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Glaucoma Overview
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Definition of Glaucoma
Glaucoma is a group of eye conditions that damage the optic nerve, often caused by abnormally high pressure in the eye.
Risk Factors for Glaucoma
Risk factors include age, ethnicity (higher in African Americans, Hispanics, Asians), family history, medical conditions like diabetes, and eye conditions.
Diagnosing Glaucoma
Glaucoma is diagnosed through a comprehensive eye exam including tests such as tonometry, ophthalmoscopy, perimetry, and gonioscopy.
Symptoms of Angle-Closure Glaucoma
Symptoms can include severe eye pain, nausea, vomiting, red eyes, blurred vision, and halos around lights.
Treatment: Laser Therapy
Laser therapy can be used to improve the outflow or drainage of eye fluid, which helps to reduce intraocular pressure.
Types of Glaucoma
The main types include open-angle glaucoma, angle-closure glaucoma, normal-tension glaucoma, and secondary glaucoma.
Treatment: Medication
Medications, often in the form of eye drops, are used to reduce intraocular pressure. Beta blockers and prostaglandin analogs are common medications.
Symptoms of Open-Angle Glaucoma
Often asymptomatic in early stages; in later stages, symptoms can include gradual loss of peripheral vision and tunnel vision.
Complications of Glaucoma
If left untreated, glaucoma can lead to permanent vision loss and blindness. It can also cause 'cupping' of the optic disk.
Impact of Glaucoma on Lifestyle
Glaucoma can significantly impact day-to-day activities, such as driving, reading, and recognizing faces, leading to reduced quality of life.
Treatment: Surgery
Surgical options include trabeculectomy, drainage implants, and minimally invasive glaucoma surgeries (MIGS), aiming to improve fluid outflow from the eye.
Preventing Glaucoma
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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