Glaucoma Treatment and Personalized Care
Glaucoma Treatment Options
Most patients begin with non-surgical therapies designed to lower intraocular pressure and slow disease progression.
Prescription eye drops are often the first line of defense because they are easy to use and widely available.
- Alpha-adrenergic agonists reduce fluid production and improve drainage.
- Beta-blockers lower fluid production but require monitoring for systemic effects.
- Carbonic anhydrase inhibitors come as drops or pills and limit fluid production.
- Miotics constrict the pupil to improve outflow.
- Prostaglandin analogs enhance drainage and are commonly prescribed.
When drops do not achieve target pressure, laser treatments offer a safe, precise option.
- Selective laser trabeculoplasty (SLT) improves drainage in open-angle glaucoma.
- Laser peripheral iridotomy (LPI) creates a tiny opening in the iris for angle-closure glaucoma.
- Laser iridoplasty reshapes the iris to widen the drainage angle.
Sustained-release implants provide long-term pressure control for patients who struggle with daily drops.
- Durysta pellets release medication for up to 30 months.
- iDose uses a refillable reservoir for steady drug delivery.
Surgical Treatments for Glaucoma
Surgery is considered when medications and lasers cannot keep eye pressure low enough to protect the optic nerve.
MIGS uses tiny implants or blades to enhance drainage with a lower risk profile and shorter recovery time.
- iStent, Hydrus stent, and Kahook Dual Blade may be combined with cataract surgery.
- Typical pressure reduction is about 15 to 20 percent.
This traditional procedure creates a new drainage channel under the conjunctiva to lower pressure in advanced cases.
A small tube and plate divert fluid to an area where it can be absorbed, making the method useful for complex or scarred eyes.
All surgeries require close follow-up to watch for infection, bleeding, or changes in pressure. Anti-scarring medicines and frequent visits help maintain success.
Factors That Guide Your Treatment Plan
Our eye doctors weigh several elements to craft the safest and most effective approach for each patient.
Open-angle, angle-closure, and secondary forms each call for tailored strategies.
Age, general health, and ability to follow daily routines influence treatment choices.
The goal is maximum pressure reduction with the fewest side effects.
Laser or long-acting implants may suit patients who find daily drops challenging.
Glaucoma is chronic, so regular checkups and plan adjustments remain essential.
Living With Glaucoma
Ongoing education and monitoring empower you to preserve vision and maintain quality of life.
Eye pressure checks, visual field testing, and optic nerve imaging are usually scheduled every three to six months.
Treatments slow or stop further damage but cannot restore vision already lost, making early and consistent care vital.
Protect Your Vision With Expert Care
Glaucoma management is a partnership between you and your eye care team. By following your personalized plan and keeping regular appointments, you give yourself the best chance to retain clear, comfortable vision for years to come.
My experience at Dulles Eye Associates has always been positive. Dr. Dar is very knowledgeable and thorough, and the staff are efficient.
Marcia Carlyn
I want to thank Dr. Ahmed Nasrullah for performing my LASIK on short notice while I was deployed overseas. His friendly, professional care helped my whole family trust him.
WM
Fantastic experience. Dr. Simon was great. He is really a great guy.
Dr. Dee
Dr. Nasrullah has an excellent bedside manner, explained everything clearly, and answered all my questions. The quick 5-minute surgery went smoothly, and I was seeing normally the next day.
James White
I got got LASIK yesterday with Dr. Nasrullah and he was amazing! The procedure was quick and easy, and today I can see better than 20/20. Highly recommend!
Eshaan Handa