Visual health

Glaucoma

Glaucoma is a progressive optic neuropathy. It is a silent disease, since it shows no noticeable symptoms until it is quite advanced, and late detection can lead to total vision loss. It is the leading cause of blindness worldwide.

Glaucoma is characterized by a pathological increase in intraocular pressure (IOP), which damages the optic nerve (optic disc) and is reflected in a characteristic loss of visual field as a result of the loss of ganglion fibers. Early diagnosis, and detecting it in the earliest stages of the disease, is very important.

Types of glaucoma

Open-angle

This is the most common type, and tends to be hereditary. Increased eye pressure causes slow, progressive damage; it shows no symptoms in most cases, and the patient notices vision loss only once the damage is already advanced.

Angle-closure

This presents acutely: eye pressure rises rapidly. Symptoms include intense eye pain, blurred or limited vision, rainbow-like halos around lights, redness and a feeling of swelling in the eye, nausea and vomiting.

Secondary

This occurs secondary to conditions such as diabetes or uveitis, eye injuries, corticosteroids, certain types of cataracts and others. Its symptoms can resemble either open-angle or angle-closure glaucoma, since they relate to the underlying cause.

Congenital

This results from arrested development of the eye's drainage angle. The most common symptoms are corneal cloudiness, enlargement and/or redness of the eye, light sensitivity and tearing. It is classified differently depending on when it appears and the eye's characteristics.

Diagnosis

  • Tonometry
  • Pachymetry
  • Optic nerve OCT
  • Visual field test
  • Ultrabiomicroscopy

Treatment

A complete eye exam and diagnostic studies, evaluated in the context of the suspected diagnosis and its progression, will guide the ophthalmologist's treatment decision. These are chronic conditions that require patient commitment and good adherence to medical guidance in order to slow their progression. Treatment typically begins with local medication in drops and different drug combinations, and in cases with poor progression, there are many types of surgeries and laser procedures available.

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