Rohit Sharma
Burton Hospitals NHS Foundation Trust, England
Title: Laser and surgical management of glaucoma-A current overview
Biography
Biography: Rohit Sharma
Abstract
Glaucoma is a slow insidious sight threatening condition which can potentially cause irreversible visual field loss and blindness. Successful treatment is imperative after timely detection and monitoring. Current management usually starts with ocular hypotensive agents (eye drops) which need regular compliance and can have local and systemic side-effects. Laser
management includes laser trabeculoplasty (argon and selective) for open angle glaucoma, peripheral iridotomy for angle closure and iridoplasty. Cyclodiode laser is used for nonseeing eyes, intractable glaucoma and also in seeing eyes in certain conditions. Trabeculectomy filtration surgery with antimetabolites is still the gold standard invasive surgery. There are specific indications for glaucoma drainage implants like tubes. Recent advances include minimally invasive procedures like XEN, Istent which have their place in the armamentarium. An overview of the various laser and surgical options of glaucoma management for a general ophthalmologist, optometrist and general practitioner perspective shall be presented by a practicing glaucoma
surgeon.