Departments That We Provide

Clinical Examination and Investigation

The department performs detailed evaluation and monitoring of glaucoma patients through:

1. Tonometry – Goldmann applanation, non-contact, and rebound tonometry for accurate intraocular pressure (IOP) measurement.
2. Gonioscopy – assessment of anterior chamber angle structures.
3. Optical Coherence Tomography (OCT) – retinal nerve fiber layer (RNFL) and optic nerve head imaging.
4. Visual Field Testing (Perimetry) – standard automated perimetry for functional assessment.
5. Pachymetry – central corneal thickness measurement, essential for IOP correction.
6. Fundus Photography – optic disc documentation and progression monitoring.
7. Anterior Segment OCT/UBM – for angle evaluation and secondary glaucoma diagnosis.
8. B-Scan Ultrasonography – in opaque media to assess optic nerve and posterior segment.
9. Systemic Evaluation – risk factor screening (diabetes, hypertension, family history).

Procedures

The department provides specialized non-surgical and laser procedures:

1. Laser Peripheral Iridotomy (LPI) – for angle closure glaucoma.
2. Laser Trabeculoplasty (ALT/SLT) – to enhance aqueous outflow in open-angle glaucoma.
3. Goniotomy & Trabeculotomy – for congenital and developmental glaucomas.
4. Needling of Filtering Blebs – to revive failing blebs post-trabeculectomy.

Surgical Services

The Glaucoma Department offers modern and advanced surgical care:

1. Trabeculectomy – gold standard filtration surgery for glaucoma control.
2. Combined Phaco-Trabeculectomy – for patients with both cataract and glaucoma.
3. Glaucoma Drainage Devices (GDDs): Ahmed, Baerveldt, and Molteno implants for refractory glaucoma.
4. Trabeculotomy & Goniotomy – specialized pediatric glaucoma surgeries.
5. Secondary Glaucoma Surgery – post-traumatic, uveitic, or neovascular glaucoma management.

Glaucoma Services – Treatment Plans & Strategies

The department’s service approach ensures early intervention, lifelong care, and national-level glaucoma management:

• Early Detection & Screening: Regular IOP checks, optic disc evaluation, and screening camps targeting high-risk groups (diabetics, hypertensives, elderly).
• Life-long Disease Monitoring: Structured follow-up with IOP, field testing, and optic disc imaging.
• Patient Counseling & Education: Emphasis on compliance with long-term medication and follow-up.
• Medical, Laser & Surgical Integration: Offering tailored care plans based on disease severity and patient needs.
• Pediatric Glaucoma Management: Specialized care for congenital and juvenile glaucoma.
• Community Outreach: Awareness programs to highlight glaucoma as a “silent thief of sight.”