Glaucoma (Kala Motia) Treatment in Jaipur

Diagnostic Evaluation & Clinical Care

Comprehensive Glaucoma Investigations

Because glaucoma cannot be diagnosed by a simple eye checkup alone, a multi-faceted assessment is performed:

• Applanation Tonometry: Precise measurement of intraocular pressure (IOP). Normal range is typically 10 to 21 mmHg.
• Gonioscopy: Specialized examination of the drainage angle of the anterior chamber to differentiate between Open-Angle Glaucoma and Closed-Angle Glaucoma.
• Optic Disc Biomicroscopy: Evaluating the cup-to-disc ratio and optic nerve head rim under high-magnification slit lamp microscopy.
• Visual Field Perimetry: Mapping peripheral field sensitivity to detect subtle blind spots (scotomas) before central vision is compromised.
• Pachymetry: Measuring central corneal thickness to adjust IOP readings accurately.

Treatment Modalities

While vision lost to glaucoma cannot be restored, further deterioration can be effectively halted through targeted pressure reduction:

• Targeted Medical Therapy: Daily pressure-lowering eye drops (such as prostaglandin analogues, beta-blockers, and carbonic anhydrase inhibitors) to either decrease aqueous humor production or enhance drainage.
• Nd:YAG Laser Peripheral Iridotomy (YAG PI): A quick, painless OPD laser procedure that creates a microscopic opening in the peripheral iris, relieving pupillary block and preventing acute angle-closure attacks.
• Glaucoma Filtration Surgery (Trabeculectomy): Creating an alternative microsurgical drainage pathway when medications or laser therapy cannot sufficiently control pressure.

Who Should Get Screened Regularly?

• Individuals aged 40 years and above.
• Anyone with a direct family history of glaucoma.
• Patients with high myopia (nearsightedness), diabetes, or chronic hypertension.
• Individuals with a history of prolonged steroid eye drop or systemic steroid usage.