Glaucoma

The scary thing about glaucoma is that it can be so insidious, stealing your vision gradually and without your noticing. Yet glaucoma is a serious disease which can result in severe loss of sight. The best defense against glaucoma is regular eye examinations. Glaucoma most often strikes patients over age 50. But it is recommended that during adult life everyone be tested at least once a year.

Some patients with glaucoma do experience symptoms, but symptoms vary depending on the type of 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. The first indication may only occur after some considerable vision loss. This is a result from a sudden blockage of the drainage channels in your eye, causing 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.

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, such as cars. 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.

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.

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.

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.

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. Your eye care practitioner will also do a visual field test, a very sensitive test which checks for the development of abnormal blind spots.

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.

Unfortunately, any vision loss as a result of glaucoma is permanent and cannot be restored. This is why regular eye examinations are important.

Early detection and treatment can control glaucoma and reduce the chances of damage to the eye and a loss of sight. Make an appointment today and check the pressure of your eyes.