Canine glaucoma medically, although sometimes surgery is required. As the cause of primary glaucoma is often unknown, medical treatment is usually aimed at reducing the main sign of glaucoma (raised intraocular pressure) rather than at treating the cause of the disease. The aim of surgery in dogs with glaucoma is to reduce intraocular pressure. This is achieved by reducing aqueous humor production, or by improving drainage of aqueous humor from the eye. Laser surgery is often performed to selectively destroy the tissue, ciliary body, in an effort to reduce aqueous fluid production. Laser surgery can also be combined with placement of a
Glaucoma valve drainage, such as iStent, CyPass, or Hydrus. A Cochrane Review of various aqueous shunts and modifications found that the Baerveldt implant may result in lower IOP than the Ahmed implant, but it was unclear if the difference in IOP reduction was clinically significant. The review suggests that practitioners should operate with the devices that they are most comfortable with, and have the most experience using. The glaucoma valve implant is indicated for glaucoma patients not responding to maximal medical therapy, with previous failed guarded filtering surgery (trabeculectomy) or in cases where conventional drainage surgery is unlikely to succeed. Common situations