Your Vision
: Diseases & Conditions
: Glaucoma
Glaucoma is a disease that stems from increased intraocular pressure, caused by either a malformation or
malfunction of the eye's natural drainage. Left untreated, this pressure can cause irreversible damage to the
optic nerve and retinal fibers resulting in a progressive, permanent loss of vision. Early detection and
treatment can slow, or even halt the progression of the disease.
Traditional treatments for Open Angle Glaucoma include eye drops and Argon Laser Trabeculoplasty (ALT).
Surgical procedures for Glaucoma are available for those cases that cannot be controlled by eye drops or
laser treatment.
Common types of glaucoma are:
Open Angle
Open Angle is the most common type of glaucoma. Even though the anterior structures of the eye may
appear normal, aqueous fluid can build up, causing the pressure to become elevated. Left untreated, it can
result in permanent damage of the optic nerve and retina. Eye drops are generally prescribed to lower the
eye pressure. In some cases, surgery is performed if the pressure cannot be adequately controlled with
medical therapy.
Acute Angle Closure
Of the two types of Glaucoma found, acute angle closure occurs when an abnormality becomes present in
the front of the eye. In most cases, the space between the iris and cornea becomes more narrow than
normal, leaving a smaller channel for the aqueous to pass through. If this flow becomes completely blocked,
the pressure rises sharply, causing a sudden angle closure attack.
While patients with open angle glaucoma don't typically have symptoms, those with angle closure glaucoma
may experience severe eye pain accompanied by nausea, blurred vision, rainbows around lights, and a red
eye. If left untreated, severe and permanent loss of vision could occur within a matter of days. Treatment
includes both eye drops and laser surgery.
Secondary Glaucoma
This type occurs when another
disease or problem is present
within the eye,
such as:
• Inflammation
• Trauma
• Previous surgery
• Diabetes
• Tumor
• The
use of certain medications
To
cure secondary Glaucoma, the
underlying problem and the
Glaucoma itself must both
be treated.
Glaucoma is an
insidious disease based on
the fact that it rarely has
obvious symptoms. Detection
and prevention are possible
only through routine eye examinations.