What is glaucoma?
Glaucoma is a general term that encompasses eye diseases that cause increased pressure within the eyeball, which can damage the fragile and critical areas at the back of the eye. Most of these diseases are progressive, meaning they gradually worsen. As they worsen, they can lead to permanent vision loss and blindness. Glaucoma is the second leading cause of blindness worldwide.
Discovering that you have glaucoma or are at risk for it can be difficult to understand. For most people, sight is the sense they use most in their daily lives. It can be frightening to imagine having to adjust and navigate life after severe vision loss. However, most forms of glaucoma are treatable, especially if diagnosed early. With careful management, it is possible to delay or even prevent permanent vision loss.
Types of Glaucoma
There are two main types:
What does glaucoma feel like?
With the exception of acute angle-closure glaucoma, most cases of glaucoma cause numbness, especially in the early stages. Symptoms of acute angle-closure glaucoma come on quickly. It is often described as “the worst eye pain of my life.” Symptoms include:
This type of Glaucoma is a medical emergency. Seek medical attention immediately. Damage to the optic nerve can occur within hours and, if not treated within 6 to 12 hours, can lead to severe and permanent vision loss, blindness, and even dilated pupils.
What are the symptoms of glaucoma?
In its early stages, glaucoma can be asymptomatic. Therefore, up to half of people with glaucoma in the United States are unaware they have it. Furthermore, symptoms may not appear until the disease has caused irreversible damage.
Some of the most common symptoms of glaucoma include:
Some types of glaucoma, particularly angle-closure glaucoma, can cause sudden and severe symptoms that require immediate medical attention to prevent permanent vision loss. Emergency symptoms of glaucoma include:
Causes
Glaucoma develops when the optic nerve is damaged. As the condition of this nerve worsens, blind spots appear. For reasons that ophthalmologists do not fully understand, this nerve damage is often related to increased intraocular pressure.
The increased intraocular pressure is due to the accumulation of fluid circulating within the eye. This fluid, called aqueous humor, usually drains through a tissue located at the angle where the iris meets the cornea. This tissue is called the trabecular meshwork. The cornea is essential for vision because it allows light to pass through. When the eye produces too much fluid or the drainage system doesn’t work properly, eye pressure can increase.
How is glaucoma treated?
The main priority in glaucoma treatment is to prevent its worsening by reducing intraocular pressure (IOP).
The most common treatments include:
Other treatments are available, depending on the type of glaucoma you have, its impact on the eye, and other factors. Your ophthalmologist can discuss your treatment options and help you choose the one that best suits your needs.
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