Level A Evidence
6 Treatment Options Available
Glaucoma Treatment
Medical and surgical management of intraocular pressure
Glaucoma is a progressive optic neuropathy that can lead to irreversible vision loss if untreated. Management focuses on lowering intraocular pressure (IOP) through medications, laser, or surgery. Chinese glaucoma centers offer the full spectrum of treatment from minimally invasive glaucoma surgery (MIGS) to complex filtering procedures, with advanced diagnostic technology for early detection and monitoring.
JCI Accredited
Advanced Imaging
Laser Technology
Condition Overview
Conditions We Treat
Primary Open-Angle GlaucomaAngle-Closure GlaucomaNormal-Tension GlaucomaSecondary GlaucomaPediatric GlaucomaPseudoexfoliative Glaucoma
Core Technologies
OCT ganglion cell analysis • Visual field testing • MIGS (iStent, Hydrus) • Trabeculectomy with MMC • Glaucoma drainage devices • SLT/ALT laser • 24-hour IOP monitoring
ผู้สมัครที่เหมาะสม
- •Newly diagnosed glaucoma needing treatment optimization
- •Patients intolerant to glaucoma medications
- •Progressive disease despite maximum medical therapy
- •Angle-closure glaucoma requiring intervention
- •Candidates for MIGS combined with cataract surgery
- •Pediatric or secondary glaucoma cases
Regular monitoring is essential for all glaucoma patients
พิจารณาทางเลือกในประเทศ
- •Patients requiring very frequent IOP monitoring
- •Those with advanced disease in one eye needing cautious approach
- •Patients needing close coordination with local glaucoma specialist
- •Cases with complex post-op management requirements
Evidence: Trabeculectomy achieves 60-80% IOP reduction with 60-80% success at 5 years. MIGS provides modest 15-30% IOP reduction with excellent safety. SLT effective in 70-80% of open-angle cases.
Treatment Options
Selective Laser Trabeculoplasty (SLT)
เลเซอร์เหมาะสำหรับ:Open-angle glaucoma, alternative or adjunct to drops
เทคโนโลยี:Low-energy laser improves drainage through trabecular meshwork
ข้อดี:Non-invasive, repeatable, reduces medication burden
10 minutes per eyeFrom $200 per eye
Effective in 70-80% of casesMIGS (iStent/Hydrus)
การผ่าตัดแผลเล็กเหมาะสำหรับ:Mild-moderate glaucoma, often with cataract surgery
เทคโนโลยี:Microscopic stent bypasses trabecular resistance
ข้อดี:Extremely safe, quick recovery, reduces drops
5 minutes added to cataract surgeryFrom $1,500 per eye
Growing adoption combined with cataract surgeryTrabeculectomy with MMC
ศัลยกรรมเหมาะสำหรับ:Moderate-advanced glaucoma, failed other treatments
เทคโนโลยี:Creates filtration bleb with antimetabolite
ข้อดี:Most potent IOP reduction (60-80%), long-lasting
45-60 minutesFrom $2,000
Gold standard filtering surgeryGlaucoma Drainage Device (Tube)
ศัลยกรรมเหมาะสำหรับ:Failed trabeculectomy, neovascular glaucoma, uveitic
เทคโนโลยี:Ahmed or Baerveldt tube shunt drains fluid to plate
ข้อดี:Reliable long-term IOP control
1 hourFrom $3,000
Specialized glaucoma surgeryCyclodiode Laser (CPC)
เลเซอร์เหมาะสำหรับ:Refractory glaucoma, poor surgical candidates
เทคโนโลยี:Destroys ciliary body to reduce aqueous production
ข้อดี:No incision, for difficult cases
15-30 minutesFrom $800
Endoscopic or trans-scleral approachesGATT (Gonioscopy-Assisted)
การผ่าตัดแผลเล็กเหมาะสำหรับ:Open-angle glaucoma, failed SLT, alternative to trab
เทคโนโลยี:Internal trabeculotomy using microcatheter
ข้อดี:More effective than MIGS, less invasive than trab
30-45 minutesFrom $2,000
Advanced MIGS procedureคู่มือและบทความที่เกี่ยวข้อง
การเปรียบเทียบค่าใช้จ่าย
Trabeculectomy with MMC (Filtering Surgery)
US Eye Center$8,000
UK Private$6,000
MediLink China$2,500
Save 69% vs US • Includes: surgery, mitomycin C, first month follow-up. MIGS procedures from $1,500.
ขั้นตอนการรักษา
1
Evaluation• Day 1-2
- Comprehensive glaucoma workup
- OCT RNFL and ganglion cell analysis
- Visual field testing
- Gonioscopy and pachymetry
- Treatment planning
2
Intervention• Day 3-7
- Laser or surgery as planned
- Post-op medications
- First follow-up visit
- Activity restrictions explained
3
Long-term Care• Ongoing
- Regular IOP checks
- Visual field monitoring
- Medication adjustment
- Imaging progression assessment
Clinical Outcomes
IOP Reduction
60-80%
with trabeculectomy
Trab Success 5yr
60-80%
with MMC
SLT Effectiveness
70-80%
open-angle
MIGS Safety
>95%
no serious complications
คำถามที่พบบ่อย
Can glaucoma be cured?
No, glaucoma cannot be cured but it can be controlled. Treatment prevents further vision loss but cannot restore damage already done. Lifelong management is required.
Is glaucoma surgery painful?
No, performed with anesthesia. Post-op discomfort is mild and managed with drops and oral medication. MIGS has virtually no discomfort. Trabeculectomy may have mild irritation for 1-2 weeks.
How long does trabeculectomy last?
Success rates are 60-80% at 5 years. Some patients need revision or additional surgery years later. Regular monitoring is essential to catch failure early.
Can I have cataract surgery if I have glaucoma?
Yes, often beneficial. Cataract surgery alone lowers IOP modestly. Combined cataract-MIGS procedures are increasingly common for dual benefit.
What does glaucoma surgery cost in China for international patients?
Glaucoma surgery China cost (MIGS, trabeculectomy, tube shunts) is typically 50–60% lower than in the US or UK. Our partner centers offer comprehensive diagnostics and JCI-level care. Get a personalized quote via our cost calculator.
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