Surgical Treatment For Glaucoma

Keiki Mehta 'BP Valve' Glaucoma Shunt has been developed by Surgiwear in association with Dr. Keiki R. Mehta world renowned ophthalmic surgeon. It is a very simple effective device with no high sounding mechanics or valves. It has just three parts a tube, a membrane valve and a button, all made of medical grade silicone.

The Worlds Leading Glaucoma Drainage Device

Immediate IOP Reduction for All Types of Refractory Glaucoma The Ahmed Glaucoma Valve immediately reduces and controls pressure with its unique flow restrictor. This device also reduces the risk of hypotony at low pressures. Designed to Prevent Excessive Drainage The tapered profile of the Ahmed Glaucoma Valve helps facilitate insertion of the device. The plate body is made of medical grade silicon and the unique valve system is designed to prevent excessive drainage and chamber collapse.For the flow to be non-obstructive, a particle large enough to pass through the lumen should be small enough to pass through the chamber opening. The elastic membranes help to regulate fluid flow at all times by changing shape consistently. The tension on these membranes is responsible for reducing the risk of hypotony.

1. Barraquer Wire Speculum, Large 2. Tooke Corneal Knife 3. Castroviejo Synechias Spatula, Double Ended 4. Castroviejo Caliper, Straight 5. Colibri Forceps 1 x 2 Teeth, 0.12mm 6. Eye Dressing Forceps, Straight 7. Jaffe Tying Forceps, Curved 8. Hartman Mosquito Forceps, Straight 9. Hartman Mosquito Forceps, Curved 10. Schadel Towel Forceps 90mm Length 11. Universal Corneal Scissors 12. Westcott Stitch Scissors 13. Vannas Scissors, Curved 14. Vannas Capsulotomy Scissors Forward 11mm 15. Eye Scissors, Curved 41/2 Length 16. Stevens Tenotomy Scissors, Curved 17. Blade Handle Flat #3 18. Kelly Descement s Membrane Punch, 1.0mm dia Tip 19. Harms Trabeculotomy Probe, Left 20. Harms Trabeculotomy Probe, Right 21. Rycroft Air Injection Cannula, 27G 22. St. Martin Forceps 23. Bonn Tooth Forceps, 1 x 2 Teeth 24. McPherson Tying Forceps 25. Polycarbonate Sterilization tray large

Glaucoma instrument set having 18 types of instruments with sterilisation box as follows. Barraquer wire speculum,eye dressing forceps,jaffe suture tying forcep,bishop harmon tissue forcep,kelman mcpherson forcep,castrovieo corneal scissor,westcott tenotomy scissor,vannus scissor angled,irs scissor,stevens tenotomy scissor, barraquer needle holder,towel clamp,colibri forcep,castroviejo caliper,koman nair iris spatula,tooks corneal knife,kellys punch and air injection cannula.

15mm solid thin blades, 0.5mm thick, angled to rest temporally, adjustable with thumb screw, overall length 75mm

