Glaucoma is a serious eye condition that can lead to irreversible vision loss if left untreated. While it cannot restore lost vision, treatment focuses on lowering intraocular pressure (IOP) to prevent further damage to the optic nerve.
Laser therapy has emerged as a highly effective, noninvasive alternative to traditional medications and surgery.
It offers a safer, quicker, and often more successful approach to managing both open-angle and closed-angle glaucoma.
In this article, we explore how laser treatment works, its different types, benefits, and costs, and why Turkey has become a top destination for affordable, high-quality glaucoma care.
- What is Laser Treatment for Glaucoma
- Types of Laser Treatment for Glaucoma
- Cost of Laser Treatment for Glaucoma
- Laser Treatment Procedure for Glaucoma
- Recovery After Laser Treatment for Glaucoma
- Expected Results After Laser Treatment for Glaucoma
- Risks of Laser Treatment for Glaucoma
- Why Choose Turkey for Laser Treatment of Glaucoma
- FAQs
What is Laser Treatment for Glaucoma
Laser, the advanced technology that works by targeting a high-energy beam of light, is one glaucoma treatment option that is considered a noninvasive, safe, and effective choice.
Unlike surgery that requires pre-surgery preparation, post post-operative care and carries several risks, lasers are simpler, easier, and safer options and it is more effective than medical glaucoma treatment for both open and closed-angle glaucoma.
Additionally, laser treatment for glaucoma is a beneficial option for both prevention and treatment of increased IOP and as an emergency solution for high IOP
Several types of laser therapy may be used, including argon laser trabeculoplasty, which treats about half of the meshwork; selective laser trabeculoplasty, which leaves small portions of it in place; and micropulse laser trabeculoplasty, which treats even smaller spots. Your doctor can determine which option is best for you.
How Does Laser Treatment for Glaucoma Work?
Laser treatment works by helping the fluid in your eye drain more effectively. The main concept behind the laser is the use of a high-energy beam of light. When these beams penetrate the eye, they have several effects.
The laser triggers a chemical and biological change in the tissue of the trabecular meshwork, which is the area that blocks the fluid's exit from the eye. This process helps to improve the drainage of fluid out of the eye and into the bloodstream.
Laser Treatment for Open-Angle Glaucoma
In open-angle glaucoma, the main cause of increased intraocular pressure (IOP) is the eye’s inability to properly drain excess aqueous humor, the fluid inside the eye.
Normally, the eye maintains a balance by draining the extra fluid through specific channels into the bloodstream.
However, when the drainage system becomes less efficient, the excess fluid accumulates, leading to an increase in IOP. This rise in pressure can damage the optic nerve over time.
Laser treatment is an effective option to improve the drainage of this fluid, thereby lowering IOP and reducing the risk of optic nerve damage.
The best type of laser treatment option for open-angle glaucoma is selective laser trabeculoplasty (SLT).
Laser Treatment for Closed Angle Glaucoma
In closed-angle glaucoma, also known as angle-closure glaucoma, the angle between the iris and cornea, called drainage angle, becomes narrowed or blocked.
This blockage prevents the aqueous humor from draining properly, causing a rapid buildup of fluid and a sudden increase in intraocular pressure (IOP).
When the eye pressure measurements show a sudden severe elevation in the ocular pressure, this case is an emergency of ocular hypertension
This acute rise in IOP can lead to a rapidly progressing attack, significantly increasing the risk of optic nerve damage if not treated promptly.
Laser treatment is an effective option for managing such conditions, as it works more rapidly and effectively than medical treatments like glaucoma eye drops.
It also represents a safer, less invasive alternative to surgery.
The best type of laser for treating closed-angle glaucoma is laser iridotomy, which creates a small hole in the peripheral iris to relieve the blockage and allow better fluid drainage.
Types of Laser Treatment for Glaucoma
Types of laser treatment for glaucoma differ based on their mechanism of action. Some, like Selective Laser Trabeculoplasty (SLT), enhance fluid drainage, while others, like Cyclodiode Laser, reduce fluid production. Laser Iridotomy, on the other hand, creates an opening in the iris to relieve blockage in angle-closure glaucoma.
1. Selective Laser Trabeculoplasty SLT for Glaucoma
SLT is a laser treatment that targets the trabecular meshwork, the ocular drainage system in the eye, to enhance its function and increase the amount of fluid drained through the drainage angle, thus reducing IOP.
