Total Eyecare Under One Roof.

88 Yearsof Eye Care in Gujarat India.

Care With Compassion

Pioneer of Phako Emulsification Surgery in India (Since 1987).

Diva eye institute is gujarat's No 1 eye hospital which has been awarded with NABH (National accreditation Board of Hospitals)

Glaucoma

The Diva Eye institute has behind it a robust history of eighty years of eye care in the state of Gujarat.

Glaucoma

Glaucoma is a disease of the optic nerve that affects approximately 60 million people globally. It is the second most common cause of blindness, leaving an estimated 7.5 million people blind. In India it affects 11 million people, of which 1.5 million are blind.

The word glaucoma came from ancient Greek, meaning clouded or blue-green hue, most likely describing a person with swollen cornea or who was rapidly developing a cataract, both of which may be caused by chronic elevated pressure inside the eye.

Glaucoma is a sight threatening and often symptomless diseases and has a strong family history.

Glaucoma is a condition of the eye where the optic nerve is damaged. The optic nerve carries images to the brain, which are then perceived as vision. Minute nerve fibres from various parts of the retina join to form the optic nerve. Glaucoma results when the pressure within the eye is high enough to be detrimental to the normal functioning of these nerve fibres, some of which stop functioning. Non-functional nerve fibres result in a loss of retinal function in the area from where they originate, leading to defects in the field of vision.

The disease is called the 'sneak thief of sight' because it is painless, without symptoms and irreversible. Therefore, the person with glaucoma is usually unaware of it until much loss of vision has occurred. In fact, half of those suffering damage from glaucoma do not know it. Currently, damage from glaucoma cannot be reversed and if the entire nerve is damaged, blindness results. Early detection and regular treatment are the keys to preventing optic nerve damage and blindness from glaucoma.

At the Diva Eye Institute, all patients are screened for glaucoma. Patients suffering from glaucoma are regularly tested using various instruments and parameters. The Humphrey computerised visual field analyser helps track prevention of further damage to the vision. Special Blue-on-yellow software [SWAP] allows early diagnosis of glaucoma suspects, especially those with a strong family history. Offering a full range of diagnostics, including the Humphrey computerized visual field analyzer, we also offer a Complete GLAUCOMA Assessment which helps to prevent further damage to vision and early detection of Glaucoma. Glaucoma is a leading cause of blindness in the world, especially for older people. However visual loss is preventable or stabilized with early diagnosis and treatment.

The aqueous humour is the clear fluid circulating within and nourishing some parts of the eye which have no blood supply. 'Normal' individuals have an equal production and drainage of this fluid resulting in a constant pressure within the eye. If the drainage is compromised due to any reason, there is a pressure build-up in the eye, which can damage the optic nerve
1.Chronic open-angle glaucoma
Most common type of glaucoma; damages vision gradually and painlessly. The pressure is rarely high enough to be symptomatic.

2.Angle-closure glaucoma
An acute attack of glaucoma caused by sudden blockage of the drainage channels leading to a sharp rise in pressure within the eye.

Symptoms include:
  • Blurred vision
  • Severe eye pain, nausea and vomiting
  • Headache
  • Rainbow haloes around lights
  • Pain around your eyes after watching TV or after leaving a dark theatre
  • Red eyes
  1. Lens induced Glaucoma
  2. Inflammatory Glaucoma
  3. Pigmentary Glaucoma
  4. Neovascular Glaucoma
  5. Glaucoma Associated with irido-corneal endothelial syndrome
  6. Pseudoexfoliative Glaucoma
  7. Traumatic Glaucoma
  8. Steroid - induced Glaucoma
  9. Glaucoma in aphakia
  10. Glaucoma associated with Intra Ocuar Tumours
  1. Primary Congenital Glaucoma
  2. Developmental Glaucoma
A Regular eye examinations by the ophthalmologist leads to detection.

