Glaucoma in the elderly is generally categorized into primary open-angle glaucoma, primary closed-angle glaucoma, and secondary glaucoma. The treatment methods include medication, laser treatment and surgery.
1. Primary open-angle glaucoma: drug treatment is preferred, such as topical carteolol hydrochloride eye drops, latanoprost eye drops, travoprost eye drops, etc. The treatment can also be performed by selective laser trabeculoplasty. Selective laser trabeculoplasty can also be used to promote the outflow of aqueous humor to reduce intraocular pressure.
2. Primary closed-angle glaucoma: surgical treatment is preferred, such as cataract surgery. Drug treatment is only limited to adjunctive treatment. Commonly used drugs in clinical practice include Trichostatin nitrate eye drops, which is the first choice for closed angle glaucoma.
3. Secondary glaucoma: For example, cataract and diabetic diseases may cause abnormal secretion of aqueous humor and obstruction of drainage, thus leading to secondary glaucoma. It is necessary to actively treat the primary disease and cooperate with conventional IOP-lowering treatment.
Patients are advised to go to the hospital in time and use medication and proper treatment under the guidance of the doctor.