glaucoma
The scariest thing about glaucoma is that it can steal your vision gradually and without your noticing. The best
defense against glaucoma is a regular eye examination. Glaucoma most often strikes people over age 50. But it
is recommended that during adult life everyone be tested at least every two years.
Some people with glaucoma do experience symptoms, but symptoms vary depending on the type of glaucoma.
Primary open-angle glaucoma
By far the most common type, primary open-angle glaucoma develops gradually and painlessly. Since there are
no early warning signs, it can slowly destroy your vision without your knowing it. The first indication may only
occur after some considerable vision loss.
Acute angle-closure glaucoma
This results from a sudden blockage of the drainage channels within your eye, causes a rapid build-up of
pressure inside your eye accompanied by blurred vision, the appearance of colored rings around lights and
sometimes extreme pain or redness in the eyes.
What is glaucoma?
The build-up of pressure inside your eye leads to glaucoma. Aqueous fluid, which fills the space at the front of
the eye just behind the cornea, is made behind the iris (the colored part of the eye) in the ciliary body. It flows
through the pupil (the dark hole in the center of the iris), and drains from the 'anterior chamber angle,' which is
the junction between the edge of the iris and the cornea. If this outflow of liquid is impaired at all, there is a
build-up of pressure inside the eye that damages the optic nerve, which carries visual images to the brain. The
result is a loss of peripheral vision. Thus, while glaucoma sufferers may be able to read the smallest line on the
vision test, they may find it difficult to move around without bumping into things or to see moving objects to the
side.
What causes glaucoma?
Some causes are known, others are not. Causes differ depending on the type of glaucoma. The exact cause of
open-angle glaucoma, where the drainage channels for the aqueous appear to be open and clear, is not known.
Closed-angle glaucoma can occur when the pupil dilates or gets bigger and bunches the iris up around its
edge, blocking the drainage channel. An injury, infection or tumor in or around the eye can also cause internal
eye pressure to rise either by blocking drainage or displacing tissues and liquid within the eye. A mature cataract
also can push the iris forward to block the drainage 'angle' between the iris and the cornea. Glaucoma can occur
secondarily to a number of other conditions, such as diabetes, or as a result of some medications for other
conditions.
Who gets glaucoma?
Glaucoma most frequently occurs after age 40, but can occur at any age.
If you're of African heritage, you are more likely to develop open-angle glaucoma -- and at an earlier age -- than if
you're Caucasian. Asians are more likely to develop narrow-angle glaucoma.
You have a higher risk of developing glaucoma if a close family member has it or if you have high blood pressure
or high blood sugar (diabetes). There is also a greater tendency for glaucoma to develop in individuals who are
nearsighted. Those at heightened risk for glaucoma should have their eyes checked at least once a year.
Why is glaucoma harmful to vision?
The optic nerve, located at the back of the eye, carries visual information to the brain. As the fibers that make up
the optic nerve are damaged by glaucoma, the amount and quality of information sent to the brain decreases
and a loss of vision occurs.
Will I go blind from glaucoma?
If diagnosed at an early stage, glaucoma can be controlled and little or no further vision loss should occur. If left
untreated, side awareness (peripheral vision) and central vision will be destroyed and blindness may occur.
How is glaucoma detected?
Tests for glaucoma are part of a comprehensive eye examination. A simple and painless procedure called
tonometry measures the internal pressure of your eye. Ophthalmoscopy examines the back of the eye to observe
the health of the optic nerve. A visual field test, a very sensitive test that checks for the development of abnormal
blind spots, may also be completed.
How is glaucoma treated?
Glaucoma is usually treated with prescription eye drops and medicines. In some cases, surgery may be
required to improve drainage. The goal of the treatment is to prevent loss of vision by lowering the pressure in
the eye.
Will my vision be restored after treatment?
Unfortunately, any vision loss as a result of glaucoma is permanent and cannot be restored. This is why regular
eye examinations are important.
Glaucoma cannot be prevented, but early detection and treatment can control glaucoma and reduce the chances
of damage to the eye and a loss of sight.
