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Glaucoma is a condition where increased intraocular pressure (IOP) and various factors compress the optic nerve,
which transmits visual information from the eye to the brain. This can lead to visual field defects and may also have a genetic component.
Individuals with high intraocular pressure or an increased cup-to-disc ratio found during a health check-up
Those with a family history of glaucoma (parents or siblings)
Individuals over the age of 40
Those with severe myopia (nearsightedness)
Individuals with systemic conditions such as diabetes or hypertension
Individuals with elevated intraocular pressure (the most definite risk factor)
This type occurs when the anterior chamber angle is open
but there is impaired aqueous humor drainage, leading to gradual optic nerve damage.
This occurs when the trabecular meshwork is completely blocked by the iris tissue,
causing a sudden increase in intraocular pressure and preventing the aqueous humor from draining.
This condition can cause immediate eye pain, headaches, eye redness, vision loss, and nausea.
Peripheral vision becomes blurry, leaving only central vision clear
Sudden deterioration in vision
Heavy head sensation or headaches
Foreign body sensation in the eye, along with eye redness and nausea
Eyes become sensitive to light or experience severe glare
Eyes feel heavy, and fatigue occurs easily, accompanied by shoulder stiffness
A sensation of something stuck in the eye
Headaches occurring early in the morning, at night, or during physical activity
Intraocular
Pressure Test
Fundus Examination
Optical Coherence Tomography (OCT)
for the optic nerve
Retinal Nerve
Fiber Layer (RNFL) Imaging
Visual Field Test
Since the main cause of glaucoma is increased intraocular pressure, eye drops to lower IOP and oral medications can be prescribed.
If the medication is not effective or causes side effects, alternative medications may be considered.
Laser treatment is an option when medications are ineffective. It enhances the drainage of aqueous humor.
Laser iridotomy is used in cases of acute angle-closure glaucoma when rapid reduction in IOP is required.
Selective Laser Trabeculoplasty (SLT) is used for open-angle glaucoma when eye drops alone are insufficient or cause side effects.
If medication or laser treatment is ineffective, surgical options may be considered to control intraocular pressure.
Trabeculectomy is a surgical procedure that creates a new drainage pathway for the aqueous humor to exit the eye.
Ahmed Valve Implantation involves inserting a small tube inside the eye to facilitate the drainage of aqueous humor.