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56 Dovha St. Lviv +38 (073) 305 9000
Lviv 25 Gen. Chuprynky St. +38 (096) 445 7855
Ivano-Frankivsk 28 V. Stusa St. +38 (067) 778 8899
23 V. Chornovola Ave. Stryi +38 (063) 021 0103
7 Shevchenka Street Sambir +38 (093) 611 90 00
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7 Shevchenka Street, Sambir
+38 (093) 611 90 00
Medical center contacts
56 Dovha St., Lviv
+38 (073) 305 9000
Lviv, 25 Gen. Chuprynky St.
+38 (096) 445 7855
Ivano-Frankivsk, 28 V. Stusa St.
+38 (067) 778 8899
23 V. Chornovola Ave., Stryi
+38 (063) 021 0103
7 Shevchenka Street, Sambir
+38 (093) 611 90 00
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Glaucoma treatment in Sambir

diagnosis, treatment and surgery

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Glaucoma – is a chronic eye disease that causes progressive damage to the optic nerve. Glaucoma is often associated with elevated intraocular pressure, but the disease may also progress when intraocular pressure is within the normal range. In its early stages, glaucoma often causes no noticeable symptoms, so a person may not detect any changes until significant visual field loss has occurred.

It is important to begin glaucoma treatment immediately after diagnosis to preserve visual function as much as possible and slow the progression of the disease. Lviv Medical Center provides comprehensive glaucoma diagnostics and individualized medication therapy, as well as laser or surgical treatment when indicated.

Do you suspect glaucoma, or has it been a long time since your eye pressure was checked?

Schedule an appointment with an ophthalmologist at Lviv Medical Center—early diagnosis helps preserve your vision.

Get a consultation

What is glaucoma?

This is a group of diseases that cause progressive damage to the optic nerve. The optic nerve transmits information from the eye to the brain, so damage to it leads to narrowing of the visual field, the appearance of “blind spots,” and, without treatment, irreversible vision loss.

The main goal of treatment is to lower intraocular pressure to a level that is safe for the individual patient. A pressure level that is normal for one person may already be dangerous for another. Therefore, glaucoma treatment is always selected individually.

What causes it?

Glaucoma can develop under the influence of various factors. One of the key mechanisms is impaired drainage of intraocular fluid. As a result, intraocular pressure may increase, placing additional strain on the optic nerve and gradually damaging it.

Elevated intraocular pressure

Elevated pressure inside the eye is one of the main risk factors for developing glaucoma. A person may not notice any changes for a long time, so regular measurement of intraocular pressure is important for the early detection of the disease.

Hereditary predisposition

If glaucoma has been diagnosed in close relatives, the risk of developing the condition is higher. People with a hereditary predisposition are advised to undergo regular ophthalmological examinations and vision testing, even if they have no symptoms.

Age over 40

The risk of developing glaucoma increases with age. After the age of 40, it is especially important to have your intraocular pressure, optic nerve, and visual field checked regularly.

Comorbidities

The risk of glaucoma may be higher in people with diabetes, vascular disorders, or severe nearsightedness, as well as after eye injuries or ophthalmic surgery. These patients may require more frequent eye monitoring.

Symptoms and manifestations

Open-angle glaucoma

This is the most common form of glaucoma. It usually progresses gradually and may cause no noticeable symptoms for a long time. Changes are often detected during a routine eye examination, when the physician measures intraocular pressure, assesses the optic nerve, and performs OCT or perimetry if necessary.

Angle-Closure Glaucoma

Symptoms may include sudden severe eye pain, headache, blurred vision, halos around lights, and nausea. This condition requires an urgent examination by an ophthalmologist and emergency medical care.

Normal-Tension Glaucoma

With this type of glaucoma, optic nerve damage may occur even when intraocular pressure remains within the normal range. A comprehensive examination is essential for diagnosis, including optical coherence tomography (OCT) of the optic nerve, perimetry, and regular monitoring of changes over time.

Who needs glaucoma treatment?

Glaucoma treatment is necessary for patients with a confirmed diagnosis, as well as for people at increased risk of disease progression. You should also consult an ophthalmologist if preventive screening reveals elevated intraocular pressure, changes in the optic nerve, or visual field defects.