This stimulation of the meshwork system opens up the drainage tubes and helps in lowering intraocular pressure (IOP) by about 30%, especially in patients with open-angle glaucoma.
The mechanism by which the SLT works has been explained by a biological theory that suggests that trabecular photocoagulation stimulates some biological response that could contribute to an eventual reduction in the IOP.
2. Cyclo-diode Laser Treatment for Glaucoma
Cyclodiode laser treatment for glaucoma works by decreasing the production of aqueous humor. It achieves this by targeting and destroying a small percentage of the ciliary body cells that are responsible for fluid production.
This treatment tends to work more slowly than other types of laser therapy.
It is particularly effective for treating refractory glaucoma, which does not respond to other medical therapies, and for patients with chronic open-angle glaucoma (OAG) who may not respond well to traditional treatments.
3. Laser Iridotomy for Glaucoma
This type of laser treatment of glaucoma is the best option for emergency treatment in which the IOP increases suddenly like in some situations of closure angle glaucoma.
These conditions are painful and pose a high risk for optic nerve damage and even vision loss.
Laser iridotomy works by creating a hole in the iris through which the excess fluid passes out rapidly.
4. ECP (Endoscopic Cyclophotocoagulation) Laser Treatment
ECP (Endoscopic Cyclophotocoagulation) laser treatment is another option for reducing intraocular pressure in glaucoma patients.
Unlike traditional cyclo-diode laser treatment, which is applied externally, ECP uses an endoscopic probe to deliver laser energy directly to the ciliary body inside the eye.
This direct approach allows for more precise targeting of the tissue responsible for aqueous humor production, leading to a controlled reduction in fluid production and intraocular pressure.
ECP is often used during cataract surgery or as a standalone procedure for patients with refractory glaucoma.
It is considered a safer and more predictable alternative to traditional cyclodiode laser.
5. YAG Laser Treatment for Glaucoma
YAG laser treatment for glaucoma is a specific type of laser that uses neodymium-doped yttrium aluminum garnet (Nd:YAG) laser energy rather than an argon beam. This advanced laser technology delivers short, high-energy pulses to create a precise opening in the peripheral iris, enhancing aqueous humor drainage and reducing intraocular pressure (IOP).
YAG laser is primarily used in laser iridotomy for angle-closure glaucoma
Compared to argon laser, YAG laser is more efficient, requires lower energy, and reduces the risk of thermal damage to surrounding eye tissues, making it a preferred choice for many ophthalmologists.
Discover various ocular tests essential for glaucoma diagnosis, such as corneal thickness measurement, which ensures the accuracy of intraocular pressure readings, and Stratus Optical Coherence Tomography (OCT), an advanced 3D imaging test that provides precise data on optic nerve health. and the Fundus Examination that detect signs of glaucoma, which is often associated with increased IOP
Cost of Laser Treatment for Glaucoma
The cost of laser treatment for glaucoma varies based on several factors, with the most notable being:
1. Clinic Location: For instance, Turkey is well-known for providing significantly lower costs compared to other countries like those in Europe, the UK, and the US. Despite the affordability, the quality of care and the doctors' performance remain high.
In Turkey, the cost of laser treatment for glaucoma ranges between $300 and $500, depending on the type of laser used.
In the US, the average cost typically ranges between $1,000 and $2,000.
2. Type of Laser Used: The specific type of laser treatment will influence the overall cost:
Selective Laser Trabeculoplasty (SLT) for glaucoma costs about $500 in Turkey.
Laser Iridotomy for glaucoma starts from $300 in Turkey.
Cyclodiode Laser Treatment is generally more expensive, with costs in some countries reaching as high as $2,500.
3. Ophthalmologist Experience: A highly experienced ophthalmologist may charge higher fees compared to less experienced doctors.
4. Clinic Reputation and Technology: Clinics with advanced technology and strong reputations might have higher charges due to the enhanced services and equipment involved.
How to make affordable laser treatment for glaucoma?
To take advantage of affordable prices, it’s a good idea to contact the clinics directly.
You can inquire about their offers, payment plans they can provide tailored to your needs, and any special packages they may have available.
