GLAUCOMA
When we look at an object, the image goes
to the brain along the optic nerve. The optic nerve is similar
to an electrical cable with a million fine threads running between
the eye and the brain. Along these threads the visual message
is passed on to the brain. This produces the sensation that we
are watching a film of what surrounds us. This is sight.
So, what is Glaucoma?
In the eye there is a place where
liquid is continually flowing in and another place where it flows
out, the rate of flow and the pressure being constant. If the
drainage system is partly or completely blocked, as the eye is
a closed cavity, the pressure inside will increase, crushing the
arteries feeding the threads and causing progressive damage to
the threads. This is the GLAUCOMA, causing the appearance of blind
spots in the field of vision.
Are there different types of Glaucoma?
Yes. The most common is the simple open-angled
Chronic Glaucoma. It is sometimes diagnosed accidentally. The
closed-angled Glaucoma, which causes intense pain, vomiting etc.,
is less common. In exceptional cases there are others.
How are they discovered?
- By the ophthalmologist when he takes the
ocular pressure "by touching".
- In an ophthalmoscopy to observe the papilla or the head of the
optic nerve, by means of a light inside the eye.
- By computer scanning of the field of vision
- Through anamnesis of the family, since the Glaucoma has an important
hereditary component.
What is the treatment for
Glaucoma?
There are eye drops and other medicines
that can effectively unblock the drainage system slightly or reduce
the inflow of liquid to the eye. The patient should be given a
periodical check-up by the ophthalmologist, since some types of
medicine may cause side effects.
Is there a cure for Glaucoma?
Injuries to the optic nerve cannot be corrected.
What we try to do is avoid further injuries or blind spots.
If medical treatment with eye drops and tablets is not successful,
the only other option is to operate using laser or microsurgery.
The patient should be made aware that the GLAUCOMA CAN BE OPERATED
on through Trabeculectomy or through placement of drainage valves.
In some countries it is believed that the glaucoma cannot be operated
on. The purpose of the operation is to create, under local anaesthetic,
a new drainage channel.
Your ophthalmologist will decide whether an operation is necessary
and which type of operation would be the most suitable.
|