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Treatment of Acute Glaucoma in Germany

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnosis and symptomatic treatment of acute glaucoma
2426
General therapeutic rehabilitation
565.57

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Ophthalmology

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
Diagnosis and symptomatic treatment of acute glaucoma
9714 help8564

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Adult and Pediatric Ophthalmology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnosis and symptomatic treatment of acute glaucoma
7389

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Ophthalmology

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
Diagnosis and symptomatic treatment of acute glaucoma
8065

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Ophthalmology

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
Diagnosis and symptomatic treatment of acute glaucoma
11339

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Adult and Pediatric Ophthalmology

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
Diagnosis and symptomatic treatment of acute glaucoma
8209

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Ophthalmology

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
Diagnosis and symptomatic treatment of acute glaucoma
7286

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Ophthalmology

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnosis and symptomatic treatment of acute glaucoma
10261

University Hospital RWTH Aachen

8.9/10
location_onGermany, Aachen

Department of Adult and Pediatric Ophthalmology

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
Diagnosis and symptomatic treatment of acute glaucoma
9116

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Ophthalmology

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
Diagnosis and symptomatic treatment of acute glaucoma
8149

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Adult and Pediatric Ophthalmology

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
Diagnosis and symptomatic treatment of acute glaucoma
8861

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Ophthalmology

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
Diagnosis and symptomatic treatment of acute glaucoma
7388

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Adult and Pediatric Ophthalmology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnosis and symptomatic treatment of acute glaucoma
8058

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Ophthalmology

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
Diagnosis and symptomatic treatment of acute glaucoma
7604

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Ophthalmology

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
Diagnosis and symptomatic treatment of acute glaucoma
9120

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Adult and Pediatric Ophthalmology

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
Diagnosis and symptomatic treatment of acute glaucoma
7764

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Adult and Pediatric Ophthalmology

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
Diagnosis and symptomatic treatment of acute glaucoma
7319
| from Booking Health GmbH

An acute angle-closure glaucoma is a sudden rise in intraocular pressure due to the pupillary block and an impaired aqueous humor outflow. This is an emergency situation in ophthalmology, which, without timely medical attention, may lead to an irreversible vision deterioration. The main symptoms are red eyes, blurred vision, headache and nausea. The treatment of an acute glaucoma in Germany begins with a rapid intraocular pressure lowering with drugs. This 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

An acute glaucoma is quickly eliminated with drugs, while invasive procedures are required less often. At the second stage of treatment, doctors perform an operation to eliminate the pupillary block. This is usually a laser peripheral iridotomy or a surgical iridectomy. Some patients may require phacoemulsification with an 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 to 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 of acute glaucoma are as follows: 

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

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

The purpose of a rapid intraocular pressure lowering is, first of all, the prevention of complications and a 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. The patient is then given miotics to relieve the pupillary block.

The medications that can be used to reduce an 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 an invasive drainage of the anterior chamber of the eye, 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. This is a sparing intervention that allows the specialists to lower intraocular pressure even in the event of an acute attack, although the procedure is technically more complex with a persistent corneal edema.

Further treatment

 

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

  • 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 an intraocular lens implantation involves the replacement of the patient's own lens with an artificial one.

After the surgical treatment, up to 76% of patients have completely normal intraocular pressure and do not need any medications. The rest still need drugs; taking into account this group of patients, a 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 the 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, a poor visibility due to the corneal edema, a small pupil, an increased intraocular pressure, and a lens instability increase 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 the 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 specialists of the Booking Health company will help you to 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




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