours after discharge.  After surgery you should avoid strenuous activity such as vigorous exercise, bending from a standing position, heavy lifting, and straining. These restrictions apply for at least a 2 weeks unless otherwise instructed.

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