Medical Treatment

Elevated IOP associated with lens-particle glaucoma often responds to treatment with medicated eyedrops.

• The preferred drugs for lowering IOP are usually aqueous suppressants, which are drugs that reduce the amount of fluid (aqueous humor) in the eye. Several types of aqueous suppressant drugs are available. Topical beta-antagonists are typical first-line agents. Topical alpha-agonists and carbonic anhydrase inhibitors are usually considered adjunctive agents.
  
  
• If lens-particle glaucoma is severe with sudden onset, hyperosmotic agents may be useful in quickly reducing and controlling IOP.
  
  
• Prostaglandin analogs and miotics increase the outflow of fluid (aqueous humor) from the eye. Prostaglandin analogs have not been tested for lens-particle glaucoma, but they are not recommended because of the risk of increased intraocular inflammation. Likewise, miotic agents are not recommended because they may exacerbate inflammation.