Emergency Treatment for Primary glaucoma
- Phone Melbourne EyeVet. An initial consultation ($190 during normal hours at the main clinic) will allow accurate diagnosis and determine whether the glaucoma is primary or secondary.
- When referral is not an option consider Xalatan (latanoprost) as long as you are certain there is not an anterior lens luxation. In some cases, latanoprost alone can reduce pressure from above 50 mmHg down to 10 mmHg within 60 minutes.
- If the cornea is healthy, topical NSAID or Prednefrin Forte should be used to control any underlying uveitis.
- Systemic NSAID or oral steroids should be consider to control inflammation.
- Systemic opioids can also be used for pain management.
Even with continued medical therapy, the pressure will eventually rise. Early referral is important in order to manage the glaucomatous eye (even if they don’t want surgery) and determine if the remaining eye is likely to develop glaucoma.
Vision Saving Surgery
There are two main options for vision saving surgery. The first is cyclophotocoagulation where a laser is used to destroy the cells that produce the aqueous (the ciliary body). The second option is to place a glaucoma shunt over the globe and insert a clear silicon tube into the eye. This surgery provides the patient with a new drainage pathway and causes less inflammation. Both procedures will require long term medication and early referral will give the best outcome.