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Treatments for Mixed or Combined mechanism Glaucoma

Treatment List for Mixed or Combined mechanism Glaucoma

The list of treatments mentioned in various sources for Mixed or Combined mechanism Glaucoma includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

  • Relief of pupillary block is the primary consideration, as is the case for primary angle-closure glaucoma, after which treatment is given for primary open angle
  • Glaucoma
  • Laser iridotomy
  • Relief of pupillary block is the primary consideration, as is the case for primary angle-closure glaucoma, after which treatment is given for primary open angle
  • Acute closed angle glaucoma is a sight threatening emergency and is treated with oral, IV and topical medication to stabilise the eye and lower pressure, before peripheral laser iridotomy
  • Primary open angle glaucoma can be treated by topical or oral drugs, laser surgery or microsurgery, or a combination of these. The aim of treatment is to lower intraocular pressure. The conventional approach to treatment is to use topical drugs as first line, followed by laser trabeculoplasty or microsurgery. Treatment is influenced by the type, cause and severity of glaucoma, other illnesses the patient might have, and preferences of the treating physician
  • Topical medications are usually first line and include:
    • Beta-blockers - timolol, levobunolol, carteolol, metiprnaolol, betatoxol
    • Prostaglandin analogues - latanoprost, bimatoprost, travoprost
    • Carbonic anhydrase inhibitors - dorzolamide, brinzolomide
    • Mitotics - pilocarpine, echothiphate, carbachol
    • Adrenergic agents - adrenaline, dipiverfrine
    • Alpha agonists - brimonidine
    • Several types of drops may be used for the one patient or a product containing a combination of drugs may also be used
  • Oral medications may be used occasionally and include:
    • Beta blockers - atenolol, propranolol
    • Carbonic anhydrase inhibitors - Acetazolamide, dichlorphenamide
  • Laser surgery - may be used to treat open angle, closed angle and neovascular glaucoma. It may be performed to avoid increasing the number of topical medications used, or as first line therapy in selected patients. Specific types include:
    • Trabeculoplasty - for open angle glaucoma
    • Cytophotocoagulation - for aggressive or advanced glaucoma that has not responded to other therapies
  • Microsurgery - usually used after other treatments such as medications and laser surgery have failed. Types include:
  • Trabeculectomy
  • Glaucoma drainage implant

Mixed or Combined mechanism Glaucoma: Marketplace Products, Discounts & Offers

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Mixed or Combined mechanism Glaucoma: Research Doctors & Specialists

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Hospitals & Medical Clinics: Mixed or Combined mechanism Glaucoma

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