Glaucoma Department

The term glaucoma refers to a group of diseases that have in common a characteristic optic neuropathy with associated visual field loss. Although the elvated intraocular pressure is one of the primary risk factors, its presence or absence does not have a role  in the definition of the disease.


"Glaucoma can result in vision loss and blindness. However, with early detection and treatment, you can often protect your eyes against serious vision loss"

Early detection and treatment is essencial to control the disease and preserve remaining vision.

Glaucoma is the second leading cause of blindness worldwide and the first cause of irrivisable blindness.

Glaucoma risk factors:

* Increased Intraocular Pressure.

*  Age over 45 years.  

*  Family history of glaucoma.

*  Black racial ancestry.    

* Decreased central corneal thickness (CCT).  

* Diabetes.

*  Nearsightedness (high myopia).

* Migraine

* Previous injury to the eye.

* Prolonged corticosteroid use(topical or systemic).

Types of glaucomas that diagnosed and

treated by the department:

(1) Primary chronic open-angle glaucoma.

 (2) Chronic closed angle glaucoma.

(3) Narrow angle glaucoma.

 (4) Acute closed angle glaucoma.

 (5) Normal tension glaucoma.

(6) Secondary glaucoma.

(7) Congenital glaucoma.

Diagnostic tests done by the Department:

* Tonometry: Measuring of intraocular pressure by Goldman Applanation


*  Ophthalmoscopy: This examination is done to check the internal part of the

  eye, mainly the optic nerve head, this is done by using direct ophthalmoscope

   indirect ophthalmoscope or high plus lenses (+90, +78 D lenses).

* Gonioscopy:   A test to evaluate the angle of the  anterior chamber,  using both  direct and indirect  gonioscopic lenses.


* Perimetry: A special test for the visual field done by  using Octopus and  Humphery Perimeter.

* Pachymetry: An examination to measure the thickness of the cornea, using


* Optical Coherence Topography : A special test tp measure the thickness of the retinal nerve fiber layer and optic nerve head.


1/ Medical treatment

  Different types of drugs are used for medical treatment of glaucoma, includes Beta Blockers, Prostaglandin        analogues, alpha agonists and topical and systemic carbonic anhydrase inhibitors.

2/ Laser :

      * Argon laser trabeculoplasty.

     * Yag laser peripheral iridotomy ( P.I).

3/  Surgeries :   

     1-Trabeculectomy (with and without anti-metabolites).

     2- Surgical Iridectomy.

     3- Implantation of different drainage valves.

     4- Cyclocryopexy.

Doctor staff of the departemnt:

1- Dr. ElFadil Mohammed Osman Elshiekh

2- Dr. Babikir Hassan Ali El-Kando

3- Dr. Omaima Basheer

4- Dr. Amira Abdul- Rafih

5- Dr. Zaki el-deen Merza

6- Dr. Huda Awad Abdulgadir Bakeet

7- Dr. Manal Fadlullah Marghani

قسم الماء الازرق / الجلوكوما BIF SUDAN | Al Basar International Foundation

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