An ophthalmologist consultation is recommended if you have:

elevated intraocular pressure
narrowing of the visual field
family history of glaucoma
age over 40
diabetes mellitus or vascular disease
high myopia
previous eye injuries or surgeries
Intermittent blurred vision or eye discomfort

Diagnostic testing before glaucoma treatment in Sambir

Intraocular pressure measurement

Tonometry measures intraocular pressure. This measurement alone is not sufficient to diagnose glaucoma, so it is assessed together with the results of other ophthalmic examinations.

Fundus examination

During the examination, the ophthalmologist assesses the optic disc, including its shape, color, and degree of cupping, and checks for changes characteristic of glaucoma.

Optic nerve OCT

Optical coherence tomography provides a detailed assessment of the optic nerve structure and retinal nerve fiber layer thickness. The examination can detect structural changes, including those in the early stages of glaucoma.

Perimetry

Perimetry is used to assess the visual field and detect any defects. The results help evaluate functional changes that may occur with glaucoma.

Gonioscopy

Gonioscopy allows the doctor to examine the anterior chamber angle of the eye and assess the drainage pathways for intraocular fluid. Based on the examination results, the doctor can determine the type of glaucoma, including whether it is open-angle or angle-closure glaucoma.

Glaucoma treatment methods at LMC in Sambir

The treatment approach for glaucoma is selected individually, taking into account the form and stage of the disease, intraocular pressure, the condition of the optic nerve, and the rate of progression. Depending on the diagnostic findings, the physician may prescribe medication, laser treatment for glaucoma, or recommend surgery.

Medication treatment

Prostaglandin analogues

This is one of the most common groups of medications used to treat glaucoma. They help reduce intraocular pressure by improving the drainage of intraocular fluid.

Beta-blockers

These medications reduce the production of intraocular fluid, which helps lower intraocular pressure. Before prescribing them, the ophthalmologist considers the patient’s general health, particularly the presence of cardiovascular or respiratory conditions.

Carbonic anhydrase inhibitors

Medications in this group reduce the production of intraocular fluid and help control intraocular pressure. Depending on the clinical situation, they may be used as eye drops or tablets.

Combination medications

These medications combine several active ingredients in a single product and can affect intraocular pressure through different mechanisms. This option may be more convenient for the patient and reduce the number of daily applications. The glaucoma treatment regimen is determined by an ophthalmologist, and changing or discontinuing therapy without medical advice is not recommended.

Laser treatment

Selective laser trabeculoplasty

SLT is used mainly for open-angle glaucoma. The laser acts on the trabecular meshwork and helps improve the drainage of intraocular fluid, thereby potentially lowering intraocular pressure. In some patients, the procedure can reduce the need for eye drops or help control pressure more effectively.

Laser iridotomy

Laser iridotomy is performed for a narrow anterior chamber angle or a risk of developing angle-closure glaucoma. During the procedure, a small opening is created in the iris to help improve the circulation of intraocular fluid and reduce the risk of a sudden increase in pressure.

When might laser treatment be needed?

Laser treatment for glaucoma may be recommended if medication does not adequately control intraocular pressure, the patient has difficulty using eye drops regularly, or the anatomical features of the eye create a risk of elevated pressure. The decision to perform laser treatment is made by an ophthalmologist after comprehensive diagnostic testing.

Surgical treatment

Endotrabeculectomy

Endotrabeculectomy
This is a surgical method of treating glaucoma that aims to improve the drainage of intraocular fluid and lower intraocular pressure. The procedure helps stabilize the disease and slow further damage to the optic nerve.

EX-PRESS shunt implantation

EX-PRESS shunt implantation
EX-PRESS is a microscopic drainage device that creates an additional controlled pathway for the outflow of intraocular fluid. Shunt implantation may be recommended for patients with glaucoma when surgical reduction of intraocular pressure is required.

Sinus Trabeculectomy

Sinus Trabeculectomy
Sinusotrabeculectomy is a surgical treatment for glaucoma in which a new pathway is created for the drainage of intraocular fluid. The procedure is used for various forms of glaucoma when medication or laser treatment does not provide adequate control of intraocular pressure.

Do not delay a consultation if you have already been diagnosed with glaucoma or elevated intraocular pressure

An ophthalmologist can help select the appropriate treatment method—eye drops, laser treatment, or surgery—depending on your condition.

Get a consultation

How is glaucoma treated in Sambir?

