Glaucoma is one of the leading causes of blindness in the United States. It is a disease that typically affects older people, but it can occur at any age. It occurs when the normal pressure inside the eye rises high enough to damage the optic nerve.
The eye has about 1 million tiny nerve fibers which run from the back of the eye to the brain. These nerve fibers allow us to see. As a disease, glaucoma destroys these fibers. Glaucoma specialists once thought that the loss of these fibers was due strictly to increased pressure in the eye, also known as intraocular pressure (IOP). Now, they’ve discovered that even patients with normal pressure can have glaucoma (Normal Tension Glaucoma) and potentially lose the nerve fibers that connect the brain and the eye.
The reason that normal pressure increases in many glaucoma patients is that the drainage system in the eye is not working properly. Your eye is filled with a clear fluid called aqueous humor. This fluid is always being made behind the colored part of your eye (the iris). Now, if the fluid is always being produced, it has to leave the eye somehow, right? Your eye contains channels through which the excess fluid leaves. If the fluid is blocked from exiting the eye it builds up, increasing the pressure in your eye.
To get more of your questions answered and to find out about treatment options available, read our Definitive Guide to Glaucoma. If you are concerned that you may have glaucoma, schedule an appointment at a location near you with our team of specialists.
There are several major types of glaucoma:
Your eye’s drainage system lies in a part of the eye called the angle, which is between the cornea and the iris of the eye. This angle can be open or closed. The most common form of glaucoma is chronic open-angle glaucoma or primary open-angle glaucoma. The drainage angle is open in these patients, but the eye fluid does not drain as quickly as it should. Closed-angle glaucoma occurs when the drainage angle closes, and almost no eye fluid can escape.
Unfortunately, there are no symptoms of glaucoma until advanced, irreversible damage has occurred. Therefore, routine testing by an ophthalmologist or optometrist can detect glaucoma before symptoms appear. If treatments are started early enough, vision loss can be prevented. The main aim of glaucoma treatment is to lower the eye pressure, either with eye drops, laser, or surgery.
The symptoms of glaucoma are gradual and can vary depending on the type and stage of progression.
For open angle glaucoma, many patients will begin to notice:
With open-angle glaucoma, most people have no symptoms. Once you experience vision loss, the condition is advanced, and the damage is already severe. Have you ever heard of tunnel vision? If you have open-angle glaucoma, chances are you may experience a slow loss of your peripheral vision, commonly referred to as tunnel vision. If you’re experiencing vision loss or tunnel vision, seek a professional immediately, as it can lead to blindness if not treated immediately.
For narrow angle glaucoma, the effects are more suddent and can appear in one or both eyes. These include:
Symptoms with angle-closure glaucoma may be intermittent at first or may steadily worsen. You could also experience sudden, extreme pain in one eye. You could have decreased or cloudy vision, see “halos” around lights, have red eyes, or feel like you have swollen eyes. Some people may experience nausea and vomiting.
Knowing these symptoms is crucial to stay ahead of the disease and prevent vision loss.
If you think you have glaucoma, you’ll want to learn more about managing this disease as soon as possible. Set up an appointment today to determine what exactly is ailing you and how our team of experts can help.
If you have diabetes or hypertension, you could be at a higher risk. A study conducted by a leading research team at the University of Michigan Kellogg Eye Center shows that these individuals may have an increased risk of developing open-angle glaucoma (OAG), the most common form of glaucoma in the country.
During the study, researchers focused on the possible connections between various components of metabolic syndrome. A metabolic syndrome includes hypertension, diabetes, obesity, and hyperlipidemia (high cholesterol and high triglyceride levels).
The team concluded that people with diabetes alone had a 35 percent increased risk of developing open-angle glaucoma and those with hypertension alone had a 17 percent increased risk. Also, people suffering from diabetes and hypertension had a 48 percent higher chance of developing OAG. The symptoms of glaucoma surface later in the progression of the disease, and therefore getting regular eye exams is critical in detecting and treating the disease early.
While anyone can develop this disease, people with a family history of glaucoma are more likely to be affected by the condition. If your family has a record of glaucoma diagnosis, you are at increased risk and should seek more frequent eye screening test to take preventative action.
Users of steroid medication can develop glaucoma. Steroids can increase the pressure of fluids by mutating the cells used in the eye draining system. The good news is this is a secondary type of glaucoma. This means that an external problem is causing the disease and can be treated by addressing the underlying cause. When the steroid use is stopped, the pressure returns to normal within a few weeks and no further damage is done to the optic nerve.
A complete eye exam is needed to diagnose glaucoma. You may receive eye drops to widen (dilate) your pupil. The glaucoma doctor can look at the inside of the eye when the pupil is dilated.
A test called (tonometry) checks eye pressure. However, because eye pressure changes all the time, eye pressure can be normal in some people with glaucoma. This is called normal-tension glaucoma. Your doctor will need to run other tests to confirm glaucoma.
Some of the tests your glaucoma specialist may do can include:
Milan’s glaucoma specialists serve the Atlanta area across 8 convenient locations. Our team has spent years educating themselves on the most innovative treatments available today.
The goal of treatment is to reduce the normal pressure on your eye. Treatment depends on the type of glaucoma that you have. If you have open-angle glaucoma, you will probably receive eye drops. Most people can be treated successfully with eye drops. Most eye drops used today have fewer side effects than those used in the past. You may also get pills to lower pressure in the eye. Your doctor may also recommend Selective Laser Trabeculoplasty laser therapy, iridotomy, and eye surgery in challenging cases where other treatments don’t work.
Congenital glaucoma is almost always treated with surgery and general anesthesia, so the patient is asleep and feels no pain.
If you have secondary glaucoma, treatment of the underlying disease may help your symptoms go away. Patients may need other treatments.
If you have any of these eye injuries currently, glaucoma could be developing faster than you’d think. An acute angle-closure attack is a severe medical emergency. Blindness will occur in a few days if it is not treated. For narrow-angle glaucoma treatment, you will receive eye drops and medicine by mouth and through a vein.
An iridotomy is another emergency treatment when doctors use a laser to open a new pathway through the colored part of your eye. This opening relieves pressure and prevents future attacks.
Open-angle glaucoma cannot be cured, but symptoms can be managed following your doctor’s instructions. To prevent blindness, make sure you get regular checkups. Angle-closure glaucoma is a medical emergency. It would be best to have treatment right away to save your vision. If your child may suffer from congenital glaucoma, rest assured that most babies usually do well when surgery is done early.
How well a person sees with secondary glaucoma does depend on the disease-causing the condition.
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Our surgeons are skilled in treating glaucoma using medical, laser, and surgical methods. We provide traditional glaucoma surgeries tailored to the severity of each patient’s condition. We also offer advanced minimally invasive glaucoma surgeries (MIGS), ideal for patients with mild glaucoma for faster recovery. Glaucoma treatments are available at all our locations throughout the Atlanta metro area.
Milan Eye Center also offers Healthcare Finance Direct (HFD). Unlike traditional lenders, HFD approves nearly all applicants regardless of credit score and does not conduct hard credit checks, ensuring no damage to the patient’s credit. This system makes treatments more accessible and alleviates the financial burden on patients, allowing them to focus on their healthcare needs without the stress of upfront costs.
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