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Glaucoma

For appointments, get in touch:

Dr. Karim Tohme
Ophthalmologist
Dr. Roland Seif
Clinical Instructor
Ophthalmology

Glaucoma

Glaucoma is an eye disease characterized primarily by intraocular pressure (IOP) elevation above the normal range. The eye is a closed globe that by necessity needs to have an internal pressure level above atmospheric pressure: otherwise it collapses. The normal IOP range is 10 – 21 mm Hg. Pressure elevation beyond this range results in progressive weakening of the optic nerve and ultimately total blindness. Treatment that aims at normalizing IOP involves topical eye drops, oral tablets, laser and incisional surgery.

Our glaucoma service receives referrals from other hospitals / clinics of complicated glaucoma cases for opinion regarding diagnosis and treatment. These patients are subjected to all sorts of state-of-the art diagnostic tests, in addition to thorough clinical evaluation.

We deal with glaucoma suspects, primary open-angle and angle-closure patients, as well as congenital and secondary glaucomas. Surgical interventions practiced include trabeculectomy, with or without cataract removal, implantation of artificial drainage devices, again with or without cataract surgery, as well as the various glaucoma laser procedures.

Residents in training are also exposed to the various aspects of glaucoma diagnosis and treatment: clinical glaucoma findings in the anterior and posterior segments, and the different diagnostic ancillary tests, namely visual fields and optic disc / retinal imaging. They also get hands-on experience with the glaucoma laser procedures (iridotomy, trabeculoplasty, and cyclodestruction), and assist with the surgical procedures, eventually getting the chance to perform basic procedures, such as trabeculectomy.

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