Glaucoma
Glaucoma is a group of eye diseases which result in damage to the
optic nerve and vision loss. The most common type is open-angle
glaucoma with less common types including closed-angle
glaucoma and normal-tension glaucoma. Open-angle glaucoma
develops slowly over time and there is no pain. Side vision may
begin to decrease followed by central vision resulting in blindness
if not treated. Closed-angle glaucoma can present gradually or
suddenly. The sudden presentation may involve severe eye pain,
blurred vision, mid-dilated pupil, redness of the eye, and nausea.
Vision loss from glaucoma, once it has occurred, is permanent.
Risk factors for glaucoma include increased pressure in the eye, a
family history of the condition, migraines, high blood pressure,
and obesity. For eye pressures a value of greater than 21 mmHg or
2.8 kPa is often used with higher pressures leading to a greater
risk. However, some may have high eye pressure for years and
never develop damage. Conversely, optic nerve damage may occur
with normal pressure, known as normal-tension glaucoma. The
mechanism of open-angle glaucoma is believed to be slow exit of
aqueous humor through the trabecular meshwork while in closed-
angle glaucoma the iris blocks the trabecular meshwork.
Diagnosis is by a dilated eye examination. Often the optic nerve
shows an abnormal amount of cupping. If treated early it is
possible to slow or stop the progression of disease with
medication, laser treatment, or surgery. The goal of these
treatments is to decrease eye pressure. A number of different
classes of glaucoma medication are available. Laser treatments
may be effective in both open-angle and closed-angle glaucoma. A
number of types of glaucoma surgeries may be used in people who
do not respond sufficiently to other measures. Treatment of
closed-angle glaucoma is a medical [Link] 11 to 67
million people have glaucoma globally. The disease affects about
2 million people in the United States. It occurs more commonly
among older people. Closed-angle glaucoma is more common in
women. Glaucoma has been called the "silent thief of sight"
because the loss of vision usually occurs slowly over a long period
of [Link], glaucoma is the second-leading cause of
blindness after cataracts. The word "glaucoma" is from ancient
Greek glaukos which means blue, green, or gray. In English, the
word was used as early as 1587 but did not become commonly
used until after 1850, when the development of the
ophthalmoscope allowed people to see the optic nerve damage .