Glaucoma

Description of Glaucoma

Definition of Glaucoma
 
Glaucoma is a condition where the eye is affected. The nerve of vision known as the optic nerve is affected in this condition. Vision materializes because of the proper functioning of this nerve. Damage to the optic nerve causes loss of vision first partially and if not treated can cause total blindness.

The main cause of glaucoma is the increased pressure in the eye known as intraocular pressure. An elevation in the eye pressure leads to damage of the optic nerve. However, sometimes glaucoma can also occur in presence of normal eye pressure. This could be because of the poor blood flow to the optic nerve.

The major types of glaucoma are:
1. Open angle glaucoma
2. Closed angle glaucoma
 
Causes and Risk Factors of Glaucoma
 
Glaucoma has no known symptoms and hence it is difficult to diagnose the problem in the early stages. The causes for this condition are mainly attributed to the risk factors. These risk factors mainly include:
1. Age
2. Family history of glaucoma
3. Diabetes
4. History of increased intraocular pressure, eye injury, use of steroids, and conditions like myopia and hyperopia.
 
Signs and Symptoms of Glaucoma
 
The signs and symptoms include:
1. Severe eye pain
2. Red eye
3. Nausea
4. Vomiting
5. Blurred vision
6. Severe headache
 
Investigations
 
Diagnosis of glaucoma is done by the ophthalmologist by doing a number of tests. All of these tests are noninvasive and painless. 
1. Tonometry is an important test. This test measures the firmness of the tone of the surface of the eye and hence helps in determining the intraocular pressure. The more the firmness in the tone, higher is the intraocular pressure.
2. Pachymetry is another important test done which is used in the diagnosis and treatment of glaucoma. In this test the thickness of the cornea is measured. Other tests include ophthalmoscopy and visual field testing.
 
Treatment of Glaucoma
 
Treatments include:
1. Medication which is mostly in the form of tablets, eye drops, and laser surgery.
2. Eye drops such as timolol, pilocarpine, etc. are the most preferred medication in case of glaucoma. However, in severe cases surgery is recommended.
Content Details
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Written By
Dr. Sakshi Sharma
BDS
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Reviewed By
Dr. Varun Gupta
MD Pharmacology, MBBS
Last updated on:
27 Sep 2022 | 06:23 PM (IST)
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Frequently Asked Questions about Glaucoma

Fortunately, this is not the case for the majority of patients. Sight impairment is more common in glaucoma than blindness. The vast majority of glaucoma patients will be stabilised with proper therapy and follow-up. A positive outcome is more likely if you collaborate with your doctor to control your glaucoma.
If you've just been diagnosed with glaucoma, your eye pressure may need to be monitored every week or month until it's under control. Even if your eye pressure is within normal limits, you may need to see your doctor for examinations several times a year. The frequency with which you visit your eye doctor is determined by the treatment plan you and your doctor devise together.
People with a family history of glaucoma are more likely to get the disease, therefore you should encourage your family members to have their eye pressure and optic nerves tested on a frequent basis. Many people are unaware of the significance of regular eye exams and are unaware that glaucoma patients may have no symptoms.
The first step in preserving your vision is to get an early diagnosis. Treatment of glaucoma is done using eye drops, oral medications, laser treatment, and surgery. However, glaucoma must be monitored for the rest of one's life.
Glaucoma can be inherited in some cases. It tends to run in families and is thought to have genetic predisposition. However, glaucoma is not always hereditary. Diseases like diabetes, heart disease, high blood pressure, sickle cell anemia etc are also known to cause glaucoma.