Louis Clearkin
Tel: 0044 151 604 7047 L.Clearkin@liverpool.ac.uk

Glaucoma

Glaucoma is a serious and potentially blinding disease in which damage to the optic nerve can lead to progressive, irreversible vision loss.

Chronic open-angle glaucoma is completely without symptoms in early stages and usually comes to light during a routine eye examination; the type that does cause pain (acute angle closure glaucoma) is relatively uncommon.

Loss of vision off to the side (the peripheral vision) is eventually noticed by the patient, but by the time patients realise that peripheral vision has been lost, the damage caused by glaucoma is quite advanced.

Conventional surgery to trewat glaucoma.
Pic: National Eye Institute, USA

Most patients with glaucoma are treated with drops, but properly-targeted early surgery is important in a substantial number of patients in order to retain vision (see right). Go to www.glaucoma.org/treatment/conventional-surgery.php for further information.

I have routinely used the antimetabolite 5-flurouracil with trabeculectomy (www2.cochrane.org/
reviews/en/ab001132.html
) and have considerable experience in dealing with the combination of glaucoma and cataract with combined 2-site surgery (www.glaucoma.org/treatment/cataract-surgery-and-glaucoma.php).

My practice is completely compliant with NICE guidance (www.nice.org.uk/nicemedia/live/12145/43792/43792.pdf)
and includes Humphrey 24-2 visual field analysis (www.visitech.org/humphrey-visual-fields.html) and GDX nerve fibre layer analysis (cms.revoptom.com/handbook/oct02_sec4_9.htm).

For further information, go to: