Glaucoma

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Glaucoma is the name given to a group of eye conditions that affect vision which are usually associated with high pressure within the eye (intra ocular pressure or IOP). It’s largely asymptomatic and it affects your outer (peripheral) vision first.

Research suggests that a form of glaucoma affects about two out of every 100 people in the UK who are over 40. The risk of glaucoma generally increases as you get older so it’s important to have your eyes tested regularly, especially if you have a relative who suffers it. If you have a first hand relative who suffers with glaucoma and you are over 40 years of age your sight test will be paid for by the NHS.  In this case, it is recommended that you have annual checks so that if you’re being affected by glaucoma action can be taken swiftly.

Glaucoma often affects both eyes, usually in varying degrees. One eye may develop glaucoma quicker than the other.

If glaucoma is left untreated it can cause blindness. However, if it’s diagnosed and treated in the early stages further damage to your vision can be prevented. Treatment at this stage usually involves putting a drop in your eye each day. This is usually very effective and will prevent any further optic nerve damage and deterioration to your vision.

There are four main types of glaucoma:

  • Open Angle Glaucoma (Chronic Glaucoma)
  • Acute Angle Closure Glaucoma (Acute Glaucoma)
  • Secondary Glaucoma
  • Developmental Glaucoma (Congenital Glaucoma)

Open Angle Glaucoma (Chronic Glaucoma)

Open angle glaucoma is the most common type of glaucoma. It develops very slowly, so you may not realise it is happening. Open angle glaucoma occurs when the drainage tubes (trabecular meshwork) within the eye become slightly blocked, preventing eye fluid (aqueous humour) from draining properly.
When the fluid can’t drain properly, pressure builds up (intraocular pressure) which can cause damage to your optic nerves and the nerve fibres from your retina. The term ‘open angle’ refers to the angle of space between the iris (coloured part of the eye) and the sclera (the white outer covering of the eyeball). The fact it is an open angle means there is no physical obstruction blocking the drainage: it is the tubes that have a blockage.

Acute Angle Closure Glaucoma (Acute Glaucoma)

Acute angle closure glaucoma refers to a narrowing of the angle between your iris and sclera. The narrowing often happens quickly, causing a sudden and painful build-up of pressure in your eye. Acute angle closure glaucoma is rare.

Secondary Glaucoma

A secondary glaucoma may occur as a result of an eye injury or another eye condition such as uveitis. Secondary glaucoma can be open angle or closed angle.

Developmental Glaucoma

Developmental glaucoma is rare, but it can be serious. It’s usually present at birth, or develops shortly after birth. Developmental glaucoma is caused by an abnormality of the eye.

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Normal Vision

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The same scene viewed by a person with glaucoma