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Glaucoma Overview

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Definition of Glaucoma

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Glaucoma is a group of eye conditions that damage the optic nerve, often caused by abnormally high pressure in the eye.

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Risk Factors for Glaucoma

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Risk factors include age, ethnicity (higher in African Americans, Hispanics, Asians), family history, medical conditions like diabetes, and eye conditions.

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Diagnosing Glaucoma

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Glaucoma is diagnosed through a comprehensive eye exam including tests such as tonometry, ophthalmoscopy, perimetry, and gonioscopy.

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Symptoms of Angle-Closure Glaucoma

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Symptoms can include severe eye pain, nausea, vomiting, red eyes, blurred vision, and halos around lights.

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Treatment: Laser Therapy

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Laser therapy can be used to improve the outflow or drainage of eye fluid, which helps to reduce intraocular pressure.

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Types of Glaucoma

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The main types include open-angle glaucoma, angle-closure glaucoma, normal-tension glaucoma, and secondary glaucoma.

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Treatment: Medication

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Medications, often in the form of eye drops, are used to reduce intraocular pressure. Beta blockers and prostaglandin analogs are common medications.

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Symptoms of Open-Angle Glaucoma

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Often asymptomatic in early stages; in later stages, symptoms can include gradual loss of peripheral vision and tunnel vision.

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Complications of Glaucoma

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If left untreated, glaucoma can lead to permanent vision loss and blindness. It can also cause 'cupping' of the optic disk.

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Impact of Glaucoma on Lifestyle

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Glaucoma can significantly impact day-to-day activities, such as driving, reading, and recognizing faces, leading to reduced quality of life.

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Treatment: Surgery

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Surgical options include trabeculectomy, drainage implants, and minimally invasive glaucoma surgeries (MIGS), aiming to improve fluid outflow from the eye.

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Preventing Glaucoma

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While glaucoma cannot always be prevented, regular eye exams, protecting eyes from injury, and controlling systemic conditions like diabetes may reduce risk.

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