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Understanding and Treating Glaucoma


Normal Angle

The eye produces a fluid called aqueous humor. It is produced in the ciliary body and flows through the pupil and into the trabecular meshwork. This fluid creates a pressure in the eye which helps maintain the eye's shape and normal function.

The Progression of Glaucoma

Glaucoma damages the optic nerve and leads to permanent loss of vision.

 

Diagnosing Glaucoma

Topometer measures
pressure inside the eye

   
Ophthalmoscopy allows the eye doctor to view the optic nerve for damage. The pictures of the fundus on the previous page show what the doctor may see when examining the optic nerve.

Diagnosing Glaucoma

Symptoms of Closed-Angle Glaucoma

Symptoms

  • Severe eye pain
  • Headaches
  • Nausea, vomiting
  • Mid-dilated pupil
  • Eye red and irritated
  • Blurred vision
  • Halos around lights

The angle between the iris and the cornea narrows or closes, obstructing the drainage
of aqueous humor.

Open-Angle Glaucoma

Symptoms

Usually, you are not aware of anything until the visual field is severely damaged


The angle is open, but fluid drainage is impaired.

Treatment for Primary Open-Angle
Glaucoma with Medication

Treatment may include eyedrops and/or pills
To Instill an Eyedrop


  1. Wash your hands thoroughly.
  2. Sit down, lean back, tilt your head back, and look up toward your forehead.
  3. With the index finger of one hand, pull down the lower eyelid to make a pocket for the drop.
  4. Hold the bottle over the eye between the thumb and index finger of the other hand and invert it with the tip pointed down at a slight angle.
  5. Carefully squeeze the bottle to release a single drop into your eyes. Follow your doctor's directions exactly for the number of drops to use.
  6. After administering eyedrops, you may want to close your eyes for a few minute to help distribute the medicine evenly.
  7. Sometimes eyedrops may drip down the tear duct into the throat. If this is bothersome, you can try applying pressure with your index finger to the inner corner of your eye for a few seconds after you've used the eyedrops.

How Medication Work


Untreated eye

There are two ways in which medications reduce pressure within the eye. Some medications reduce the production of fluid within the eye, while others increase the outflow of fluid from the eye.

Your doctor may prescribe either eyedrops, pills, or both.

Decreased production
of fluid

Increased outflow of
fluid

Laser Surgery for Closed-Angle Glaucoma


A highly concentrated beam of laser light produces an opening
in the iris (iridotomy). A contact lens is placed over the cornea
to help focus the laser. Sometimes your eye doctor may treat
more than one spot.
The laser opening
allows the fluid behind
the iris to flow forward.



Section of trabecular meshwork is teated. The laser treatment
opens up the channel so the fluid can drain freely.

How You and Your Medication Can Help Your Condition

  • Understand how your medication works and the best method for using it.

  • Use your medication as directed by your doctor.

  • Let your medical doctor know that you have glaucoma and what medications you are taking.

  • Do not stop taking your eye medication without discussing it with your ophthalmologist.

  • If you have a side effect or experience any changes with your vision or your eyes, call your eye doctor immediately.

  • Have your eyes checked regularly.
 
 
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