Glaucoma Management

Glaucoma is the loss of nerve fibers in the optic nerve due to increased eye pressure.

Its management requires specific tools to ensure rigorous monitoring and make the best therapeutic decisions.

The most efficient tools are thus used by Professor Saleh. At the therapeutic level, the use of the subcyclo laser is a novelty for the entire West African region.

 

Field of vision

The goal is to test all of the visual fibers that make up the optic nerve.

Points of light are presented on the screen while the patient stands, seated with his head fixed. It is necessary throughout the course of the examination to fix on the bottom of the screen in the center, a fixed luminous mark. Dots appear successively at different places on the dome; they are of variable sizes and light intensities. The patient reports that he perceives the point presented by pressing a button, without looking for them. The exam lasts about fifteen minutes.
 

Retinal Nerve Fiber OCT (RNFL)

OCT Nerve Fiber Layer (RNFL) measures the thickness of the retinal nerve fiber layer. The examination is very precise and allows monitoring to within a few microns of the thickness of the optic nerve.
It is coupled with the study of the retinal ganglion cell complex (RGC). The examination is quick, painless and completely harmless.

 

SubLiminal Micropulse Laser: subcyclo

Composed of a train of rapid pulses (microseconds) whose duration and intervals can be personalized, this mode of emission allows the modulation of the thermal effect in the target tissues. This new treatment procedure called SubCyclo. The “SubCyclo” is a non-invasive procedure designed to lower eye pressure by weakening the ciliary body which produces the aqueous humor of the eye. The procedure lasts 10 minutes under local anesthesia.

 

Sleep apnea

It is an aggravating factor for many pathologies including glaucoma. Screening by polysomnography is possible in the clinic.