Managing Glaucoma

Treatment options for the management of glaucoma to lower intraocular pressure (IOP) include eye drops, long-acting drug delivery systems, laser trabeculoplasty, minimally invasive glaucoma surgery and incisional surgery. This is not an all inclusive list of possible treatments.

step-1

Eye drops are often the first treatment prescribed to lower IOP in patients with glaucoma.
They are thought to lower IOP by improving how fluid drains from the eye or by decreasing the amount of fluid produced by the eye.

step-2

Long-acting drug delivery systems are designed to provide sustained lowering of IOP for an extended period of time, without the need for daily treatment.

step-3

Laser trabeculoplasty is a procedure performed by an eye doctor where a small laser beam is used to open clogged channels in the trabecular meshwork.

step-4

Minimally invasive glaucoma surgery (MIGS) is a procedure performed by an eye doctor to lower IOP and typically requires less downtime than other glaucoma surgeries.There are a variety of MIGS techniques available.

step-5

Incisional surgery is a surgical procedure performed by an eye surgeon where an opening is created in the white of the eye (sclera) and part of the trabecular meshwork is removed.1

In open-angle glaucoma eye drops are the standard-of-care treatment for lowering IOP, but not everyone takes their medicine or does so correctly.2

Based on a 71 patient study looking at eye drop instillation technique

only 28%

of people were able to instill eye drops correctly.3

In open-angle glaucoma eye drops are the
standard-of-care treatment for lowering IOP, but
not everyone takes their medicine or does so correctly.2

Based on a 71 patient

study looking at eye drop instillation technique

only 28%

of people were able to

instill eye drops correctly.3

Interested in learning about alternatives to eye drops or surgery to lower IOP?

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1. Glaucoma. Mayoclinic.org. https://www.mayoclinic.org/diseases-conditions/glaucoma/diagnosis-treatment/drc-20372846. Accessed September 13, 2019.
2. Leske MC, Heijl A, Hyman L, Bengtsson B, Dong L, Yang Z; EMGT Group. Predictors of long‐term progression in the early manifest glaucoma trial. Ophthalmology. 2007; 114(11): 1965‐1972. 3. Gomes BF, Paredes AF, Madeira N, Moraes HV Jr, Santhiago MR. Assessment of eye drop instillation technique in glaucoma patients.
Arq Bras Oftalmol. 2017; 80(4): 238‐24.