Glaucoma or Kala Motia is a condition wherein an increased intraocular pressure damages the optic nerve thereby affecting vision. A fluid known as aqueous nourishes the front part of the eye. In the normal eye, the rate of production of aqueous matches the rate of its drainage, thereby maintaining optimal pressure inside the eye. Glaucoma is also called the silent thief of sight because in the early stages of the disease, there may be no symptoms. By the time glaucoma is detected, the patient has already suffered extensive peripheral vision damage which can no longer be restored. Early detection is the key to preserve vision. Once detected, glaucoma can be controlled by medicines (eye drops) or surgery to prevent further vision loss. Treatment of Glaucoma is life-long. Glaucoma treatment may include medical management, surgical management or management by lasers.What Causes Glaucoma?The cause of glaucoma generally is a failure of the eye to maintain an appropriate balance between the amount of internal (intraocular) fluid produced and the amount that drains away.Who can get it ?Anyone can get glaucoma. But along with other factors, you are at a higher risk of getting it if it runs in your family. If a close first degree relative had it, then you should fix an annual eye checkup without fail.SymptomsSeeing halos around lightsVision lossRedness in the eyeEye that looks hazy (particularly in infants)Nausea or vomitingPain in the eyeNarrowing of vision (tunnel vision) Types of cataracts include:There are two main types of glaucoma:Open-angle glaucoma : Also called wide-angle glaucoma, this is the most common type of glaucoma. The structures of the eye appear normal, but fluid in the eye does not flow properly through the drain of the eye, called the trabecular meshwork.Angle-closure glaucoma : Also called acute or chronic angle-closure or narrow-angle glaucoma, this type of glaucoma is less common in the West than in Asia. Poor drainage is caused because the angle between the iris and the cornea is too narrow and is physically blocked by the iris. This condition leads to a sudden buildup of pressure in the eye.Treatment for GlaucomaEye drops When taken regularly and continuously as prescribed, they control the eye pressure either by slowing the formation of aqueous fluid within the eye or by increasing the flow at the drainage area. The proper technique of using your medication is a key to successful treatment. Our glaucoma specialist or optometrist will teach you this technique. Tablets These are sometimes combined with the eye drops to decrease higher levels of eye pressure. They are occasionally known to cause tingling of fingers and toes, bowel irregularities, and in the very long term, kidney stones. Laser surgery Lasers are usually used in one of three ways:In open-angle glaucoma the draining angle itself is enlarged to control eye pressure.In angle-closure glaucoma the laser creates a hole in the iris to open up and improve the flow of aqueous fluid to the drain.In painful late-stage glaucoma medication or surgery do not control the pressure. The laser closes some aqueous fluid-producing areas in the eye and lowers the eye pressure. Operative Surgery (Trabeculectomy)A new drainage channel is created for the aqueous fluid to leave the eye. Sometimes a tube drains the fluid in very resistant cases.Surgery is recommended when our doctor feels that it is safer to operate than to allow optic nerve damage to continue.The best treatment for you should be decided after a thorough examination and discussion with us.

Intoduction Glaucoma is a disease of the eye which exhibits a typical optic neuropathy which results in progressive visual field loss.The most important risk factor is raised intraocular pressure.Risk factors for glaucoma include age above 40 years, diabetes, myopia, mature cataract, trauma, certain retinal diseases and a family history of glaucoma. At Nandadeep Hospital the patient is investigated thoroughly with use a of Perimetry, Ocular coherence tomography (OCT) and then the treatment is personalised to the patient to maintain his vision and quality of life. Types of GlaucomaChronic Open Angle Glaucoma The most common type of glaucoma, known as chronic open angle (COAG) or primary open angle, occurs when the canals draining the eye of aqueous humor become clogged. This blockage can gradually increase pressure within the eye to damaging levels. No pain occurs, so individuals are usually unaware that these changes are occurring. There are no early signs or symptoms but over the years vision will be lost starting in the periphery and moving towards the central vision. Acute Angle Closure Glaucoma When eye pressure builds up rapidly, it is called acute angle-closure glaucoma. This type of glaucoma commonly occurs in individuals who have narrow anterior chamber angles. In these cases, aqueous fluid behind the iris cannot pass through the pupil thus pushing the iris forward, preventing aqueous drainage through the angle. It is as though a sheet of paper floating near a drain suddenly drops over the opening and blocks the flow out of the sink. In cases of acute angle closure glaucoma, one may experience blurred vision, halos around lights, deep pain behind the eye, nausea, and vomiting. Nandadeep advises its patients to have periodic eye examinations for early detection of glaucoma. If you are suffering through one following problems, then you must have to under go check up for Glaucoma If your age is more that 40 years.Hereditary of Blindness / Glaucoma into your family.diabetes.Thyroid problem.High range no. to your eyes.If you are under gone any of Lasik / R.K. surgery.Spots on eyes, Pains into eye, Vertigo, watering into eye.Any kind of eye injury.

