WHY REGULAR FOLLOW UP IS IMPORTANT IN GLAUCOMA PATIENTS

46-year-old Ramesh Gupta from Seawoods worked as a freelance landscape photographer. He and his friend would often collaborate for hundreds of projects for his clients that spread vastly across Navi Mumbai i.e. Airoli, Vashi, Ghansoli, and Sanpada.

GLAUCOMA STORY OF A PHOTOGRAPHER

GLAUCOMA STORY OF A PHOTOGRAPHER

One fine day when he was sipping coffee with his neighbour, he mentioned about his health issues. He complained about seeing rainbow halos around lights, having red eyes and experiencing intermittent headache. Hearing this, the neighbouring aunt immediately recommended him Advanced Eye Hospital & Institute (AEHI) at Palm Beach Road in Navi Mumbai to undergo comprehensive eye check-up as she herself had an extremely happy and satisfied experience of eye care service at AEHI.

So, his friend accompanied Ramesh to AEHI, where he consulted Dr. Rajesh Mishra, an eye doctor specialising in Glaucoma surgery and treatment, and kept shooting his problems at him. Dr. Mishra patiently listened to his problems and revealed that it was due to his high intraocular pressure (IOP), which reached 30mmHg. The normal range of intraocular pressure falls between 12-22mmHg which when crossed can cause all these eye symptoms. Dr Mishra did gonioscopy test on his eyes. Gonioscopy revealed blocked angles in both the eyes. He also noticed that luckily, Ramesh did not have any existing damage to his optic nerve.

Gonioscopy - Eye test

Gonioscopy – Eye test

Dr. Mishra prescribed him few eye drops as glaucoma treatment. Ramesh took his advice and within a month the level of IOP decreased remarkably. Dr. Rajesh then recommended him to continue the eye drops. Dr Mishra also informed him about the need for laser treatment to prevent future increase of eye pressure as his angles were narrow. He decided to get the laser treatment after 3 months.

However, Ramesh forgot about the follow-up and a year passed by. One day his friend saw Ramesh washing the negative photographs even when the films had already been developed. His friend felt very strange about this and confronted him about the same. Ramesh told that the films gave him blurry vision and that he experiences sudden intense eye pain.

His friend asked him “When was the last time he followed up with his eye specialist for his glaucoma treatment?” Ramesh was too stunned to reply to him. He remembered that he had not only forgotten to visit his glaucoma doctor but also had stopped using prescribed eye drop even though he knew he was getting the best eye treatment for glaucoma.

Next day, Ramesh booked an appointment with Dr. Rajesh Mishra.  Upon his visit at the Advanced Eye Hospital, Dr. Mishra, observed that the intraocular pressure had again shot up. Gonioscopy and optic nerve evaluation confirmed that he had developed Angle-closure glaucoma (closed-angle glaucoma)! Now, worsening of his eye condition made Ramesh very guilty and he felt remorse for not following up with his glaucoma treatment regime.

He impatiently asked Dr. Mishra what is Angle-closure glaucoma and what is the treatment for this eye disorder.

Flow of Eye Fluid

Flow of Eye Fluid

Ramesh had developed acute angle-closure glaucoma, wherein the sudden increase in his intraocular pressure was due to closed angle (which is formed between  cornea and iris). Due to the closed angle, all the drainage channels were blocked and hence the drainage system (trabecular meshwork) of the eyes was not functioning at optimal level. Moreover, the high intraocular pressures caused his cornea to swell (edema), which was responsible for the haloes around lights.

Dr. Rajesh Mishra advised him to undergo Trabeculectomy as the treatment of angle-closure glaucoma. Trabeculectomy is the most commonly performed glaucoma surgery and effectively reduces the eye pressure.

In Trabeculectomy, a new drainage pathway is created under the conjunctive by removing a small block of the clogged trabecular meshwork. (Conjunctiva is that part of the eye, which covers the front surface of the eye and lines the inside of the eyelids). This new pathway creates a “filtering bleb” which allows the fluid of the eye to enter the bleb and then pass into the blood stream. This alternative pathway prevents fluid build-up inside the eye and hence helps in lowering the intraocular pressure.

TRABECULECTOMY SURGERY

TRABECULECTOMY SURGERY

 

Trabeculectomy surgery takes about an hour. After the eye surgery patient can go back home and it does not require overnight stay at the eye hospital. The recovery time for this glaucoma surgery is quick and patient can get back to normal lifestyle in 4-6 weeks. So, Ramesh was glad to know about short recovery period and underwent the same.

With passage of time, he gained normal vision and started seeing objects clearly owing to the reduction in eye pressure. He thanked Dr. Rajesh Mishra and the staff of AEHI for treating his eyes with utmost care and immense patience.

According to various studies, it was found that almost 59% of glaucoma patients do not stick to their treatment routine for glaucoma. One of the ways to improve adherence and compliance with glaucoma treatment is regular follow-ups with your glaucoma specialist. Glaucoma specialist can not only ensure that your glaucoma medications are working effectively but can ensure that you understand the relevance of the same on an on-going basis. Eye doctors team at Advance Eye Hospital constantly emphasizes that – regular eye check-up, regularity in treatment of all different kinds of eye diseases like cataract, squint, glaucoma, diabetic retinopathy etc. is important and should not be taken for granted.

About Dr. Rajesh Mishra:

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Dr. Rajesh Mishra  (MBBS, MS, FAEH, and PGDHM) is a Glaucoma and Cataract surgeon at Advanced Eye Hospital near Vashi, Navi Mumbai. He is trained from the best institutions and has years of experience managing glaucoma patients. Besides his clinical skills, his patients love him for his communication skills. He is a patient listener and empathises with each and every one. He has successfully treated a variety of glaucoma patients, children and adults, as well as operated more than ten thousand cataracts and glaucoma. Consult Dr. Rajesh Mishra by booking an appointment here.

 

 

About Advanced Eye Hospital and Institute:

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Advanced Eye Hospital and Institute in Navi Mumbai is equipped with one of the best eye hospitals in Mumbai. Comprehensive eye check-up and the operation theatres are state-of-art and equipped with the best diagnostic and surgery machines. Personalized care, infection free modular operation theatres and beautiful ambiance complement the cutting edge eye care offered at AEHI. Besides treating patients from Kharghar, Nerul, Vashi and Panvel, patients from all over western India travel to AEHI for world class eye care management.

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