Glaucoma Monitoring & Treatment

Glaucoma is a common eye condition that has no symptoms until the later stages where irretrievable vision loss has occurred. This loss of vision is caused by the build up of pressure within the eye placing pressure on the retina – the part of the eye that carries information to the brain about what we are seeing, resulting in peripheral vision loss that continues over time unless treated.

Glaucoma detection and care is changing. With the advent of new technology and the additional training available to optometrists, you can now have an eye examination that can pick up glaucoma far earlier than the standard eye examination (between four and eight years sooner).

With our outstanding optometrist, combined with his years of experience (including years at Bristol eye hospital as a glaucoma specialist), you have come to the right place. Consider the gold standard detection and monitoring plan for those who are at risk of glaucoma. Choose the following combination of tests:

Visual fields using the Zeiss Humphrey C24-2 and FDT
Applanation tonometry, or ICARE
Pachymetry
Anterior chamber analysis
Gonioscopy
Ocular coherance topography (OCT), of the cornea
Optic disc OCT
Retinal rim analysis
Our one-year package is £247.00 and is part of our Gold care package. It includes follow-ups during the year.

Should we identify that you have raised intraocular pressures or, abnormal readings or results, we may recommend you remain on this package.

Should these findings continue over time, you may be promoted to our premium package where we will continue to monitor you rather than you attend an ophthalmologist or the hospital due to a diagnosis of ocular hypertension or raised risk factors.

Treatment

The capacity for private joint care for you can be considered, should you be diagnosed with stable glaucoma and wish to remain in our care, with ourselves continuing your monitoring and treatment in liaison with your consultant. Please ask your optometrist for details.

The treatment options for you as a private patient include:

Glaucoma eye drops are often the first line of treatment. Taking drops 1 – 4 times a day can be a big challenge despite their importance in reducing the pressure within the eye. The drops can, for some individuals, irritate the cornea and so be uncomfortable. There are other measures to reduce the pressure and depending on the type of glaucoma you have, will determine which is the most suitable for you and your eyes.

Laser treatment is becoming increasingly popular as the first course of treatment as it can prevent or delay the need for taking drops along with their side effects.

Trabeculoplasty opens up the drainage tubes within your eye and allows more fluid to drain out so reducing the pressure within the eye.

Cyclodiode laser treatment destroys some of the tissue that produces the increased liquid within the eye and so reduces the pressure.

Laser iridotomy creates holes between your iris and cornea allowing the fluid to drain. This is usually done whilst you are awake using local anaesthetic drops that numb your eyes (sometimes a twinge of pain or the sensation of heat is felt momentarily during the procedure).

Surgery

When drops or laser are ineffective, which is rare, there are a number of surgical procedures that might be considered. Your ophthalmologist will discuss with you the type of surgery they recommend and walk you through the advantages and risks.

Trabeculotomy where an electric current is used to remove a small part of the eye-drainage tubes, enabling the fluid to then drain more effectively.

Viscocanalostomy where part of the sclera (the white outer part of your eye), is removed to allow the fluid to drain more easily.

Deep sclerectomy where the drainage tubes can be widened, sometimes by implanting a tiny devise inside them.

Trabecular stent bypass where a tiny tube is inserted into your eye to improve drainage.

Glaucoma surgery may be carried out either under local or general anaesthetic and may take up to six weeks to recover.