What
is Glaucoma?
Glaucoma
is a condition in which high pressure of eye damages the retinal nerve
fibres and optic nerve. This results in decreasing the visual area and
visual loss.
How
do I know if I have Glaucoma?
Many
a times this condition is detected only upon routine eye examination as
the most common type of Glaucoma has no symptoms. Hence all patients at
NEC are screened for the same. The symptoms of this disease may
vary from no symptoms to eye ache, headache and red painful eye with blurred
vision.
How
much is high pressure?
The
average normal intraocular pressure is 10 to 21 mHg. Pressure above 21
mHg may slowly damage the optic nerve (Primary Open Angle Glaucoma).
Can
I have Glaucoma with normal pressure?
Yes,
some people have susceptibility to damage even with normal pressure (Low
Tension or Normal Tension Glaucoma).
What
tests are done to diagnose Glaucoma?
To
diagnose Glaucoma, intraocular pressure is measured in the clinic. The
ophthalmologists documents the changes of optic nerve head(disc) while
looking at your fundus through pupil. If Glaucoma is suspected, you may
have to undergo a computerized visual field test to detect areas of fading
vision. The type of Glaucoma is detected by assessing the angle of an interior
chamber of eye by gonioscopy.
How
is Glaucoma treated?
Treatment
often begins with eye drops to lower intraocular pressure which helps to
prevent further damage. Newer medications are now available which are very
effective and few side effects.
What
is the role of Laser?
Certain
type of Glaucoma eg. Pigmentary Glaucoma are treated by Argon Laser Trabeculoplasty
(ALT). Peripheral Iredectomy (P.I.) has a role in narrow angle Glaucoma.
Is
there surgery for Glaucoma?
With
the newer medications, surgical intervention is less required. However
in patients who have failed laser treatment or not controlled by medication,
filtering surgery trabeculectory is done.
All
patients at NEC are screened for this silent disease. The clinic uses computer
technology along with other sophisticated tools to provide Glaucoma evaluation
and treatment.
-
Applanation
tonometer : Inami
-
Non contact
tonometer : Nidek
-
Automated
Visual field analyser : Humphrey
-
Fundus
Camera
-
Nd: YAG
Laser :Zeiss
-
Double
frequency laser : Zeiss
-
Medical
and surgical procedures
|