Glaucoma

Our hospital is specialized in offering various Glaucoma Services to our patients. Glaucoma is a condition of increased fluid pressure inside the eye. The increased pressure causes compression of the retina and the optic nerve which can eventually lead to nerve damage.Glaucoma Service provided at our hospital is dedicated to the care and treatment of people who have glaucoma or are at risk of developing it. At our hospital we have advanced medical equipments for providing effective glaucoma services.Owing to latest approaches, we are now one of the most preferred choice of patients for eyerelated treatments.

Glaucoma is a condition that causes damage to your eye's optic nerve and gets worse over time. It's often associated with a buildup of pressure inside the eye. Glaucoma tends to be inherited and may not show up until later in life. The increased pressure, called intraocular pressure, can damage the optic nerve, which transmits images to the brain. If damage to the optic nerve from high eye pressure continues, glaucoma will cause permanent loss of vision. Without treatment, glaucoma can cause total permanent blindness within a few years. Because most people with glaucoma have no early symptoms or pain from this increased pressure, it is important to see your eye doctor regularly so that glaucoma can be diagnosed and treated before long-term visual loss occurs. If you are over the age of 40 and if you have a family history of glaucoma, you should have a complete eye exam with an eye doctor every one to two years. If you have health problems such as diabetes or a family history of glaucoma or are at risk for other eye diseases, you may need to visit your eye doctor more frequently.

Glaucoma is caused by a number of different eye diseases that in most cases produce increased pressure within the eye. This elevated pressure is caused by a backup of fluid in the eye. Over time, it causes damage to the optic nerve. Through early detection, diagnosis and treatment, you and your doctor can help to preserve your vision. Who is at the risk of developing Glaucoma? People over the age of 45.People who have a family history of glaucoma.People with abnormally high intraocular pressure (IOP).People of Asian descent.People who have: Diabetes.Myopia (nearsightedness).Regular, long-term Steroid/Cortisone use.A previous eye injury.Ptosis (Droopy eyelids)Pediatric cataractsPediatric glaucomaRetinopathy of prematurity (ROP)Pediatric medical eye disorders Treatment Eye drops for glaucoma.Laser surgery for glaucoma.Microsurgery for glaucoma Can glaucoma be cured? No. There is no cure for glaucoma. Vision lost from the disease cannot be restored. With treatment, further visual loss can be prevented.

GLAUCOMA-A BLINDING DISEASE Glaucoma is A serious eye disease, which can lead to blindness, if not detected early and treated promptly. Glaucoma is caused by increased pressure of liquid (aqueous humor) inside the eye. This is how it happens. Aqueous humor produced continuously in the eye drains out regularly through exit channels. This fluid maintains the shape of the eye so that it can function well visually. If the flow of the fluid is obstructed, the pressure within the eye, which is known as intra-ocular pressure, increases. This increased pressure may damage the fibres of the optic nerve at the back of the eye which sends message to the brain. The intra-ocular pressure is measured by instrument called tonometer. Ophthalmoscope is used to assess the optic nerve. WHEN INTRA OCULAR PRESSURE IS HIGH The damage to optic nerve may take place slowly and without the patient knowing about it. As more and more nerve fibres are damaged, the patient can only see objects straight ahead. He cannot see the objects on the sides. SIGNS AND SYMPTOMS The patient usually over the age of forty, may have dull pain around the eye, particularly after staying in a dark room such as cinema hall and seeing an exciting movie or hearing a shocking news. See rainbow color rings around the bulb or diya. Blurring of vision Headache or severe pain in the eye . Difficulty to see in darkness Very frequent changes of glasses without any apparent benefit. BE AWARE OF THE ABOVE SIGNS AND SYMPTOMS If you have A blood relative with glaucoma. Diabetes Used cortisone medication GLAUCOMA AT BIRTH Glaucoma can be treated if detected early. The treatment can be by medicine or surgery. Remember that the vision lost cannot be regained. Hence early detection is important.