The scariest thing about glaucoma is that it can steal your vision gradually and without your noticing. The best
defense against glaucoma is a regular eye examination. Glaucoma most often strikes people over age 50. But it
is recommended that during adult life everyone be tested at least every two years.
Some people with glaucoma do experience symptoms, but symptoms vary depending on the type of glaucoma.
Primary open-angle glaucoma
By far the most common type, primary open-angle glaucoma develops gradually and painlessly. Since there are
no early warning signs, it can slowly destroy your vision without your knowing it. The first indication may only
occur after some considerable vision loss.
Acute angle-closure glaucoma
This results from a sudden blockage of the drainage channels within your eye, causes a rapid build-up of
pressure inside your eye accompanied by blurred vision, the appearance of colored rings around lights and
sometimes extreme pain or redness in the eyes.
What is glaucoma?
The build-up of pressure inside your eye leads to glaucoma. Aqueous fluid, which fills the space at the front of
the eye just behind the cornea, is made behind the iris (the colored part of the eye) in the ciliary body. It flows
through the pupil (the dark hole in the center of the iris), and drains from the 'anterior chamber angle,' which is
the junction between the edge of the iris and the cornea. If this outflow of liquid is impaired at all, there is a
build-up of pressure inside the eye that damages the optic nerve, which carries visual images to the brain. The
result is a loss of peripheral vision. Thus, while glaucoma sufferers may be able to read the smallest line on the
vision test, they may find it difficult to move around without bumping into things or to see moving objects to the
side.
What causes glaucoma?
Some causes are known, others are not. Causes differ depending on the type of glaucoma. The exact cause of
open-angle glaucoma, where the drainage channels for the aqueous appear to be open and clear, is not known.
Closed-angle glaucoma can occur when the pupil dilates or gets bigger and bunches the iris up around its
edge, blocking the drainage channel. An injury, infection or tumor in or around the eye can also cause internal
eye pressure to rise either by blocking drainage or displacing tissues and liquid within the eye. A mature cataract
also can push the iris forward to block the drainage 'angle' between the iris and the cornea. Glaucoma can occur
secondarily to a number of other conditions, such as diabetes, or as a result of some medications for other
conditions.
Who gets glaucoma?
Glaucoma most frequently occurs after age 40, but can occur at any age.
If you're of African heritage, you are more likely to develop open-angle glaucoma -- and at an earlier age -- than if
you're Caucasian. Asians are more likely to develop narrow-angle glaucoma.
You have a higher risk of developing glaucoma if a close family member has it or if you have high blood pressure
or high blood sugar (diabetes). There is also a greater tendency for glaucoma to develop in individuals who are
nearsighted. Those at heightened risk for glaucoma should have their eyes checked at least once a year.
Why is glaucoma harmful to vision?
The optic nerve, located at the back of the eye, carries visual information to the brain. As the fibers that make up
the optic nerve are damaged by glaucoma, the amount and quality of information sent to the brain decreases
and a loss of vision occurs.
Will I go blind from glaucoma?
If diagnosed at an early stage, glaucoma can be controlled and little or no further vision loss should occur. If left
untreated, side awareness (peripheral vision) and central vision will be destroyed and blindness may occur.
How is glaucoma detected?
Tests for glaucoma are part of a comprehensive eye examination. A simple and painless procedure called
tonometry measures the internal pressure of your eye. Ophthalmoscopy examines the back of the eye to observe
the health of the optic nerve. A visual field test, a very sensitive test that checks for the development of abnormal
blind spots, may also be completed.
How is glaucoma treated?
Glaucoma is usually treated with prescription eye drops and medicines. In some cases, surgery may be
required to improve drainage. The goal of the treatment is to prevent loss of vision by lowering the pressure in
the eye.
Will my vision be restored after treatment?
Unfortunately, any vision loss as a result of glaucoma is permanent and cannot be restored. This is why regular
eye examinations are important.
Glaucoma cannot be prevented, but early detection and treatment can control glaucoma and reduce the chances
of damage to the eye and a loss of sight.
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