For Patients

Glaucoma is an eye disease that happens when circulation of the fluid in the eye is disrupted. Treatment is different for everyone, but medicine or laser surgery is common. Because glaucoma worsens over time, however, medication and surgery may eventually become less effective. When this happens, glaucoma valves may become necessary. Continue reading to learn more.

Learn about glaucoma from Dr. William Layden.

Hear from glaucoma patients about their implant surgery with the Ahmed Glaucoma Valve.

Frequently Asked Questions

What is glaucoma?

Glaucoma is a complex eye disease in which circulation of the fluid in the eye is disrupted. It is similar to the blockage of a kitchen sink, leading to overflow of water. This blockage of the fluid stops the process of re-absorption of the eye fluid, leading to high pressure rise within the eye. This high pressure and other factors can ultimately affect the optic nerve. The optic nerve connects the eye and the brain like a telephone cable. Once the optic nerve is damaged, permanent vision loss can occur. Download a glaucoma brochure to learn more.

How do I know if I have glaucoma?

Complete eye exams are necessary to determine if you have glaucoma or are at risk. These examinations, performed by your ophthalmologist consist of:

  • Measurement of your eye pressure
  • Evaluation of optic nerve damage
  • A visual field test to measure your side vision

Who is likely to develop glaucoma?

Between 3-6 million Americans have glaucoma, and about 5,500 patients go blind from glaucoma each year.2 African Americans are four to five times more likely to develop glaucoma, and up to six times more likely to go blind from it.2

You have a high risk of developing glaucoma if:

  • You are 65 years or older; especially if you have diabetes
  • You have a family history of glaucoma
  • Your ancestry is of African descent
  • You have ever had an eye injury

These are the people who are at the highest risk for developing glaucoma. However, anyone can develop glaucoma, ranging from babies to adults.

What are the signs and symptoms of glaucoma?

In the vast majority of cases, especially in the early stages, there are few signs or symptoms. In the later stages of the disease, symptoms can occur that include:

  • Gradual loss of side or peripheral vision
  • An inability to adjust the eye to darkened rooms
  • Difficulty focusing on close work
  • Rainbow-colored rings or halos around lights

How is glaucoma treated?

Treatment varies from person to person. In 80% of glaucoma cases, medicine or laser surgery is used to control glaucoma. Another type of surgical procedure that may de done is called goniotomy. During this procedure, your eye doctor removes diseased tissue that blocks fluid from flowing out of the eye. Goniotomy procedures have been safely performed for decades in both adults and children.

However, because glaucoma worsens over time, medication and surgery may eventually become less effective. Therefore, at times, glaucoma valves are necessary. Glaucoma valves are useful alternatives in treating glaucomas that are resistant to medical therapy and conventional glaucoma surgery.3 After the valve has been implanted, the intake of medication may be reduced. (For example, if you have been taking 4 different medications before the implant, you may just need one or none after the implant.)

Do glaucoma medications have side effects?

Glaucoma medications sometimes create side effects such as:

  • Blurred vision
  • Headaches and burning of the eyes
  • Low blood pressure, reduced pulse rate, and fatigue
  • Changes in sense of taste
  • Rapid heart rate or fluctuation in heart rhythm4

What is a glaucoma valve?

A glaucoma valve is an implant that can be used to regulate the pressure inside your eye. The valve consists of a small plate with a tube attached to it. The tube drains the fluid out of the eye, thus reducing the eye pressure. The valve is placed outside of the eye, but is covered by the skin of the eye, so it cannot be seen or felt.

There are a variety of implants on the market, but only the Ahmed Glaucoma Valve has consistent behavior.5 The Ahmed Glaucoma implant provides effective, long-term control of intraocular pressure with a high success rate.6

How does a glaucoma valve work?

A glaucoma valve immediately reduces the pressure in the eye by giving the fluid a means to drain out more effectively. Because the glaucoma implant is a valve, it adjusts itself according to the fluid pressure in the eye. There is a precise control on the amount of fluid that is allowed to flow through it. This ensures that there is no excessive drainage from the eye, which can be a serious problem.

How is a glaucoma valve implanted?

A glaucoma valve is implanted during outpatient surgery under local anesthesia. The total procedure takes about one hour. Postoperatively, you will need to take some medications until your eye is completely healed, including any pain medication for any discomfort you might feel. Regular follow-up exams will track the pressure changes in your eye and ensure that the glaucoma implant is working successfully.

References:

  1. American Academy of Ophthalmology.
  2. Glaucoma Surgery by John Thomas, MD, Chief Editor, Bosby - Year Book, Inc. 1992.
  3. William AS. Setons in Glaucoma Surgery. In: Albert DM, Jakobiec FA, Editors. Principles and practice of ophthalmology: Clinical practice. Philadelphia: WB Saunders, 1994: 1665-1667.
  4. Glaucoma Research Foundation (www.glaucoma.org).
  5. Ophthalmic Surger Lasers. 1999;30:662-667.
  6. Huang et. al. Intermediate-Term Clinical Experience with the Ahmed Glaucoma Valve Implant. Am J Ophthalmol. 1999;127(1):27-33.