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Glaucoma

Glaucoma is a common eye disease that damages the optic nerve. This major nerve connects the eye to the brain and is responsible for sending visual information, making it one of the most important nerves in the body. Glaucoma causes fluid build-up in the front part of the eye, damaging the optic nerve and resulting in blurry vision and even blindness in some cases.

Many forms of glaucoma disease don’t have any warning signs. It gradually affects the eye and develops changes in vision until the condition is in its final stages.

Signs & Symptoms

The symptoms of Glaucoma depend on its type and stage.

Open Angle Glaucoma: This type of glaucoma appears in the open angle anterior chamber and causes elevated intraocular pressure. It is most common in Africa, almost 10,000 people out of 1 million are affected by it. Some of the symptoms include:

  • Patchy blind spots inside vision
  • In the last stages, a weaker central vision

Acute Angle-Closure Glaucoma: This form of glaucoma occurs when the fluid in the eyes can’t drain properly. It causes severe eye pain or headache with blurred vision. Its symptoms can be:

  • Nausea or Vomiting
  • Halos or coloured rings when exposed to lights
  • Redness in eyes
  • Severe eye pain and headache

Glaucoma in Children: Glaucoma is rare in infants, but it can be genetic and caused by the incomplete or impaired development of the eye-drainage system before birth. Symptoms include:

  • Dull and cloudy vision
  • Blurred vision with increased blinking
  • Headache
  • Watery eyes
  • Worsening near-sightedness

Pigmentary Glaucoma: This form of secondary open-angle glaucoma with heavy homogeneous pigmentation of the trabecular meshwork. It also causes iris transillumination defects. Some of the common symptoms of this type are:

  • Halos around the lights
  • Blurred vision after exercise
  • Gradual loss of side vision

Causes

There are several causes of glaucoma, mainly due to the build-up of fluid that increases intraocular pressure. Some of the common causes are:

  • Age: It is more common in adults, mostly aged between 70 and 80 years old.
  • Family history: People with a history of this disease are more likely to develop this condition.
  • Other medical conditions: Diabetic patients or people with long or short-sightedness are more prone to this condition than others.

Reference Articles

Risk Factors

Glaucoma can severely damage a person’s vision before the appearance of any symptoms, so be attentive to these risk factors:

  • High intraocular pressure
  • People aged over 55
  • Family history of glaucoma
  • Thinning of corneas from the centre
  • Corticosteroid medications
  • Previous eye injury or surgery

Diagnoses & Complications

To diagnose this condition, a healthcare provider will take a complete family history of the patient and order a comprehensive eye examination. There will be several tests, including:

  • Measurement of intraocular pressure, also known as tonometry.
  • Dilated eye examination and imaging test to check the damage to the optic nerve.
  • Visual field test to evaluate the areas suffering from vision loss.
  • Pachymetry is conducted to measure the thickness of the corneas.
  • Gonioscopy for the inspection of the drainage angle.

Don’t delay treatment because severe glaucoma can cause complete blindness in patients.

Treatment & Preventions

It’s impossible to reverse any loss of vision, but there are certain treatments that can be helpful in controlling the damage. Some common treatments include using eye drops to reduce pressure on the optic nerve, laser treatments that can open up the blockage of the drainage tubes, and surgery to improve and reduce the drainage of fluid.

You can also take care of your eyes by maintaining a healthy weight, controlling your blood pressure, avoiding smoking, and exercising to be physically active. Make sure to have regular eye examinations for the prevention of this condition. An eye examination will help to detect glaucoma in its early stages.

 
 
 

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