  1. Ophthalmologist consultation
  2. Intraocular pressure measurement
  3. Optic nerve examination
  4. OCT, perimetry, and other tests as indicated
  5. Selection of the treatment method
  6. Monitoring treatment effectiveness
  7. Regular follow-up monitoring

Stages of glaucoma

Early stage

In its early stages, glaucoma often causes no noticeable symptoms. Central vision usually remains intact, while changes in the visual field may be minor and go unnoticed by the patient. This is why early-stage glaucoma is often detected during a routine preventive eye examination.

Advanced stage

At this stage of glaucoma, central vision may still remain relatively good, while the peripheral visual field gradually narrows. It is important to monitor intraocular pressure, assess the condition of the optic nerve, and undergo regular examinations to track disease progression.

Late stage

In advanced glaucoma, visual field defects become more pronounced and may make it difficult to navigate one’s surroundings, read, work, and perform everyday tasks. At this stage, treatment is aimed at slowing further disease progression as much as possible and preserving the remaining vision.

Terminal stage

In end-stage glaucoma, damage to the optic nerve is severe and irreversible. The primary goals of treatment are to preserve remaining visual function, control intraocular pressure, and reduce the risk of further deterioration.

Cost of glaucoma treatment

The cost of treatment depends on the form of the disease, the extent of diagnostic testing, and the selected treatment method.

Endotrabeculectomy
13400 грн
Sinus Trabeculectomy
9400 грн
EX-PRESS shunt implantation
37700 грн
Full price list

Benefits of treatment at Sambir Medical Center

At Lviv Medical Center, glaucoma treatment is provided by ophthalmologists experienced in diagnosing and managing patients with chronic eye conditions. The approach includes a comprehensive assessment of the optic nerve, monitoring of intraocular pressure, evaluation of the risk of glaucoma progression, and selection of an appropriate treatment strategy.

Comprehensive diagnosis of eye diseases

personalized treatment selection

medical, laser, and surgical treatment

ongoing patient monitoring

experienced ophthalmologists

the ability to monitor coexisting eye conditions

Frequently asked questions

Can this disease be cured completely?

Glaucoma is a chronic disease and cannot be completely cured. However, properly selected glaucoma treatment helps control intraocular pressure, slow the progression of the disease, and preserve visual function.

Will vision be restored after therapy?

Visual functions lost due to damage to the optic nerve usually cannot be restored. It is therefore important to detect glaucoma promptly and begin treatment as early as possible to prevent further deterioration of vision.

What are the first symptoms of glaucoma?

In its early stages, glaucoma often develops without noticeable symptoms. In some cases, blurred vision, gradual narrowing of the visual field, eye discomfort, or halos around light sources may occur.

How often should intraocular pressure be checked?

After the age of 40, regular routine examinations by an ophthalmologist and monitoring of intraocular pressure are recommended. If risk factors are present or glaucoma has already been diagnosed, the doctor will determine the follow-up examination schedule individually.

Can surgery be avoided?

Yes, in many cases, glaucoma treatment begins with medication or laser therapy. Surgery is recommended when these methods do not adequately control intraocular pressure or when the condition continues to progress.

Is the Surgery Painful?

Glaucoma surgery is performed under anesthesia, so the patient usually does not feel pain during the procedure. Temporary discomfort may occur during the postoperative period; the physician will explain what to expect before the procedure.

How much does glaucoma surgery cost in Lviv?

The cost of glaucoma surgery depends on the selected surgical method, the complexity of the clinical case, the need for a drainage system, and the extent of preoperative diagnostic testing. Current prices are listed in the clinic's price list.

Which specialist treats this condition?

Glaucoma is diagnosed and treated by an ophthalmologist. If surgical treatment is indicated, the patient will have a consultation with an ophthalmic surgeon, who will determine the most appropriate surgical method.

Do I need to use eye drops after surgery?

The need to use eye drops after surgery is determined individually. Some patients are prescribed medication for a specific period, while in certain cases it must be used for longer to control intraocular pressure.

What happens if you decline treatment?

Without treatment, glaucoma may continue to progress and cause irreversible damage to the optic nerve and loss of vision. Timely diagnosis, intraocular pressure control, and regular follow-up with an ophthalmologist are therefore essential.

Glaucoma can develop without symptoms for a long time, but its effects are irreversible

Schedule a diagnostic examination and consultation with an ophthalmologist at Lviv Medical Center to assess risks promptly and select the appropriate treatment.

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