Open your eyes to the threat of glaucoma

It is easy to take sight for granted when eyes are working as they should. When vision begins to diminish, people may seek the advice of an eye professional to determine if there is something they can do to prevent further deterioration.

Glaucoma is the second leading cause of blindness in the world, advises the Cleveland Clinic. Unlike some other vision problems like cataracts that affect the lens or surface of the eye, glaucoma impacts the optic nerve directly. However, blindness from glaucoma often can be prevented with early treatment.

Under pressure

Glaucoma is brought on by abnormal pressure buildup in the eye. The American Academy of Ophthalmology says the eye constantly makes a substance known as aqueous humor. When new aqueous humor flows into the eye, existing aqueous humor should drain out through an area called the drainage angle.

But if the drainage angle is not working correctly, the fluid builds up and intraocular pressure in the eye increases. Over time, this pressure damages the optic nerve. The primary function of the optic nerve is to transmit visual information from the retina to the brain.

Open-angle and closed angle glaucoma

The most common type of glaucoma is known as open-angle glaucoma, which occurs when the drainage angle becomes blocked or there is resistance to the fluid draining out, says the Cleveland Clinic. This disease may go undetected for years because most people do not experience symptoms early on. The Mayo Clinic says gradual development of blind spots in peripheral vision and, in later stages, difficulty seeing things in central vision may occur.

In closed-angle glaucoma, also called angleclosure glaucoma, a person’s iris is very close to the drainage angle and the iris itself can end up blocking the drainage angle. When the drainage angle becomes completely blocked, pressure in the eye can rapidly increase.

The AAO says this is known as an acute attack and is a true emergency that can result in blindness.

Signs of an acute attack include: Suddenly blurry vision Severe eye pain Headache Nausea Vomiting Rainbow-colored rings or halos appearing around lights Glaucoma risk factors

Glaucoma can affect anyone, but the risk increases with age (over 60) and is higher among Black and Hispanic populations. Asian and Inuit populations are more susceptible to closedangle glaucoma, says the Cleveland Clinic.

People with diabetes also have a much higher risk of getting glaucoma. In addition, individuals with a family history of glaucoma; people with high blood pressure; and people with previous eye injury or surgery are at risk for glaucoma.

Treatment

The main treatment for glaucoma includes prescription eye drops that will decrease fluids and improve drainage in the eye. Laser therapy also may be recommended to help improve fluid drainage. Surgery also can achieve better eye pressure, but it is more invasive, and additional methods may be tried first.

Glaucoma is not something to take lightly. Routine eye exams that measure intraocular pressure can help determine if eyes are healthy.