How Diabetes caused Advanced Glaucoma

Vice President in a reputed MNC in Airoli, loving grandfather, avid reader and a poetry hobbyist aptly describes 67-year-old R. S. Das.  In March 2017, he along with his wife visited Advanced Eye Hospital and Institute (AEHI), Sanpada in Navi Mumbai with the eye problem of decreasing vision in both of his eyes. His wife had thoroughly read patients reviews on Google who had earlier availed eye care services from AEHI. She learnt that 10 eye super-specialists work at the best eye hospital in Navi Mumbai. Besides, they use latest advanced machines to manage their patients effectively.

He consulted Dr. Rajesh Mishra, an eye doctor for Cataract and Glaucoma surgery, after undergoing a detailed eye check-up. Initial evaluation of his eyes revealed that Mr. Das’s right eye vision had diminished to hand movement only. Confrontation test suggested that peripheral vision in his left eye was also reduced.  The eye pressure test showed high intraocular pressures in both the eyes – his right eye pressure being 37 mm Hg and left eye – 30 mm Hg. On further probing, it was found that he had occasional episodes of eye pain and redness in his eyes. Further, he also had a history of diabetes type 2 and high cholesterol levels for which he was already on medications.

Healthy Eye vs Eye with Glaucoma

Diabetes causes many eye problems and may lead to blindness. Hence, Mr. Das was directed to Dr. Yogesh Patil, Vitreo-Retina Specialist at AEHI, who diagnosed him with proliferated diabetic retinopathy with neo-vascular Glaucoma through Fundoscopy and Fluorescein Angiography tests.  Due to the severity of the issue, Dr. Patil immediately advised him two sessions of Retinal laser treatment and Injection (Avastin) for both of his eyes.

Proliferated Diabetic Retinopathy

As the name of the eye disease suggests, the proliferation (growth) of abnormal blood vessels happen on the retina. These new and fragile blood vessels blur the vision as they leak blood, cholesterol and fluid into and over the retina.

Neo-Vascular Glaucoma (NVG) is a characterized by the abnormal growth of blood vessels in the front part of the eye extending from iris into the angle. It is known as the severe form of secondary glaucoma. In this type of glaucoma, new blood vessels grow into the angle (where cornea and iris meet and fluid flows out of the eye). These new blood vessels often leak or cause inflammation making the eyes red and very painful. Also these blood vessels cause angles to close. This blocks the flow of the fluid and thus increases the eye pressure.

After the Retinal laser treatment, Mr. Das noticed some vision improvement in both his eyes. However, glaucoma medical management through multiple eye drops still could not control the eye pressure.

Therefore, Dr. Rajesh Mishra recommended him to undergo Trabeculectomy with Ologen implant in order to control his eye pressure.



Trabeculectomy is a day care procedure, the surgical time is around 20 mins. The recovery time for this glaucoma surgery is quick and patient can get back to normal lifestyle in 4-6 weeks. Read how Trabeculectomy reduced a photographer’s eye pressure and intense eye pain here.

During the subsequent follow-ups, Mr. Das showed reduction in the eye pressure and significant improvement in vision.

Mr. Das was glad and virtually speechless at having his vision restored considerably.  He thanked Dr. Rajesh Mishra and Dr. Yogesh Patil wholeheartedly and said the treatment received at AEHI has rekindled his zest for life and added new vigor to his poetry.

Diabetes can cause glaucoma

Diabetes causes several eye diseases and may lead to blindness.


People with diabetes are 40% more likely to suffer from glaucoma than people without diabetes. Glaucoma is more commonly detected in those patients who have had diabetes for longer period. Risk also increases with age.

Glucose control is the first and foremost factor in managing these eyes. Eye drops, surgery etc may be needed to manage the eye pressure in the cases of Neovascular glaucoma (NVG) in Diabetic patients.

About Dr. Rajesh Mishra:


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:

New Hospital Pic2

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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