Complete Glaucoma ScreeningBlue-Yellow PerimetryOCT (RNFL/Optic Disc)Dynamic Contour TonometryPachymetryTrabeculectomyYAG Laser IridotomyWhat is Glaucoma? Glaucoma is a disease of the optic nerve - the part of the eye that carries the images we see to the brain. The optic nerve is made up of many nerve fibers, like an electric cable containing numerous wires. When damage to the optic nerve fibers occurs, blind spots develop. These blind spots usually go undetected until the optic nerve is significantly damaged. If the entire nerve is destroyed, blindness results. Early detection and treatment by your ophthalmologist are the keys to preventing optic nerve damage and blindness from glaucoma. Glaucoma is a leading cause of blindness in the world, specially for older people. But loss of sight from glaucoma can often be prevented with early treatment. Causes of Glaucoma Clear liquid called aqueous humor circulates inside the front portion of the eye. To maintain a healthy level of pressure within the eye, a small amount of this fluid produced constantly while an equal amount flows out of the eye through a microscopic drainage system. (This liquid is not part of the tears on the outer surface of the eye.) Because the eyeball is a closed structure, if the drainage area for the aqueous humor-called the drainage angle-is blocked, the excess fluid cannot flow out of the eye. Fluid pressure within the eye increases, pushing against the optic nerve and causing damage. What are the different types of glaucoma? Chronic open-angle glaucoma: This is the most common form of glaucoma. The risk of developing chronic open-angle glaucoma increases with age. The drainage angle of the eye becomes less efficient over time, and pressure within the eye gradually increases, which can damage the optic nerve. In some patients, the optic nerve becomes sensitive even to normal eye pressure and is at risk for damage. Treatment is necessary to prevent further vision loss. Typically, open-angle glaucoma has no symptoms in its early stages, and vision remains normal. As the optic nerve becomes more damaged, blank spots begin to appear in your field of vision. You typically won t notice these blank spots in your day-to-day activities until the optic nerve is significantly damaged (nearly 80%) and these spots become large. If all the optic nerve fibers die. Blindness results. Closed-angle glaucoma: This form of glaucoma is perhaps more common in our country than in other parts of the world. Some eyes are formed with the iris (the coloured part of the eye) too close to the drainage angle. In these eyes which are often small and farsighted, the iris tissue encroaches into the drainage angle and blocks it so that the fluid cannot exit the eye. The intraocular pressure rises rapidly and causes an acute closed angle attack. Common symptoms include: Blurred vision Severe eye painHeadacheRainbow-colored halos around lightsNausea and vomiting

Glaucoma accounts for 3% of blindness in India. It is an eye disease in which the pressure of the eye rises to a point that the optic nerve becomes damaged. The pressure that builds up occurs because too much fluid is formed or because the channel in the eye through which the fluid normally drainsis blocked. Glaucoma is damaging to sight as the elevated pressure can constrict the blood vessels that nourish the sensitive nerve structures at the back of the eye. The vast majority of cases develop slowly and the patient is normally not aware of the gradual loss of sight until vision is significantly impaired.

Glaucoma [EYE PRESSURE ] I O P may result partial or permanent loss of vision if left undiagnosed - Normally A Candidate must get EYE PRESSURE Check Once in A Year

Applanation tonometry for accurate estimation of eye pressureNon-contact tonometry - No drops, No touch eye pressure measurement Optic nerver head analysis with slit lamp and 66D lensGonioscopy - for studying the eye angle Octopus Autoperimetry - Computerized Visual Field Analysis Yag Laser Peripheral iridotomy for angle closure glaucoma Medical management of glaucoma Surgical management of glaucoma - Trabeculectomy

HFA OCT (anterior posterior) Specular Microscope for CCT Tonopen NCT Applanation Tonometry for IOP Checkup Yag Laser SURGERY :- Trabeculectomy,Combined Surgery

