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Acute Glaucoma Treatment in Germany - Best Hospitals, Doctors, Prices - Booking Health

Treatment of Acute Glaucoma in Germany

Acute glaucoma Treatment in Germany | Information about hospitals and doctors | Rankings | Clinics | Prices | Send request to the hospital

Best hospitals and doctors for acute glaucoma treatment in Germany

Leading hospitals

Cost for treatment

Diagnosis and symptomatic treatment of acute glaucoma
6.885,00 
General therapeutic rehabilitation
On request
University Hospital Rechts der Isar Munich
Germany, Munich
University Hospital Rechts der Isar Munich
Overall rating9.8 / 10
The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
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University Hospital Ulm
Germany, Ulm
University Hospital Ulm
Overall rating8.7 / 10
The University Hospital Ulm is an advanced medical complex that provides patients with high-class medical care using the very latest scientific achievements. The medical facility has been performing successful clinical activities for more than 40 years and has long earned an excellent reputation throughout Europe. The hospital r
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University Hospital Frankfurt am Main
Germany, Frankfurt am Main
University Hospital Frankfurt am Main
Overall rating10 / 10
According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
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Charite University Hospital Berlin
Germany, Berlin
Charite University Hospital Berlin
Overall rating9 / 10
According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
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University Hospital Muenster
Germany, Muenster
University Hospital Muenster
Overall rating9.8 / 10
According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
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University Hospital RWTH Aachen
Germany, Aachen
University Hospital RWTH Aachen
Overall rating8.9 / 10
According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
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University Hospital Erlangen
Germany, Erlangen
University Hospital Erlangen
Overall rating9.1 / 10
According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
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University Hospital Hamburg-Eppendorf
Germany, Hamburg
University Hospital Hamburg-Eppendorf
Overall rating9.2 / 10
According to the Focus magazine, the University Hospital Hamburg-Eppendorf is one of the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena, which it still holds today. A highly competent medical team of more than 15,300 employees takes care of the
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University Hospital Würzburg
Germany, Würzburg
University Hospital Würzburg
Overall rating9.2 / 10
According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
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University Hospital Bonn
Germany, Bonn
University Hospital Bonn
Overall rating9.2 / 10
According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
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University Hospital Jena
Germany, Jena
University Hospital Jena
Overall rating8.9 / 10
According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
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University Hospital Halle (Saale)
Germany, Halle
University Hospital Halle (Saale)
Overall rating9.6 / 10
According to the prestigious Focus magazine, the University Hospital Halle (Saale) is one of the best medical institutions in Germany! The history of the hospital goes back more than 300 years, and during this time it has managed to gain an excellent reputation not only in Germany, but also throughout the world. The hospital pos
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According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
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University Hospital Duesseldorf
Germany, Duesseldorf
University Hospital Duesseldorf
Overall rating9.5 / 10
According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
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University Hospital Marburg UKGM
Germany, Marburg
University Hospital Marburg UKGM
Overall rating8.6 / 10
The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
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University Hospital Tuebingen
Germany, Tuebingen
University Hospital Tuebingen
Overall rating9.2 / 10
According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
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| from Booking Health GmbH

Acute angle-closure glaucoma is a sudden rise in intraocular pressure due to the pupillary block and an impaired aqueous humor outflow. It is an emergency in ophthalmology, which, without timely medical attention, may lead to irreversible vision deterioration. The main symptoms are red eyes, blurred vision, headache, and nausea. The treatment of acute glaucoma in Germany begins with rapid intraocular pressure lowering with drugs. It is followed by an operation to eliminate the pupillary block. You can undergo your treatment in one of the German Eye Centers to get rid of glaucoma once and for all and avoid the disease becoming chronic.

Content

  1. Emergency care
  2. Further treatment

Acute glaucoma is quickly eliminated with drugs, while invasive procedures are required less often. In the second stage of treatment, doctors perform an operation to eliminate the pupillary block. It is usually a laser peripheral iridotomy or a surgical iridectomy. Some patients may require phacoemulsification with intraocular lens implantation.

