How should glaucoma be treated?

Written in association with: Ms Tahmina Pearsall
Published: | Updated: 26/09/2023
Edited by: Robert Smith

Glaucoma is a serious eye condition that can cause damage to your eyesight if left untreated. In her latest online article, leading consultant ophthalmologist Dr Tahmina Pearsall explains how this common eye disease is treated. 
 

woman-with-glaucoma


 

What is glaucoma?

Glaucoma is a disease of the optic nerve head, and it may be associated with raised intraocular pressure. As we get older, the risk of us developing glaucoma also increases and the most common type of glaucoma is what we call primary open-angle glaucoma. The problem is with primary open-angle glaucoma is that you can gradually develop loss of vision without even knowing. There may be no symptoms and it's what we call the sneak thief of sight.
 

How would you treat glaucoma?

At the consultation, we'll go through a number of questions both around your eye health and your general health. We'll do a number of tests and investigations. If we find that you're at risk of developing glaucoma or have any signs of glaucoma such as loss of sight or visual field defects, we'll decide on a course of treatment tailored to you. Most of my patients take eye drops and are quite satisfied with this line of treatment.

However, if they don't suit you or are not effective, we can try a type of laser called selective laser trabeculoplasty. The other options for glaucoma treatment are minimally invasive glaucoma surgery or what we call the gold standard trabeculectomy. Whatever it is that you require, we'll go through the pros and cons and get your treatment plan right for you. The most important thing for me is that we maintain your sight and your quality of life and that you go on to enjoy all the things that you want to.
 

What happens at a glaucoma consultation?

During the consultation, we'll go through a full and thorough discussion. I'll go through all your visual needs and see what's affecting your daily quality of life. Having done that, I'll have a look at your eye health and we'll go over your general health as well. We'll then decide on the right course of treatment for you. We'll choose a lens to suit your needs. We'll discuss the surgery going through all the pros and cons, the risks and benefits.
 

 

If you’re experiencing symptoms of glaucoma, we recommend booking an appointment with a highly experienced ophthalmologist such as Ms Tahmina Pearsall. Click here to visit her Top Doctors profile for information on appointment availability.

By Ms Tahmina Pearsall
Ophthalmology

Ms Tahmina Pearsall is an experienced consultant ophthalmologist who has performed more than 50,000 procedures. She has a special interest in complex cataract surgery and glaucoma. Ms Pearsall is based in London, Surrey, Brighton and Hove, Cardiff, Devon, Reading, Bristol, Glasgow, and Belfast.

Ms Pearsall offers a full range of procedures for glaucoma treatment ranging from traditional surgical options such as trabeculectomy and tube surgery to minimally-invasive surgical techniques and laser surgery. She also runs a general ophthalmology service covering minor operations and all aspects of emergency care.
 
After qualifying from the University of Manchester in 1993, Ms Pearsall underwent extensive training in centres of excellence such as Moorfields Eye Hospital, St Thomas’ and Addenbrooke's (Cambridge). She was previously consultant ophthalmic surgeon and lead clinician for glaucoma at Whipps Cross University Hospital. She is currently a glaucoma consultant at Surrey and Sussex Hospital.

Ms Pearsall is devoted to educating her fellows, organising teaching sessions as well as continually providing lectures to other physicians in formal ophthalmology courses. She has been appointed as an examiner for the Royal College of Ophthalmology, London, and her research has won prizes both nationally and internationally.

She is a member of several professional medical bodies, including the European Society of Cataract and Refractive Surgeons and the British Society for Refractive Surgery. In addition, she is a felllow of the Royal College of Surgeons Edinburgh and the Royal College of Ophthalmologists, London. 

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