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Dr. Saket Kulkarni

Silent thief of sight - Glaucoma

What is Glaucoma?


Glaucoma is a group of eye diseases characterized by damage to the optic nerve, which connects the eye to the brain. The primary cause of glaucoma is usually increased intraocular pressure (IOP), resulting from a buildup of fluid in the eye. Over time, this elevated pressure damages the optic nerve, leading to vision loss and potentially blindness.




Types of Glaucoma:


Primary Open-Angle Glaucoma: This is the most common type of glaucoma. It develops slowly and painlessly, with a gradual loss of peripheral vision.


Angle-Closure Glaucoma: This type of glaucoma occurs when the drainage angle in the eye becomes blocked, causing a sudden and severe increase in eye pressure. Symptoms may include severe eye pain, blurred vision, headache, nausea, and vomiting.


Normal-Tension Glaucoma: In this form of glaucoma, optic nerve damage occurs even though the eye pressure remains within the normal range.


Risk Factors for Glaucoma:


While anyone can develop glaucoma, certain factors increase the likelihood of its occurrence:


Age: The risk of developing glaucoma increases with age, particularly after the age of 40.


Family History: Having a close relative with glaucoma, such as a parent or sibling, increases your risk.


High Intraocular Pressure: Elevated eye pressure is a significant risk factor for glaucoma. However, some individuals with normal eye pressure can also develop the condition.


Ethnicity: People of African, Hispanic, and Asian descent are more susceptible to certain types of glaucoma.


Medical Conditions: Certain conditions, such as diabetes, high blood pressure, and heart disease, are associated with an increased risk of glaucoma.


Previous Eye Injuries or Surgeries: Eye trauma or previous eye surgeries can elevate the risk of developing glaucoma later in life.


Detecting and Treating Glaucoma:


Early detection is crucial for managing glaucoma effectively. Unfortunately, in its early stages, glaucoma often presents no noticeable symptoms. This is why regular comprehensive eye exams, including measurements of intraocular pressure and evaluation of the optic nerve, are essential for detecting glaucoma.


If diagnosed with glaucoma, treatment options may include:


Eye Drops: Medicated eye drops are commonly prescribed to reduce intraocular pressure and slow down the progression of glaucoma.


Oral Medications: In some cases, oral medications may be prescribed to lower eye pressure.


Laser Treatment: Laser therapy can help improve fluid drainage in the eye or reduce fluid production to manage intraocular pressure.


Surgery: In severe or advanced cases, surgical procedures may be recommended to create alternative drainage channels or reduce fluid production.


Conclusion:


Glaucoma poses a significant threat to vision, often without any warning signs until irreversible damage has occurred. Understanding the risks, recognizing the importance of regular eye examinations, and seeking timely treatment are crucial steps in preserving your vision. Remember, early detection and appropriate intervention are key in combating the silent thief of sight and safeguarding your eyesight for years to come.


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