The complete and painless examination includes among other tests:
  1. Tonometry - Measurement of the intraocular pressure [tension]
  2. Gonioscopy - Inspection of the drainage angle of the eye,whether angle is open or closed
  3. Ophthalmoscopy - Evaluation of optic nerve damage
  4. Perimetry - Testing the visual field of each eye
  5. Heidelberg's Retinal tomography 3-Test to detect optic nerve head and retinal nerve fibre layers.
  6. Pachymetry - To measure actual thickness of cornea.
  7. Applanation tonometry-A ccurately measures Intra Ocular Pressure.
  8. OCT - Optical Coherence Tomography
Everyone should be concerned about glaucoma and its effects. It is important for each of us, from infants to senior citizens, to have our eyes checked regularly, because early detection and treatment of glaucoma are the only ways to prevent vision impairment and blindness. There are a few conditions related to this disease that tend to put some people at greater risk. This may apply to you if.
The main treatment for chronic glaucoma aims at reducing the pressure in your eye. Damage already caused by glaucoma cannot be reversed. Eye drops, tablets, laser and surgical operations are used to prevent or slow further damage from occurring. With any type of glaucoma periodic examinations are very important to prevent loss of vision. Because, glaucoma can irreversibly worsen without your being aware of it, your treatment may need to be changed from time to time during the periodic examination.
Eye drops
When taken regularly and continuously as prescribed, they control the eye pressure either by slowing the formation of aqueous fluid within the eye or by increasing the flow at the drainage area. The proper technique of using your medication is a key to successful treatment. Our glaucoma clinic doctor or assistant will teach you the technique.

Tablets
These are sometimes combined with the eye drops to decrease higher levels of eye pressure. They are occasionally known to cause tingling of fingers and toes, bowel irregularities, and in the very long term, kidney stones.

Why a drug causes side effects in some persons and not others is not fully understood.

By visiting the clinic regularly will help keep a check on what treatment suits you and its results.
At DIVA, we have all the Laser Modalities to treat Glaucoma

Lasers are usually used in one of three ways:
  1. OAG - In open-angle glaucoma the draining angle itself is enlarged to control eye pressure.(Laser Trabeculoplasty)
  2. ACG - In angle-closure glaucoma the laser creates a hole in the iris to open up and improve the flow of aqueous fluid to the drain.(YAG Laser iridotomy)
  3. In painful late-stage glaucoma medication or surgery do not control the pressure. The laser closes some aqueous fluid-producing areas in the eye and lowers the eye pressure. Red Diode laser cycle photo angulation destraction.
Filtration surgery in which new channel (communication is created around the margin of scleral flap,through which aqueous flows from anterior chamber into subconjuctival space.

Indication:
  1. Primary Open Angle Glaucoma not controlled with medicine.
  2. Primary Angle closure glaucoma with peripheral anterior synechiae.
  3. Congenital and developmental glaucoma where trabeculotomy and goniotomy fails
  4. When patient compliance is poor.
  5. Secondary Glaucoma

Surgery is recommended when your doctor feels that it is safer to operate than to allow optic nerve damage to continue
These are plastic devices which allow aqueous outflow by creating a communication between the anterior chamber and sub-tenon's space.

Commonly used Glaucoma Valves are:
  1. Molteno-
  2. Ahmed Glaucoma Valve-
  3. Krupin-Denver Glaucoma valve
Cyclo destructive procedures lowers the intra-ocular pressure by destroying part of secretory ciliary epithelium; thereby reducing aqueous secretion.

Cyclodestructive procedure commonly used are:
  1. Cyclocryotherapy
  2. Nd:Yag laser cyclodestruction
  3. Diode laser cyclophotocoagulation
Our centre runs Glaucoma Clinics for the special purpose of preserving sight in sight-threatening conditions such as glaucoma.

  1. The patient receives specialized care provided by our glaucoma specialists
  2. Glaucoma needs regular follow-up since the condition can cause asymptomatic and irreversible loss of vision if poorly treated or neglected
  3. The effect of your treatment on the eye pressure may not always be constant and needs to be regularly measured by our glaucoma specialist.
  4. At the clinic we record images and maintain records of your eye condition for comparison on following visits.
Treatment requires a team effort [you and the doctor]: The prescription must never be altered or stopped without consulting your doctor. Frequent eye examinations and tests are critical to monitor your eyes for any changes.
You need an eye examination - Every 18 - 24 months if you are age 39 years or over, Every 12 months if a family member has glaucoma, if you have had a serious eye injury in the past, or if you are taking steroid medication [tablets or eye drops]. The Glaucoma Clinic has an early diagnosis centre keeping in mind the higher risk for glaucoma among family members