Monday, June 13, 2011

Glaucoma Treatment Options

The diagnosis of glaucoma becomes more common as we age, and about 1 out of every 3 patients over the age of 70 has diagnosis. But some studies show that up to 50% of glaucoma goes undiagnosed. And once diagnosed, treatment may be difficult or expensive for patients, leading to ineffective treatment, and potential loss of vision. The approach to treatment of glaucoma is a great example of an area of medicine which involves employing some of “The Art of the Practice of Medicine”. Medical therapy can be used, as well as laser treatment, and even surgical intervention.
• Eyedrops
o Many different drops available
o Some decrease production of fluid inside the eye
o Others increase drainage of fluid out of the eye
o Very effective
• Laser therapy aka ALT (Argon Laser Trabeculoplasty)
o May be used as first-line therapy
o Very effective
o May be repeated later in life if needed
o Often decreases or eliminates the need for eye drops for treatment
• Surgical treatment (Trabeculectomy)
o Usually only employed when other therapies are ineffective
o Higher risk, therefore not used as first-line, but rather when damage has already occurred.
Dr. William Goldstein of the Laser Eye Care Center has the most advanced equipment for the diagnosis of glaucoma. He has extensive experience with the disease, and treatment with all modes of therapy to ensure preservation of vision in these patients. Call 586-323-2020 to arrange an appointment with Dr. Goldstein.

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