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Glaucoma

What Is Glaucoma?

Glaucoma is a group of eye diseases that cause progressive damage to the optic nerve, the nerve responsible for sending visual information from the eye to the brain.

This damage is most commonly caused by increased pressure inside the eye (intraocular pressure), but glaucoma can also occur even with normal eye pressure.

Glaucoma is often called the “silent thief of sight” because it usually develops without pain or early symptoms and can lead to permanent vision loss if not detected early.

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» Why Is Glaucoma Dangerous?

Glaucoma causes irreversible damage to the optic nerve.
Once vision is lost due to glaucoma, it cannot be restored.

  • Vision loss usually starts from the side (peripheral vision)

  • Central vision is affected in late stages

  • Many patients realise the problem only when damage is advanced

Early diagnosis is the only way to protect vision.

» Common Causes & Risk Factors

You may be at higher risk of developing glaucoma if you have:

  • Age above 40 years

  • Family history of glaucoma

  • High eye pressure

  • Diabetes

  • High blood pressure

  • Long-term steroid use

  • High minus power (myopia)

  • Eye injury or previous eye surgery

Some people develop glaucoma without any known risk factors, making regular eye check-ups essential.

» Types of Glaucoma

‣ Primary Open-Angle Glaucoma

  • Most common type

  • Develops slowly over years

  • No early symptoms

  • Gradual loss of side vision

‣ Angle-Closure Glaucoma

  • Sudden rise in eye pressure

  • Severe eye pain, headache, nausea

  • Red eye and blurred vision

  • Medical emergency

‣ Normal-Tension Glaucoma

  • Optic nerve damage despite normal eye pressure

  • Often linked to poor blood flow to the optic nerve

‣ Secondary Glaucoma

  • Occurs due to other eye conditions, injury, surgery, inflammation, or medications

‣ Congenital (Childhood) Glaucoma

  • Present at birth or early childhood

  • Enlarged eyes, excessive tearing, light sensitivity

» Symptoms of Glaucoma

In many cases, there are no early warning signs.

As the disease progresses, symptoms may include:

  • Gradual loss of side (peripheral) vision

  • Tunnel vision in advanced stages

  • Blurred vision

  • Eye pain or redness (acute cases)

  • Headache, nausea (angle-closure glaucoma)

» Who Should Get Screened for Glaucoma?

Regular eye screening is strongly recommended for:

  • People above 40 years

  • Those with family history of glaucoma

  • Diabetic and hypertensive patients

  • Long-term steroid users

  • Patients with high eye pressure

Eye exams every 1–2 years can help detect glaucoma early.

» How Is Glaucoma Diagnosed?

Glaucoma diagnosis involves a detailed eye examination, including:

  • Measurement of eye pressure

  • Optic nerve evaluation

  • Visual field testing

  • Retinal nerve fibre analysis

Early diagnosis helps slow disease progression and preserve vision.

» Living With Glaucoma

Glaucoma is a lifelong condition that requires:

  • Regular eye check-ups

  • Continuous monitoring

  • Strict adherence to medical advice

With early diagnosis and proper care, many patients maintain useful vision throughout life.

» When Should You See an Eye Doctor Immediately?

Seek urgent eye care if you experience:

  • Sudden eye pain

  • Red eye with blurred vision

  • Severe headache with eye symptoms

  • Rapid vision loss

These may indicate acute angle-closure glaucoma, a medical emergency.

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