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Glaucoma Services at Drashti Netralaya, Dahod

Comprehensive Glaucoma Care:Protecting Vision for Life

Glaucoma is one of the leading causes of irreversible blindness worldwide and is often referred to as the "Silent Thief of Sight" because vision loss occurs gradually and painlessly until advanced stages of the disease. Recognizing the growing burden of glaucoma in India, Drashti Netralaya has established a dedicated Glaucoma Service focused on early detection, accurate diagnosis, advanced treatment, lifelong monitoring, and community awareness.

The Glaucoma Department provides comprehensive care for patients across Gujarat, Rajasthan, and Madhya Pradesh, serving a predominantly rural and tribal population where awareness and access to specialized eye care remain limited.

Our Vision

To prevent avoidable blindness from glaucoma

To prevent avoidable blindness from glaucoma through timely diagnosis, evidence-based treatment, patient education, and lifelong follow-up.

Why Glaucoma Care is Important

Why Glaucoma Care is Important

Glaucoma causes progressive damage to the optic nerve, resulting in gradual loss of peripheral vision and eventually blindness if left untreated.

Major Risk Factors

Age above 40 years
Family history of glaucoma
Diabetes mellitus
High myopia
Previous eye injury
Long-term steroid use
Elevated intraocular pressure
Thin cornea
Because early glaucoma often produces no symptoms, regular eye examinations are essential for early detection.
Comprehensive Glaucoma Evaluation

Comprehensive Glaucoma Evaluation

Every patient undergoes a detailed glaucoma assessment using modern diagnostic technology.

Clinical Evaluation

Detailed Medical History

Assessment includes:

  • Family history of glaucoma
  • Previous eye disease
  • Steroid usage
  • Diabetes and hypertension
  • Ocular trauma history
  • Previous eye surgery
Clinical Evaluation

Visual Acuity Assessment

Measurement of:

  • Distance vision
  • Near vision
  • Best-corrected visual acuity
Clinical Evaluation

Slit-Lamp Examination

Comprehensive examination of:

  • Cornea
  • Anterior chamber
  • Iris
  • Lens
  • Angle characteristics
Intraocular Pressure Assessment

Intraocular Pressure Assessment

Accurate measurement of eye pressure is fundamental in glaucoma care.

Goldmann Applanation Tonometry

Considered the international gold standard for measuring intraocular pressure.

Non-Contact Tonometry

Useful for screening large populations and community outreach programs.

Repeat Pressure Measurements

Performed when required to detect pressure fluctuations.

Diagnostic Services

Detailed diagnostic assessment and monitoring

Gonioscopy Services

Gonioscopy is essential for classifying glaucoma and determining appropriate treatment.

Evaluation Includes

  • Open-angle glaucoma
  • Angle-closure glaucoma
  • Secondary glaucoma
  • Congenital angle abnormalities

Clinical Importance

Helps identify patients at risk for acute angle closure and guides laser or surgical intervention.

Optic Nerve Assessment

Detailed evaluation of the optic nerve head is performed using:

Clinical Disc Examination

Assessment of:

  • Cup-disc ratio
  • Neuroretinal rim
  • Disc hemorrhages
  • Nerve fiber layer defects

Digital Optic Disc Documentation

Allows:

  • Longitudinal comparison
  • Disease progression monitoring
  • Treatment evaluation

Automated Visual Field Analysis

Visual field testing is critical for diagnosing and monitoring glaucoma.

Services Available

  • Automated computerized perimetry
  • Baseline field assessment
  • Progression analysis
  • Follow-up monitoring

Benefits

  • Detects early functional damage
  • Monitors disease progression
  • Assesses treatment effectiveness

Advanced Imaging Services

Optical Coherence Tomography (OCT)

High-resolution imaging of:

  • Retinal Nerve Fiber Layer (RNFL)

Assessment of structural damage before visual symptoms appear.

Ganglion Cell Complex Analysis

Detection of early glaucomatous damage.

Optic Nerve Head Analysis

Objective evaluation and follow-up.