Glaucoma, a leading cause of blindness, is responsible for fifteen percent of world blindness. It is a family of ocular diseases characterized by progressive damage to the optic nerve, which is the part of the eye that carries the images we see to the brain. Often called the sneak thief of sight most forms of glaucoma do not produce symptoms until the optic nerve is already severely damaged. But if dagnosed early, the disease can be controlled and permanent vision loss can be prevented. Key points to remember about glaucoma 1. Glaucoma generally has no signs or symptoms until serious loss of vision has occurred. 2. If you have a family history of Glaucoma you are at a higher risk and hence need a regular eye check up. Everyone, from babies to senior citizens, is at a risk of developing this disease. 3. The best way to protect the damage is early diagnosis, proper treatment and regular follow ups. 4. You and your doctor will need to become partners and work together to control your condition and prevent it from advancing. It is a chronic condition and needs lifetime monitoring and treatment. Why choose our institute of treatment of glaucoma? Aggarwals Eye Clinic is equipped with the world class equipments and competent glaucoma specialists for early diagnosis and proper treatment of glaucoma. The facilities for glaucoma diagnosis and treatment include: Pneumotonometer for non contact measurement of IOP Goldmann applanation tonometer (considered gold standard) for accurate measurement fo IOP. Three and four mirror goniolenses. Humphrey Perimeter for visual field examination. Ultrasonic Pachymeter for accurate measurement of central corneal thickness.

Glaucoma Department Glaucoma is caused by a number of different eye diseases that in most cases produce increased pressure within the eye. This elevated pressure is caused by accumulation of fluid in the eye. Over time it causes damage to the optic nerve. Through early detection, diagnosis and treatment, you and your doctor can help to preserve your vision. CAUSES OF GLAUCOMA Glaucoma causes include elevated eye pressure (called intraocular pressure or IOP) due to the eye's inability to drain fluid efficiently. RISK FACTORS FOR GLAUCOMA INCLUDE Age Family History of glaucoma Farsightedness or nearsightedness Elevated eye pressure Past eye injury Having a thinner central cornea (the clear, front part of the eye covering the pupil and colored iris). Not having eye examinations when they are recommended Low blood pressure Conditions that affect blood flow, such as migraines, diabetes and low blood pressure SYMPTOMS INCLUDE Server eye or brow pain Redness of the eye Decreased or blurred vision Seeing colored rainbows or halos Headache Nausea Vomiting

What is glaucoma?Glaucoma is a condition of the human eye where the optic nerve (the one that carries signals from the eye to the brain) gets damaged due to excessive pressure inside your eye. Since the optic nerve is the primary carrier of visual stimulus to the brain, damage to it could actually result in significant loss of vision. Glaucoma generally affects both the eyes, although the pressure inside each eye could be different. Glaucoma - The inside storyWe ve been talking about this pressure building up inside your eyes for some time now. But why exactly would there be an increase in pressure, all of a sudden? So here s what happens inside your eyes. The human eye can be divided into two segments the anterior chamber that s in front of the lens and the posterior chamber that s behind the lens. Now, in the anterior chamber, the space between the cornea and our natural lens is filled with a fluid called aqueous humor. This fluid (which contains nutrients for the eye) is generated in the anterior chamber and is drained out of the eye through a mesh like structure. So as long as this production drainage equation is proportionate, there s no problem. However, the slightest of changes to production/draining equilibrium could result in increased intraocular pressure (intraocular inside the eye chamber). And the rest, you already know pressure leads to damage of optic nerve which in turn leads to loss of vision. Wide-angle and narrow-angle are the two types of glaucoma that you ll generally come across and both result in increased intraocular pressure. Did you know?Harry s got his mother Lily s eyes; there s a good chance that he ll be affected by Glaucoma just the way his mom was. Yes, Glaucoma is inheritable. Anyone with a family history of this disease should be doubly cautious. Glaucoma - what are the symptoms of this disease?Typically, there are no early symptoms associated with Glaucoma. However, it is always safe to have your eyes checked annually to make sure they are healthy. For all you know, glaucoma might silently creep into your life without your slightest knowledge. To add up to the mess, total vision loss might just be around the corner, if glaucoma is left untreated. And this is exactly why every time you go to an ophthalmologist, he/she would check the pressure inside your eyes to make sure, you are not affected by Glaucoma. However, most Glaucoma patients visit a doctor due to one or more of the following symptoms: Frequent changes of glasses, especially for near work, but none is satisfactory,Rainbow colored rings around lights (seeing halos),Blurred or foggy visionLoss of side vision.Redness of the eyes

