Typically, eye drops that are designed to lower eye pressure and prevent progression of the disease are a first line treatment option. Some cases of Glaucoma can be easily managed with these eye drops. However, in some cases no combination of drops can adequately control the eye pressure. Sometimes the drops can become toxic to the eye surface, causing redness, dryness and sore eyes. Additionally, some patients may be unable to administer their own drops, or find it difficult to adhere to the strict drop schedule.
Second line treatment includes laser or invasive surgical options such as ‘Selective Laser Trabeculoplasty’, which causes chemical and biological changes to the drainage meshwork in the eye, or ‘Trabeculectomy’, which physically creates a drainage hole between the chambers of the eye. Both procedures aim to reduce eye pressure and improve fluid drainage through the eye.