Many clinics offer customized packages that can make treatments more accessible and cost-effective.
Laser Treatment Procedure for Glaucoma
The laser treatment is a minimally invasive procedure that does not require pre or post-treatment hospital stay, also patients do not need to be fasting
it is performed under local anesthesia and takes only 20 to 30 minutes as an overall time
The doctor will hold your eyelid stable by lid speculum, and then a strong laser beam of light is targeted into the eye, which may cause flashes of green or red light to cross the person’s vision.
Some patients may feel discomfort however no pain is involved during the procedure.
Recovery After Laser Treatment for Glaucoma
After the procedure, the doctor will evaluate your eyes and provide the necessary instructions. Most patients can return home the same day and resume their normal activities the next day. You may experience mild irritation or blurry vision immediately after the treatment, so it's recommended to have someone accompany you home.
Some side effects like eye redness, swelling, pain, or dryness may occur, and the doctor usually prescribes medications to relieve pain, reduce inflammation, and treat dry eyes. Follow-up visits are essential to monitor eye pressure and ensure the treatment's success.
Expected Results After Laser Treatment for Glaucoma
Lowered Intraocular Pressure (IOP): One of the primary goals of laser treatment is to reduce the elevated intraocular pressure (IOP) that can damage the optic nerve. Most patients experience a significant reduction in IOP, which can help prevent further damage to the optic nerve.
Stabilization of Vision: In many cases, laser treatment helps to stabilize vision and prevent further loss of vision, though it does not reverse any existing damage to the optic nerve.
Reduced Need for Medication: Following laser treatment, some patients may be able to reduce or even eliminate the need for glaucoma medications, such as eye drops, as the treatment effectively controls IOP.
Long-Term Results: While laser treatments can be highly effective in managing IOP, some patients may require additional treatments over time if their IOP increases again. Continued follow-up visits with an ophthalmologist must be continued to monitor the eye’s condition.
Risks of Laser Treatment for Glaucoma
generally, laser treatment for glaucoma is a safe procedure, however, it holds some risks and side effects
Laser treatment for glaucoma side effects include
- Temporary IOP Spike: A short-term increase in intraocular pressure after treatment.
- Inflammation: Mild swelling or irritation in the eye.
- Blurred Vision: Temporary vision changes after the procedure.
- Redness & Irritation: Mild discomfort that usually resolves quickly.
- Limited Effectiveness: May not lower IOP sufficiently or may wear off over time.
- Repeat Treatment Needed: Some patients require additional laser sessions.
- Rare Complications: Scarring or damage to eye structures in rare cases.
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Why Choose Turkey for Laser Treatment of Glaucoma
Turkey is a leading destination for various eye diseases, especially for complex, rare, and sensitive procedures. That is because Turkish clinics work with a group of the best-qualified ophthalmologists who have extensive experience in handling challenging and rare surgeries and conditions.
Turkey is also known to have the most advanced cutting-edge technologies that make eye procedures more accurate and with a lower risk of complications.
In top clinics, services are provided with precise adherence to FDA, WHO, and JCI guidelines to ensure the best quality of services and complete patient satisfaction.
All these advantages are combined with internationally competitive prices, along with various offers that allow patients to receive therapy without breaking the bank.
For international patients, several clinics provide all-inclusive comprehensive packages that make the treatment journey easy, accessible, and affordable.
FAQs
How successful is laser treatment for glaucoma?
Laser treatment is generally successful in lowering intraocular pressure (IOP), with effectiveness rates of 70-85%, depending on the type of laser used and the patient’s condition.
How long does laser treatment for glaucoma last?
The effects can last for several years, but results vary. Some patients may need repeat treatments if IOP rises again.
Is laser treatment good for glaucoma?
Yes, laser treatment is an effective, non-invasive option for managing glaucoma, especially for patients who do not respond well to eye drops.
Is laser treatment better than drops for glaucoma?
Laser treatment can be more effective and long-lasting than eye drops, reducing the need for daily medication, but the best option depends on the patient’s specific condition.
Is laser treatment safe for glaucoma?
Yes, it is generally safe, with minimal risks compared to surgery. Side effects are usually mild and temporary.
Is laser treatment for glaucoma painful?
Most patients feel little to no pain during the procedure, though some may experience mild discomfort or a sensation of pressure in the eye.