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Angle Recession Glaucoma (cont.)

Angle Recession Glaucoma Treatment and Medications

Patient Comments

The aim of all glaucoma treatments is to lower the eye pressure to a level at which the optic nerve is no longer being damaged. With angle recession, this might mean a combination of medicated eye drops and/or surgery.

Close follow up with pressure checks and optic nerve evaluations are very important because, though the nerve may become damaged soon after the trauma, frequently the onset of glaucoma may not be evident until months or sometimes years later.


Initial therapy may be a combination of eye drops.

  • There are several categories of eye medications that are designed to lower eye pressure. Some reduce the eye fluid inflow, others facilitate the eye fluid outflow. Your ophthalmologist will select the appropriate drops based on your medical history.
  • Some pressure-lowering eye drops can have side effects. Be sure to review them with your doctor.
  • In the initial phase after the injury, your eye doctor may need to temporarily prescribe anti-inflammatory eye drops.

In some cases, oral medication may also be necessary to control very high eye pressures.

Angle Recession Glaucoma Surgery

If the eye pressure is not sufficiently controlled with mediation, surgery (either laser surgery or conventional incisional surgery in an operating room) may be recommended.

The ophthalmologist will discuss the risks and benefits of each procedure with the patient.

Laser Surgery

During argon laser trabeculoplasty (ALT), the ophthalmologist treats the trabecular meshwork with a laser, allowing the fluid (aqueous humor) to flow more easily and thus lowering eye pressure. Argon laser trabeculoplasty is sometimes successful in the short term. Results vary widely from person to person.

Conventional Incisional Surgery

If the trabecular network has been severely damaged, an ophthalmic surgeon can create an alternate outflow pathway for the aqueous humor that bypasses the trabecular meshwork. This is known as filtering surgery.

Trabeculectomy and Drainage Implant Surgery

During trabeculectomy, the ophthalmologist creates an alternate pathway (or drainage channel) in the eye. In drainage implant surgery, the ophthalmologist implants a tube-like device in the eye to shunt the aqueous humor.

As with laser surgery, the success rate varies from person to person. Your ophthalmologist will take your eye health, general health, and several other risk factors into consideration when deciding which treatment has the best chance of successfully controlling the eye pressure.

Medically Reviewed by a Doctor on 11/18/2015

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Read What Your Physician is Reading on Medscape

Glaucoma, Angle Recession »

Traumatic glaucoma refers to a heterogeneous group of posttraumatic ocular disorders with different underlying mechanisms that lead to the common pathway of abnormal elevation of intraocular pressure (IOP) and increased risk of optic neuropathy.

Read More on Medscape Reference »

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