Join Now!      Login

Whole Person Wellness Program
 
healthy.net Wellness Model
Skip Navigation Links
 
 
FREE NEWSLETTER
   
   
   
 
Health Centers
Key Services
 
Breathing ?
Which of the following health conditions is not directly benefited by breathing exercises?
Anxiety
Fatigue
Diabetes
High blood pressure

 
 
 What Doctors Don't Tell You: Glaucoma - Surgical approach to glaucoma treatment 
 
What Doctors Don't Tell You © (Volume 15, Issue 12)
Laser and surgical treatments are available for glaucoma, but these are often aggressive, invasive procedures and, despite advances in technology, still second in line - after drugs - as a standard glaucoma treatment, or reserved for cases where drug therapy has failed. The more commonly available surgical procedures include:

* argon laser trabeculoplasty (ALT). The most frequently performed laser procedure for open-angle glaucoma, this uses an argon laser to burn 50-100 ‘spots’ in the eye’s drainage system - the trabecular meshwork, the spongy tissue at the front of the eye - to improve eye-fluid flow. The effectiveness of ALT varies but, in general, it controls eye pressure best within the first year of treatment. After that, it becomes less and less effective so that most patients need to either go back to drugs or undergo further laser treatment (Am J Ophthalmol, 1995; 120: 718-31).

* selective laser trabeculoplasty (SLT). This is considered to be gentler than ALT as, instead of creating thermal burns, it targets the melanin pigment in cells of the trabecular meshwork, triggering a cellular reaction that improves fluid drainage. It works as well as ALT, lowering eye pressure in nearly 90 per cent of eyes. And, as SLT is less aggressive, it is more suitable for repeat treatments (Arch Ophthalmol, 2003; 121: 957-60).

* trabeculectomy, or filtrating microsurgery. This is the usual non-laser surgery for glaucoma. It involves removing a piece of tissue from between the sclera (the whites of the eyes) and the trabecular meshwork, thus creating an alternative route for the aqueous fluid to escape. The fluid is then channelled into a reservoir, or ‘bleb’, under the eyelid, from where it is eventually absorbed into blood vessels. This has a high success rate (nearly 95 per cent two years after treatment), but still relies on the use of antimetabolites (in the form of eyedrops) to ensure that the bleb doesn’t heal and close up.

* non-penetrating filtrating surgery. This procedure is less invasive than a trabeculectomy as the surgeon only works on the outermost layer of the eye. However, it is trickier to perform, and has a success rate of only 60 per cent (Chin Med J [Engl], 2004; 117: 1006-10).

 Comments Add your comment 

 About The Author
What Doctors Don't Tell You What Doctors Don’t Tell You is one of the few publications in the world that can justifiably claim to solve people's health problems - and even save lives. Our monthly newsletter gives you the facts you won't......more
 
 From Our Friends
 
 
 
Popular & Related Products
 
Popular & Featured Events
Wellness Inventory Certification Training
     September 16-December 16, 2014
     Teleclass, CA USA
 
Additional Calendar Links
 
Stevia Products & Info
 
Dimensions of Wellness
Wellness, Movement, dimension!

Home       Wellness       Health A-Z       Alternative Therapies       Find a Practitioner       Healthy Products       Bookstore       Wellness Inventory
Healthy Kitchen       Healthy Woman       Healthy Man       Healthy Child       Healthy Aging       Wellness Center       Nutrition Center       Fitness Center
Free Newsletter      What Doctor's Don't Tell You      Stevia.com      Discount Lab Tests      First Aid      Global Health Calendar      Privacy Policy     Contact Us
Disclaimer: The information provided on HealthWorld Online is for educational purposes only and IS NOT intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek professional medical advice from your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.
Are you ready to embark on a personal wellness journey with our whole person approach?
Learn More/Subscribe
Are you looking to create or enhance a culture of wellness in your organization?
Learn More
Do you want to become a wellness coach?
Learn More
Free Webinar