Understanding Glaucoma Treatment Options: From Drops to Surgery

Glaucoma is a complex eye condition that requires a tailored approach to treatment. Mr Modi specialises in guiding patients through the full spectrum of glaucoma care—from early diagnosis to advanced surgical interventions. Whether you're newly diagnosed or exploring alternatives after previous treatments, understanding your options is key to preserving vision and quality of life.

What Is Glaucoma and Why Treatment Matters

Glaucoma damages the optic nerve, often due to elevated intraocular pressure (IOP). Left untreated, it can lead to irreversible vision loss. The good news? With timely intervention, we can manage the condition effectively. All glaucoma treatments aim to reduce IOP and protect the optic nerve.

The Glaucoma Treatment Ladder

Treatment typically progresses step-by-step, like climbing a ladder:

1. Diagnosis – Comprehensive eye exams and pressure checks.
2. Medication – Eye drops or tablets to lower pressure.
3. Laser Therapy – Targeted procedures to improve fluid drainage.
4. Surgery – Creating new drainage pathways or implanting devices.
5. Advanced Surgery – For complex or resistant cases.

However, real-world treatment is rarely linear. Each patient's journey is unique, and decisions are based on individual needs, medical history, and response to previous therapies.

Medications: The First Line of Defence

Most patients begin with eye drops. These either:

• Reduce fluid production in the eye
• Increase fluid drainage
• Or both

Combination drops are often prescribed, and some patients may require multiple medications. Tablets like acetazolamide are reserved for short-term use due to potential side effects.

Important: Never stop glaucoma medication without consulting your specialist. Mr Modi always creates personalised medication plans and monitors your response closely.

Laser Treatments: Precision Without Incisions

Laser therapy is a minimally invasive option that can be used early or alongside other treatments:

• Selective Laser Trabeculoplasty (SLT): Enhances fluid drainage. Quick and repeatable, but not permanent.
• Peripheral Iridotomy (PI): Used for angle-closure glaucoma.
• Cyclodiode Laser: Targets fluid-producing tissues, often used in advanced cases.

Laser options vary in effectiveness and suitability. We assess your eye anatomy and glaucoma type to recommend the best approach.

MIGS and MIBS: Minimally Invasive Surgical Solutions

Minimally Invasive Glaucoma Surgery (MIGS) and Minimally Invasive Bleb Surgery (MIBS) represent the latest innovations in glaucoma care.

MIGS

• Uses tiny stents or implants to improve drainage.
• Can be combined with cataract surgery.
• Offers faster recovery and fewer complications.

MIBS

• Creates a small blister (bleb) under the conjunctiva.
• Fluid drains via a micro-tube into the bleb.
• Less invasive than traditional surgery with reduced aftercare.

These options are ideal for patients seeking effective pressure control with minimal disruption. Not all clinics offer MIGS or MIBS – Mr Modi is proud to provide access to these advanced techniques.

Traditional Glaucoma Surgery: When More Is Needed

For advanced or treatment-resistant glaucoma, traditional surgeries may be necessary:

• Trabeculectomy: Creates a new drainage channel using stitches to regulate flow.
• Aqueous Shunt Surgery: Implants a larger tube with a valve to control fluid outflow.

These procedures require careful post-operative monitoring. We offer comprehensive follow-up care to ensure optimal healing and pressure control.

Choosing the Right Treatment

Selecting the best treatment involves multiple factors:

• Type and severity of glaucoma
• Presence of cataracts
• Medication side effects
• Pressure levels and vision status
• Other health conditions
• Personal preferences

At Neil Modi Ophthalmology, we believe in shared decision-making. We take time to explain your options, answer questions, and tailor a plan that fits your life and vision goals.

Support Every Step of the Way

We understand that glaucoma can be overwhelming. That’s why we offer:

• Expert consultations
• Access to cutting-edge treatments
• Ongoing support through every stage of care

Whether you're considering laser therapy, MIGS, or traditional surgery, our team is here to guide you with compassion and clarity.

Ready to Take the Next Step?

If you or a loved one is living with glaucoma, don’t wait. Early intervention is key. Contact us today to schedule a consultation and explore your treatment options.