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.

The clinic handles Primary Glaucomas, which are largely inherited, in addition to Secondary Glaucomas caused by trauma, inflammation, Diabetes, Retinal Vascular Disease and hypermature 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),

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:

  • Deep learning algorithms applied to optical coherence tomography images of the optic nerve head for improved glaucoma diagnosis
  • Indian childhood glaucoma incidence study
  • Perfusion loss assessment in glaucoma
  • Prospective study of changes in ocular biometrics after trabeculectomy with mitomycin C in adult glaucoma patients
  • Blindness due to steroid induced glaucoma in children in India
  • Prospective study of changes in ocular biometrics after trabeculectomy with mitomycin C in adult glaucoma patients
  • Shared medical appointments randomized trial
  • A prospective study to evaluate the reasons for hospital visit among patients with primary glaucoma
  • The Asia Primary Tube versus Trab Study

Major Publications

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 

Available at Aravind Eye Hospitals in Madurai, Tirunelveli, Coimbatore, Pondicherry, Chennai, Tirupati

Short Term Clinical Courses

Clinical Observership Program in Glaucoma 

Available at Aravind Eye Hospitals in Madurai, Tirunelveli, Coimbatore, Pondicherry