Nick Strouthidis MBBS MD PhD FRCS FRCOphth FRANZCO

CONSULTANT OPHTHALMIC SURGEON

GLAUCOMA FAQs
What is Glaucoma?
Can Glaucoma be treated?
How is Intraocular Pressure (IOP) involved?
What are the Risk Factors For Developing Glaucoma?
Do All People With High IOP Get Glaucoma?
Why Is Corneal Thickness Relevant?
Do Patients With Glaucoma Always Have High IOP?
Is Treatment Different For Normal Tension Glaucoma?
What Kind Of Glaucoma Do I Have?
What Should I Expect When I Attend the Glaucoma Clinic?

TREATMENT
Medical
Laser
Surgical

SURGICAL OPTIONS
Trabeculectomy
Tube/Shunt
Non-Penetrating

OTHER PROCEDURES
New Procedures
Revision Procedures

How is Intraocular Pressure (IOP) Involved?

Glaucoma Diagram

All our eyes contain a clear fluid called aqueous. Aqueous provides oxygen and nutrients to many of the different tissues at the front of the eye. The aqueous also helps to maintain the eyeball's tension, thereby keeping its shape. The aqueous is produced by a structure inside the eye called the ciliary body. Aqueous leaves the eyeball through a structure called the trabecular meshwork. This is located in the angle formed by the clear cornea and the coloured iris. Aqueous drains via the trabecular meshwork into a canal around the eye called the canal of Schlemm and then into the bloodstream.

The pressure in the eye (IOP) depends on the balance of the production of aqueous (inflow) and of aqueous leaving the eye (outflow). Any disorder that leads to a blockage or reduction in outflow can lead to elevated IOP.

Elevated IOP is one of the main risk factors for developing glaucoma. The normal range of IOP is 10 – 21 mmHg. All current treatments for glaucoma involve lowering the IOP.