Advantages

  • Early diagnosis
  • Objective monitoring
  • Better treatment planning
Corneal Assessment

Corneal Assessment

Pachymetry

Measurement of central corneal thickness.

Importance

  • Accurate interpretation of intraocular pressure
  • Improved risk assessment
  • Better treatment decisions
Medical and Laser Management

Medical Management of Glaucoma and Laser Glaucoma Services

Medical Management of Glaucoma

The majority of glaucoma patients are initially managed with medications.

Available Treatment Options

  • Prostaglandin analogues
  • Beta-blockers
  • Carbonic anhydrase inhibitors
  • Alpha agonists
  • Combination medications

Patient Education

Special emphasis is placed on:

  • Correct drop instillation techniques
  • Medication adherence
  • Long-term follow-up compliance

Laser Glaucoma Services

Laser procedures are offered when clinically indicated.

Laser Peripheral Iridotomy (LPI)

Used for:

  • Primary angle closure
  • Narrow angles
  • Angle closure suspects

Benefits

  • Prevents acute angle closure attacks
  • Minimally invasive
  • Outpatient procedure
Surgical Glaucoma Services

Surgical Glaucoma Services

When medications and laser procedures are insufficient to achieve target intraocular pressure or when disease progression continues despite treatment, surgical intervention is recommended.

Drashti Netralaya offers a comprehensive spectrum of glaucoma surgeries tailored to disease severity, patient age, visual status, and individual risk factors.

Minimally Invasive Glaucoma Surgery (MIGS)

MIGS represents the latest advancement in glaucoma surgery and is designed to lower intraocular pressure with minimal tissue disruption, faster recovery, and an excellent safety profile.

Advantages of MIGS

  • Smaller surgical incisions
  • Faster visual recovery
  • Reduced postoperative discomfort
  • Lower complication rates
  • Preservation of conjunctival tissue
  • Reduced dependence on glaucoma medications
  • Can be combined with cataract surgery

Ideal Candidates

  • Mild to moderate glaucoma
  • Patients undergoing cataract surgery
  • Individuals requiring additional pressure reduction despite medications
  • Patients seeking reduced dependence on long-term eye drops

Drashti Netralaya continuously evaluates and adopts evidence-based MIGS technologies appropriate for patient needs and resource settings.

Trabeculectomy

Trabeculectomy remains the gold-standard filtration surgery for moderate to advanced glaucoma.

Indications

  • Progressive glaucoma despite maximum medical therapy
  • Advanced optic nerve damage
  • High intraocular pressure not controlled by medications

Benefits

  • Significant pressure reduction
  • Long-term disease control
  • Proven effectiveness over decades

Adjunctive Antifibrotic Therapy

Where indicated, antimetabolites such as Mitomycin-C may be utilized to improve long-term surgical success.

Glaucoma Drainage Devices (Tube Shunt Surgery)

For complex and refractory glaucoma, glaucoma drainage implants may be utilized.

Indications

  • Failed previous glaucoma surgery
  • Neovascular glaucoma
  • Uveitic glaucoma
  • Traumatic glaucoma
  • Secondary glaucomas

Benefits

  • Effective long-term pressure control
  • Useful in complex surgical situations
Combined Cataract and Glaucoma Surgery

Many patients suffer from both cataract and glaucoma.

Procedures

  • Phacoemulsification with MIGS
  • Phacoemulsification with Trabeculectomy (Phacotrabeculectomy)
  • Cataract surgery combined with glaucoma drainage procedures

Advantages

  • Single hospitalization
  • Faster rehabilitation
  • Reduced overall treatment burden
  • Better visual and pressure outcomes
Cyclodestructive Procedures

Reserved for advanced or refractory glaucoma cases.

Techniques

  • Diode Cyclophotocoagulation (CPC)
  • Micropulse Cyclophotocoagulation

Indications

  • Painful blind eyes
  • Refractory glaucoma
  • Eyes with poor visual potential
  • Patients unsuitable for filtration surgery
Pediatric Glaucoma Surgery

Dedicated pediatric glaucoma services include:

Procedures

  • Goniotomy
  • Trabeculotomy
  • Combined Trabeculotomy–Trabeculectomy
  • Glaucoma Drainage Device Implantation

Goal

Preservation of vision and prevention of irreversible visual disability during childhood.