Glaucoma is an ailment of the eye which displays a run of the mill optic neuropathy which brings about dynamic visual field loss.The most essential hazard factor is raised intraocular pressure.Risk factors for glaucoma incorporate age over 40 years, diabetes, nearsightedness, develop waterfall, injury, certain retinal ailments and a family history of glaucoma.At Spark Eye Care healing facilities the patient is explored altogether with utilize an of Perimetry, Ocular cognizance tomography (OCT) and after that the treatment is customized to the patient to keep up his vision and personal satisfaction.

Glaucoma is a condition that causes irreversible damage to patient eye's optic nerve and gets worse over the time. It's often associated with a buildup of pressure inside the eye. Glaucoma tends to be inherited and may not show up until later in life. It is one of the major causes of blindness in our country.

Glaucoma( kala motia) is complex disease of the eye involving irreversible damage to the optic nerve BEHause of increased intraocular pressure. It is common after 5th decade of life, is genetically determined and is more prevalent in Diabetics. Glaucoma can occur in new born , young children and young adults also. Glaucoma can be broadly divided into 2 types: Acute Glaucoma characterized by sudden increase in eye pressure, painful and red eye, decrease in vision, appearance of coloured haloes around lights and rapid deterioration in vision if not treated in time. Chronic Glaucoma characterized by slow increase in eye pressure causing irreversible damage to the optic nerve associated with slow deterioration in vision and defects in the visual field

Raised eye pressure causing nerve damage Glaucoma is a disease in which the optic nerve is damaged, leading to progressive, irreversible loss of vision. It is associated with increased pressure of the fluid in the

The first and foremost sign of Glaucoma is loss of peripheral or side vision, which can go unnoticed till a very later stage. Glaucoma is one of the most serious reasons you should have a complete eye examination from a specialist once a year which greatly helps in detecting the signs of glaucoma early. Some of the common symptoms of glaucoma are seeing halos around lights, vision loss, redness in the eye, eye that looks hazy (particularly in infants), nausea or vomiting, pain in the eye, narrowing of vision (tunnel vision). Glaucoma can be treated with prescribed eye drops, laser surgery or microsurgery.After proper investigation through Non Contact Tonometer (NCT), Applanation Tonometer, Gonioscopy, Disc Photography and Optical Coherence Tomography (OCT) RNFL the disease can be detected early and eye can be saved from vision loss. Various treatment modalities available are eyedrops, Laser surgery and Trab Procedure.

The gral of any treatment C to prevent loss of vision, as vision loss from glaucoma Cirreversible. The goad news IS that glaucoma can be managed E detected early, and that with medical and/or surgical treatment, most people with glaucoma will not kwe Weir sight At Drishyam Eye Care hospital the patient is investigate:I thoroughly wah the use of Pernetry, Ocular Coherence Tomography (OCT) and then the treWmentis pewonalced to the pabent to maintain his vision and quality of life.

Glaucoma is a slowly progressive disease of the optic nerve which may be lead to considerable visual impairment. Most commonly it is due to a raised pressure within the eye.Glaucome department at H. V. Desai Eye Hospital is well equipped with state of art technology and experienced docotrs for accurate diagnosis and management og glaucoma. Glaucoma evaluation consists of measurement of intraocular pressure (IOP), Optic disc examination and visual field evaluation(Perimetry), gonioscopy, pachymetry, HRT II and OCT are other teste that are available at H. V. Desai Eye Hospital to further aid in diagnosis of glaucoma YAG laser and glaucoma surgeries for adults and children (including infants are available here. We see about 50 patients of glaucoma per day.A team of 2 well qualified and experienced glaucoma consultants Dr. Vidya Chelerkar and Dr. Kalyani VKS are available for glaucoma management. All state of art equipment is available for diagnosis various types of glaucoma.The aim is to educate people about glaucoma and to advocate appropriate treatment is damaged does not recovered back.