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Glaucoma

Glaucoma is a serious eye disease. It affects he optic never, the part of eye that carries the images we see to the brain. The optic nerve is made up of many never fibres, like an electric cable that consists of numerous wires sending signals to the brain for creating visuals.

Types of Glaucoma

Chronic open-angle glaucoma

It is when the drainage angle of the eye becomes less efficient over timeand the eye becomes sensitive even to normal eye pressure; there is a risk of damage. Treatment is necessary to prevent further vision loss.
Typically, open-angle glaucoma shows no symptoms in its early stages, and vision remains normal. However, as the optic nerve is gradually damaged and blank spots begin to appear in the field of vision. You typically won’t notice these blank spots in your day-to-day activities, until the optic nerve is significantly damaged, and the spots become large. If all the optic nerve fibres die, it will result in irreversible blindness. The risk of developing the condition increases with age.

Closed-angle glaucoma

Closed-angle glaucoma In some people, the iris is too close to the drainage angle. Such eyes, which are often small and farsighted, the iris can be pushed forward, blocking the drainage channel completely. Since the fluid cannot escape the eye, pressure inside the eye rapidly builds up and causes an acute closed-angle attack.
The symptoms may include:
  • Blurred vision
  • Severe eye pain
  • Headache
  • Rainbow-colored halos around lights
  • Nausea and vomiting
If you have any of these symptoms, call your ophthalmologist immediately. If this type of glaucoma is not quickly treated, it will result in blindness. Two-thirds of those with closed-angle glaucoma develop it slowly without any symptoms prior to an attack.

Causes of Glaucoma

A clear liquid called aqueous humor circulates inside the front portion of the eye. Now, to maintain a healthy level of pressure within the eye, a small amount of this fluid is constantly produced, while an equal amount flows out of the eye through a microscopic drainage system.
Because the eye is a closed structure, if the drainage area for the aqueous humor-called the drainage angle-is blocked, the excess fluid cannot flow out of the eye causing increase in the fluid pressure within the eye, pushing against the optic never and causing damage.

Risk Factors for Glaucoma

The most important risk factors include:
  • Age
  • Elevated eye pressure
  • Family history of glaucoma
  • African or Hispanic ancestry
  • Farsightedness or near-sightedness
  • Past eye injuries
  • Thinner central corneal thickness
  • Systemic health problems, including diabetes, migraine headaches, and poor circulation
  • Pre-existing thinning of the optic nerve

Diagnosing Glaucoma

Regular eye examinations by ophthalmologist are the best way to detect glaucoma. It is important to mention that just a glaucoma screening that checks only the pressure of the eye is not sufficient to determine if you have glaucoma. The only certain way to detect glaucoma is a complete eye examination and which may include:
  • Measure IOP
  • Inspect the drainage angle of the eye
  • Evaluate whether or not there is any optic nerve damage
  • Test the peripheral vision of each eye
  • Photography of the optic nerve or other computerized imaging may be recommended
Please note that some of these tests may not be necessary for everyone. These tests may need to be repeated on a regular basis to monitor any changes in the condition.

Glaucoma Treatment

Damage caused by glaucoma cannot be reversed. The goal of the treatment is to lower the eye pressure and help prevent further damage. For any type of glaucoma, periodic examinations are essential to prevent vision loss. Because glaucoma can progress without any indication, adjustments to the treatment may also be necessary from time to time. The treatment may involve:

Medications

Glaucoma is usually controlled with daily administration of eye drops to lower the eye pressure, either by decreasing the amount of aqueous fluid produced within the eye or improving the flow through the drainage angle. Patients should notify the ophthalmologist if the medication or drops are causing eye irritation or unusual symptoms.

Laser Surgery

For open-angle glaucoma, the drain itself is treated where the laser is used to modify the drain (trabeculoplasty) to help control the eye pressure. For closed-angle glaucoma, the laser creates a hole in the iris (iridotomy) to improve the flow of aqueous fluid to the drain.
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