06/03/2025
Glaucoma is a group of eye conditions that cause "progressive, irreversible damage to the optic nerve", leading to vision loss, typically starting with peripheral vision. It's often associated with "high intraocular pressure (IOP)", although some individuals develop it with normal IOP.
Often called the "silent thief of sight," early stages are usually asymptomatic, making regular eye exams crucial for detection.
Key types include:
✓Primary Open-Angle Glaucoma (POAG): Most common, slow onset, open but inefficient drainage.
✓Angle-Closure Glaucoma: Less common, can be a sudden, painful emergency due to blocked drainage.
✓Normal-Tension Glaucoma: Optic nerve damage despite normal IOP.
✓Secondary Glaucoma: Caused by other conditions, injuries, or medications.
✓Congenital Glaucoma: Rare, present at birth.
✓°Risk factors include age, ethnicity, family history, high IOP, certain medical conditions (diabetes, hypertension), and thin corneas.
✓°Diagnosis involves tonometry (IOP measurement), dilated optic nerve exam, visual field tests, pachymetry, gonioscopy, and OCT-RNFL.
✓°Treatment focuses on lowering IOP to prevent further damage through eyedrops, laser treatment, or surgery. Vision lost is irreversible, so lifelong management is essential.