About Glaucoma Services at Aravind

The clinic evaluates and treats patients with Glaucoma and other diseases characterised by increased pressure in the eye and/or glaucomatous atrophy of the optic nerve.  It also serves as a large referral centre for the treatment of Congenital Glaucoma, a rare condition with increased eye pressure and corneal enlargement present at birth or during the first few months of life. Patients of all ages, from new-borns to the elderly are being treated.

Glaucoma Clinics at all Aravind centres are well equipped with the latest diagnostic and therapeutic modalities to combat blindness due to the disease. The centre at Tirunelveli is recognised as a Centre of Excellence with a commitment to enhancing quality of patient care and education of ophthalmologists in early diagnosis and therapy.

Glaucoma services are available at Aravind – Madurai, Chennai, Tirunelveli, Coimbatore, Pondicherry and Salem.

Glaucoma - Diagnostic and Treatment

The clinic handles Primary Glaucomas, which are largely inherited, in addition to Secondary Glaucomas caused by trauma, inflammation, Diabetes, Retinal Vascular Disease and hyper mature cataracts. Deviations from normal retinal nerve fibre thickness are the earliest structural changes in persons with glaucoma.

Treatment

  1. Medication (eye drops)
  2. Laser Procedures
  3. Surgical procedures

Routinely performed procedures

  • Trabeculectomy
  • Trabeculectomy + Trabeculotomy.
  • Trabeculectomy with anti mitotic agents like Mitomycin-c or 5-FU
  • Trabeculectomy with ologen implants,
  • Valve /Tube implants
  • Combined Trabeculectomy with IOL implantation.
  • Bleb needling , bleb repair/ revision
  • Non penetrating glaucoma filtering surgeries : deep sclerectomy (including laser assisted),

Glaucoma - Ongoing Research

The department is involved in various research activities both basic as well as clinical. Clinical trials for new drugs are also being conducted.

On-going research:

  • A clinical validation study for evaluating the performance of RIA-G software for automated detection of optic nerve head changes on fundus photographs/images
  • Validation of the Compressed Assessment of Ability Related to Vision (CAARV), a performance based measure, in a south Indian population with Glaucoma
  • A correlative study of pupillary response as measured by automated monocular pupillometer (Neuroptics plr™-3000) with retinal nerve fiber layer thickness and visual field in varying severities of glaucoma
  • Surgical outcome of piggyback intraocular lens implantation after phacoemulsification in nanophthalmic eyes
  • Endothelial cell loss after phacoemulsification in nanophthalmic eyes undergoing cataract surgery
  • Clinical and histopathological correlation of the sclera in nanophthalmic eyes undergoing cataract surgery
  • Robison D. Harley, MD CGRN International pediatric Glaucoma Registry
  • Peony study: A phase III, randomized, observer-masked, active-controlled, parallel-group, multinational and multicenter study assessing the safety and efficacy of DE-117 ophthalmic solution 0.002% compared with latanoprost Ophthalmic Solution 0.005% in subjects with Open-angle glaucoma or Ocular Hypertension
  • A prospective study to evaluate the reasons for hospital visit among patients with primary Glaucoma
  • The Asia Primary Tube versus Trab study
  • Web based personalised education To Improve Glaucoma Medication Adherence
  • Knowledge and Medication adherence in glaucoma patients in South India – Hospital based study
  • Quantification of Relative Afferent Pupillary Defect (RAPD) by an automated pupillometer (RAPID) and its relationship to retinal nerve fiber layer thickness and Visual fields in varying severity of glaucoma
  • Anterior segment OCT imaging of conjunctival filtering blebs after mitomycin C (MMC) augmented trabeculectomy versus ologen augmented trabeculectomy
  • Anterior segment OCT imaging of conjunctival filtering blebs after mitomycin C (MMC) Augmented combined surgery: subtenon injection versus soaked sponges

Major Publications

 

Glaucoma - Training

Focus is given to develop trained human resources through the teaching programmes for postgraduates and technicians through long term fellowship and short term fellowship programmes.

Long Term Ophthalmology Fellowship

Fellowship in Glaucoma 

  • This course is available at Aravind Eye Hospitals in Madurai, Tirunelveli, Coimbatore, Pondicherry, Chennai

Short Term Clinical Courses

Clinical Observership Program in Glaucoma 

  • This course is available at Aravind Eye Hospitals in Madurai, Tirunelveli, Coimbatore, Pondicherry