Glaucoma Solution

Vishnu Netralaya Prides itself in having Highly experienced Glaucoma Specialists and the most sophisticated instruments to diagnose and treat Glaucoma.

The damage caused by glaucoma can't be reversed. But treatment and regular checkups can help slow or prevent vision loss, especially if you catch the disease in its early stages.

Glaucoma is treated by lowering intraocular pressure. Treatment options include prescription eye drops, oral medicines, laser treatment, surgery or a combination of approaches.

Glaucoma treatment often starts with prescription eye drops. Some may decrease eye pressure by improving how fluid drains from your eye. Others decrease the amount of fluid your eye makes. Depending on how low your eye pressure needs to be, you may be prescribed more than one eye drop.

Prescription eye drop medicines include

Prostaglandins: These increase the outflow of the fluid in your eye, helping to reduce eye pressure. Medicines in this category include latanoprost (Xalatan), travoprost (Travatan Z), tafluprost (Zioptan), bimatoprost (Lumigan) and latanoprostene bunod (Vyzulta).

Possible side effects include mild reddening and stinging of the eyes, darkening of the iris, darkening of the pigment of the eyelashes or eyelid skin, and blurred vision. This class of drug is prescribed for once-a-day use.

Beta blockers: These reduce the production of fluid in your eye, helping to lower eye pressure. Examples include timolol (Betimol, Istalol, Timoptic) and betaxolol (Betoptic S).

Possible side effects include difficulty breathing, slowed heart rate, lower blood pressure, impotence and fatigue. This class of drug can be prescribed for once- or twice-daily use depending on your condition.

Alpha-adrenergic agonists: These reduce the production of the fluid that flows throughout the inside of your eye. They also increase the outflow of fluid in your eye. Examples include apraclonidine (Iopidine) and brimonidine (Alphagan P, Qoliana).

Possible side effects include irregular heart rate, high blood pressure, fatigue, red, itchy or swollen eyes, and dry mouth. This class of drug is usually prescribed for twice-daily use but sometimes can be prescribed for use three times a day.

Carbonic anhydrase inhibitors: These medicines reduce the production of fluid in your eye. Examples include dorzolamide and brinzolamide (Azopt). Possible side effects include a metallic taste, frequent urination, and tingling in the fingers and toes. This class of drug is usually prescribed for twice-daily use but sometimes can be prescribed for use three times a day.

Rho kinase inhibitor: This medicine lowers eye pressure by suppressing the rho kinase enzymes responsible for fluid increase. It is available as netarsudil (Rhopressa) and is prescribed for once-a-day use. Possible side effects include eye redness and eye discomfort.

Miotic or cholinergic agents: These increase the outflow of fluid from your eye. An example is pilocarpine (Isopto Carpine). Side effects include headache, eye ache, smaller pupils, possible blurred or dim vision, and nearsightedness. This class of medicine is usually prescribed to be used up to four times a day. Because of potential side effects and the need for frequent daily use, these medicines are not prescribed very often anymore.

Because some of the eye drop medicine is absorbed into your bloodstream, you may experience some side effects unrelated to your eyes. To minimize this absorption, close your eyes for 1 to 2 minutes after putting the drops in. You also may press lightly at the corner of your eyes near your nose to close the tear duct for 1 or 2 minutes. Wipe off any unused drops from your eyelid.

You may have been prescribed multiple eye drops or need to use artificial tears. Make sure you wait at least five minutes in between using different drops.

• VN has aquired the Latest Zeiss CIRRUS® 6000 OCT which is the best OCT instrument available Globaly. CIRRUS 6000 OCT allows for the most sophisticated analysis of the Optic Nerve , Retinal Nerve Fibers and the measurement of Anterior chamber Angle in Glaucoma patients.

• OCT RNFL and ONH- Optical coherence tomography (OCT) provides noncontact and noninvasive retinal nerve fiber layer (RNFL) thickness measurements. It provides objective and quantitative information and that is an useful adjunct along with visual field testing (which is more subjective and user dependent).
• Perimetry (Zeiss) - For rapid and accurate analysis of the visual field. This is the most important test in Glaucoma Patients. Perimetry detects certain patterns of vision loss. It is very useful in finding early changes in vision caused by nerve damage from glaucoma. Regular perimetry tests can be used to see if treatment for glaucoma is preventing further vision loss.

• Pachymetry (Zeiss) - allows the exact measurement of Corneal Thickness. An accurate Pachymetry allows us to estimate the intraocular pressure in with higher precision.
• Fundus Photography(Topcon) - to record the present status of the Optic Nerve accurately. Delicate changes in the eye nerve can be noticed through serial Photographs

• Nd YAG laser (Nidek) - Used to perform LASER Peripheral Iridotomy ( P.I.). to prevent angle closure glaucoma in eyes that are at risk from it. YAG PI is a safe, non-invasive outpatient procedure and one eye at a time, or both eyes can be treated at the same sitting.
• Goldmann Applanation Tonometry- For the measurement of Intraocular Pressure. It is the Gold standard given its proven accuracy and reliability.
• Vishnu Netralaya has a team of highly trained and experienced Glaucoma Consultants skilled in Diagnosis and treatment including Glaucoma Surgeries.
• Over the last 18 years we have treated over 10,000 Glaucoma Patients and performed Glaucoma Filtration Surgeries on 1500+ Patients who are a testimony of our expertise and trustworthiness in this Speciality.