You can undergo your treatment in one of the following hospitals: University Hospital Rechts der Isar Munich, University Hospital Frankfurt am Main, or University Hospital Ulm.

The Booking Health company will take care of the organization of your trip to Germany. We will recommend the most suitable clinic, immediately make an appointment for your treatment, help you prepare your documents and obtain a visa, take care of your flights and accommodation, provide you with interpreting services, and coordinate all diagnostic and treatment procedures. For any questions during your stay in Germany, you will be consulted by a personal medical coordinator.

Emergency care

 

The two main principles of treatment for acute glaucoma are as follows: 

  • a rapid intraocular pressure-lowering; 
  • subsequent elimination of the pupillary block, if any. 

Whenever required, doctors carry out symptomatic treatment with analgesics and antiemetics.

The purpose of rapid intraocular pressure lowering is, first of all, the prevention of complications and rapid symptom relief. An additional benefit is the reduction of corneal edema, which facilitates the elimination of the pupillary block.

As a rule, topical and systemic drugs are used to normalize intraocular pressure. Additional drugs can be used to reduce the volume of the vitreous body. Then, doctors give the patient miotics to relieve the pupillary block.

The medications that can be used to reduce aqueous humor synthesis include: 

  • topical beta-blockers;
  • topical alpha agonists;
  • carbonic anhydrase inhibitors, which are administered topically or systemically in the form of acetazolamide.

German doctors take into account the patient's condition, as some drugs have side effects. They are unsafe for patients with kidney failure, as they can lead to metabolic disorders. Some drugs increase blood volume and affect the function of the heart, liver, and kidneys.

Sometimes patients may need invasive treatment: 

Posterior sclerotomy is invasive drainage of the anterior eye chamber, which is used as an alternative emergency manipulation for a rapid but short-term intraocular pressure lowering.  

Laser peripheral iridoplasty is a procedure performed with an argon laser. It is a sparing intervention that allows specialists to lower intraocular pressure even in the event of an acute attack, although the procedure is technically more complex with persistent corneal edema.

Further treatment

 

As soon as acute glaucoma is relieved, the pupillary block should be eliminated to reduce the risk of repeated exacerbations or the transition of the disease to a chronic form. The following procedures and operations can be performed to achieve this goal:

  • Laser peripheral iridotomy – ophthalmologists use a beam of light to burn a small hole in the iris to allow fluid to flow freely inside the front of the eye.
  • Surgical iridectomy is a removal of a part of the iris, which creates an additional outflow path from the posterior chamber to the anterior one.
  • Phacoemulsification with intraocular lens implantation involves the replacement of the patient's lens with an artificial one.

After surgical treatment, up to 76% of patients have normal intraocular pressure and do not need any medications. The rest still need drugs; taking into account this group of patients, complete control of intraocular pressure after the treatment of angle-closure glaucoma is achieved in 99% of those treated.

The best results and the lowest frequency of need for repeated operations are achieved in the case of phacoemulsification with artificial lens implantation. However, this operation for glaucoma is technically complicated, so it is better to undergo it in a good clinic and by experienced specialists. A shallow anterior chamber, poor visibility due to corneal edema, a small pupil, increased intraocular pressure, and lens instability increases the risk of surgical complications. The guidelines of the European Glaucoma Society direct physicians to perform an iridotomy or an iridectomy first, and the lens interventions are carried out for chronic angle-closure glaucoma.

The surgical removal of adhesions in the chamber angle is an additional step in the operation, usually in chronic angle-closure glaucoma. The goniosynechiae (adhesions) are incised to open an angle and restore the aqueous humor outflow.

To undergo your diagnostics, treatment of angle-closure glaucoma, and rehabilitation in one of the German hospitals, you are kindly welcome to use the Booking Health service. Here you can see the prices and make an appointment for your treatment at the best price. The Booking Health specialists will help you choose the most suitable clinics in Germany and organize your trip.

 

Authors: 

The article was edited by medical experts, board certified doctors Dr. Nadezhda Ivanisova and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

Ophthalmology Times

Open Ophthalmology Journal

Healthline