Management of Secondary and Complex Glaucoma

Management of Secondary and Complex Glaucoma

Drashti Netralaya provides specialized surgical care for:

  • Traumatic glaucoma
  • Steroid-induced glaucoma
  • Neovascular glaucoma
  • Pseudoexfoliation glaucoma
  • Uveitic glaucoma
  • Aphakic and pseudophakic glaucoma
  • Pediatric glaucoma

Each patient receives an individualized surgical plan based on disease severity, visual potential, age, and systemic health status.

Our Philosophy
"The right surgery for the right patient at the right stage of disease."

By combining traditional filtration surgery with modern MIGS technologies, Drashti Netralaya strives to provide safe, effective, and personalized glaucoma care while preserving vision and improving quality of life.

Pediatric Glaucoma Services

Dedicated services are available for children with glaucoma.

Conditions Managed

  • Congenital glaucoma
  • Developmental glaucoma
  • Secondary pediatric glaucoma

Services Include

  • Examination under anesthesia when required
  • Long-term follow-up
  • Visual rehabilitation
  • Parent counseling

Glaucoma Services for Diabetic and High-Risk Patients

Patients with:

  • Diabetes
  • High myopia
  • Family history of glaucoma
  • Previous ocular trauma

are routinely screened during comprehensive eye examinations.

Community Glaucoma Screening and Awareness

Community Glaucoma Screening and Awareness

Recognizing the low awareness of glaucoma in rural communities, Drashti Netralaya conducts regular screening and awareness programmes.

Activities

  • World Glaucoma Week campaigns
  • Community awareness lectures
  • Village outreach programmes
  • Screening camps
  • Educational materials
  • Media awareness initiatives
Key Message
"Vision Lost from Glaucoma Cannot Be Restored, But Early Detection Can Save Sight."
Follow-Up and Lifelong Monitoring

Follow-Up and Lifelong Monitoring

Glaucoma requires lifelong care.

Follow-Up Services

  • Pressure monitoring
  • Visual field testing
  • OCT evaluation
  • Medication review
  • Surgical outcome assessment

Electronic Medical Records

Since 2006, Drashti Netralaya's paperless EMR system has facilitated:

  • Long-term patient tracking
  • Accurate documentation
  • Continuity of care across centers
Special Strengths of Glaucoma Services at Drashti Netralaya

Special Strengths of Glaucoma Services at Drashti Netralaya

Comprehensive Care Under One Roof

  • Diagnostics
  • Medical treatment
  • Laser therapy
  • Surgical management
  • Rehabilitation

Integration with Other Subspecialties

  • Retina
  • Cornea
  • Cataract
  • Pediatric Ophthalmology
  • Ocular Trauma

Rural and Tribal Outreach

Special emphasis on providing glaucoma care to underserved populations across:

Dahod Panchmahal Banswara Jhabua Alirajpur Dhar Badwani
Serving more than 6 million people, nearly 78% belonging to tribal communities.
Patient-Centered Glaucoma Care

Patient-Centered Glaucoma Care

Every glaucoma patient receives:

  • ✓ Comprehensive diagnostic evaluation
  • ✓ Individualized treatment plan
  • ✓ Medication counseling
  • ✓ Laser and surgical options when needed
  • ✓ Lifelong follow-up support
  • ✓ EMR-based monitoring
  • ✓ Access to subspecialty care
  • ✓ Community-based support services
Our Commitment

Our Commitment

At Drashti Netralaya, glaucoma care extends beyond controlling eye pressure. Our goal is to preserve vision, maintain quality of life, and prevent irreversible blindness through early detection, advanced technology, patient education, and compassionate lifelong care.

Slogan
"Detect Early, Treat Early, Preserve Vision for Life."
"Glaucoma Care Today for a Lifetime of Sight Tomorrow."