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Tijuana Eye Center

What is Glaucoma?

Glaucoma is a group of eye diseases that gradually steal sight without warning. In the early stages of the disease, there may be no symptoms. Experts estimate that half of the people affected by glaucoma may not know they have it.

Vision loss

Vision loss is caused by damage to the optic nerve. This nerve acts like an electric cable with over a million wires. It is responsible for carrying images from the eye to the brain. There is no cure for glaucoma—yet. However, medication or surgery can slow or prevent further vision loss. The appropriate treatment depends upon the type of glaucoma among other factors. Early detection is vital to stopping the progress of the disease.

It was once thought that high pressure within the eye, also known as intraocular pressure or IOP, is the main cause of this optic nerve damage. Although IOP is clearly a risk factor, we now know that other factors must also be involved because even people with "normal" levels of pressure can experience vision loss from glaucoma.

Most at risk

African-Americans

Glaucoma is the leading cause of blindness among African-Americans. It is six to eight times more common in African-Americans than in Caucasians.

People Over 60

Glaucoma is much more common among older people. You are six times more likely to get glaucoma if you are over 60 years old.

Family Members with Glaucoma

The most common type of glaucoma, primary open angle glaucoma, is hereditary. If members of your immediate family have glaucoma, you are at a much higher risk than the rest of the population. Family history increases risk of glaucoma four to nine times.

Steroid Users

A study reported in the Journal of American Medical Association, March 5, 1997, demonstrated a 40% increase in the incidence of ocular hypertension and open angle glaucoma in adults who require approximately 14 to 35 puffs of steroid inhaler to control asthma. This is a very high dose, only required in cases of severe asthma.

Asians

People of Asian descent appear to be at some risk for angle closure glaucoma. Angle closure glaucoma accounts for less than 10% of all diagnosed cases of glaucoma. Otherwise there is no known increased risk in Asian populations.

Hispanics in Older Age Groups

Recent studies indicate that the risk for Hispanic populations is greater than those of predominantly European ancestry, and that the risk increases among Hispanics over age 60.

Eye Injury

Injury to the eye may cause secondary open angle glaucoma. This type of glaucoma can occur immediately after the injury or years later. Blunt injuries that “bruise” the eye (called blunt trauma) or injuries that penetrate the eye can damage the eye’s drainage system, leading to traumatic glaucoma. The most common cause is sports-related injuries such as baseball or boxing.

Other Risk Factors

Possible risk factors include:

  • high myopia (nearsightedness)
  • diabetes
  • hypertension
  • Central corneal thickness less than .5 mm.

the key to protecting your vision

Diagnostic Tests

Early detection, through regular and complete eye exams, is the key to protecting your vision from damage caused by glaucoma. It is important to have your eyes examined regularly.

Your eyes should be tested at:

  • Ages 35 and 40
  • Age 40 to age 60, get tested every two to four years
  • After age 60, every one to two years
  • Anyone with high risk factors, should be tested every year or two after age 35.

Common Tests for Glaucoma

Regular glaucoma check-ups include two routine eye tests: tonometry and ophthalmoscopy.

Tonometry

The tonometry test measures the inner pressure of the eye. Usually drops are used to numb the eye. Then the doctor or technician will use a special device that measures the eye’s pressure.

Ophthalmoscopy

Ophthalmoscopy is used to examine the inside of the eye, especially the optic nerve. In a darkened room, the doctor will magnify your eye by using an ophthalmoscope (an instrument with a small light on the end). This helps the doctor look at the shape and color of the optic nerve. If the pressure in the eye is not in the normal range, or if the optic nerve looks unusual, then one or two special glaucoma tests will be done. These two tests are called perimetry and gonioscopy.

perimetry

The perimetry test is also called a visual field test. During this test, you will be asked to look straight ahead and then indicate when a moving light passes your peripheral (or side) vision. This helps draw a “map” of your vision.

Gonioscopy

Gonioscopy is a painless eye test that checks if the angle where the iris meets the cornea is open or closed, showing if either open angle or closed angle glaucoma is present.

Optic Nerve Computer Imaging

In recent years three new techniques of optic nerve imaging have become widely available. These are scanning laser polarimetry (GDx), confocal laser ophthalmoscopy (Heidelberg Retinal Tomography or HRT II), and optical coherence tomography (OCT).

Corneal Thickness

In 2002, the five-year report of the Ocular Hypertension Study (OHTS) was released. The study’s goal was to determine if early intervention with pressure lowering medications could reduce the number of ocular hypertensive (OHT) patients that develop glaucoma. During the study, a critical discovery was made regarding corneal thickness and its role in intraocular eye pressure and glaucoma development.

Key Points Summary
  • Early Detection: Focus on early testing to identify glaucoma before significant vision loss occurs.
  • Advanced Treatment Techniques: Medications, laser therapy, and surgery to manage intraocular pressure.
  • Long-Term Management: Regular monitoring to adapt treatment plans and prevent progression of the disease.
  • Education and Support: Patients are educated about lifestyle adjustments and treatment compliance.
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KEY

POINTS

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Copyright Š 2024 Tijuana Eye Center. All Rights Reserved.Todos Los Derechos Reservados. ATENCION AL PUBLICO EN GENERAL Permiso COFEPRIS 203300201A0987 LS 17AM020040034 Responsable Sanitario Dr. Juan P. Rodriguez P. 4452528 Escuela Superior de Oftalmologia del Instituto Barraquer de America.

we have everything you need

Looking for the most popular opthalmologist clinic in Tijuana? Look no further.

Tijuana Eye Center

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