A Disease That Risks Sight

Glaucoma, also known as eye pressure, is an optic nerve disease associated with lowering and damaging nerve cells, leading to blindness.

Orada Agaliu, Oculist physician in Policlinika No.1 Specialities, Tirana, tells the newspaper “Health +” Types of glaucoma, what causes it, and what consequences it may have.

Speaking further, it shows the importance of occasional examinations, where it points out that at least 1 times a year each of us should have a check on the medical ophthalmist.

What is glaucoma?

Glaucoma is a neuropathic, an optic nerve disease associated with aposis/ death or a lowering of nerve cells. Optic nerve has 1.2 million nerve fibers, and over the years that number gradually declines, while more is reduced in people with glaucoma. It is a disease that leads to blindness. So the patient ends up blind and is called the secret thief of sight, because when the person realizes that there is a problem with glaucoma it is really late. It is usually called eye pressure because it is accompanied by high eye pressure.

Glaucoma?

Glaucoma has many subdivisions, but the main ones are: primary glaucoma at an open angle (POAG) and glaucoma at a closed angle (ACG). The open - angle Glaucoma has several subdivisions: pseudoekfole, Pygmentary, rating, etc. Glaucoma at a closed angle is the glaucoma associated with a pupillar block or a glaucomatic crisis, which has very severe pain, vomiting, and often patients get confused, go to the emergency room, and do not refer to the occupy doctor.

These are the primary glaucomas, but it may also be the secondary glaucoma that comes from middle - class inflammation, that is, uveit, and the yumnial glaucoma that begins at a very early age may be congenial glaucoma, that is, the patient is born with glaucoma.

Not rarely do we, however, face in our daily practice what is called the glaucoma rating, which is a neuropatia of optic nerve, but when the patient is measured by eye pressure, tension is normal.

Glaucoma ratings have all the characteristics of traditional glaucoma, in addition to high intraochla pressure - eye pressure is normal. It is generally associated with circulation problems and problems in organ fusion.

What are the symptoms of glaucoma?

The peripheral section of sight begins to become damaged, although when testing the patient, it may have 100% of view, and most have no symptoms. When they start to realize it's too late.

While in the case of a closed - angle glaucoma, the patient may feel a blur of sight, halos, or rings of sighting the sun, vomiting, headaches, dizziness, and so forth. So there are all symptoms of migraine, and chronic open angle glaucoma usually is painless glaucoma, and glaucoma rates are with normal tension. This is the worst thing, because pain is a defense signal, it's about lack of signaling. So you don't signal that you have a problem and you don't understand.

Where do you get the most?

People with metobolic syndrome and people with sleeper syndrome. Usually, glaucoma can be juvenile, caught early in life, can be cogenital by birth, but it can also be caught after 40s. There is a very important genetic factor, which is that it changes from generation to generation - that is, there are cases of cartelized patients who are parents with glaucoma, children with glaucoma, and so on. Thus, the family member must make a dedication to see if and he suffers from glaucoma. The golden standard in these cases is optic nerve scanner. Because, as mentioned earlier, the visual fields are positive only when 40% of the nerve fibers are damaged.

How is glaucoma diagnosed?

Donometry is the main tool in diagnosing glaucoma, but it's not an aid tool in this case because, if a patient has visual problems, you measure eye pressure and it turns out that eye pressure is normal, you can't transmit it, and you say you don't have anything, you have to examine the end of the eye, you have to become an othalmoscope, or you can lower the patient in biomicscope. There you see the damage to optic nerve and visual fields is very important to diagnose the glaucoma rate, yet the visual fields are positive when about 40% of optic nerve fibers are damaged. The golden standard for testing glaucoma is optic nerve scanner or coherent optic tomography (OCT).

Another thing a doctor can do that has caught a normal - tension glaucoma is to have a hot - scale examination. I'll refer it to the internist doctor, a cardiologist, or a 24-hour monitoring for several days of arterial tension.

Treatment?

As the patient is diagnosed for the first time, he needs to be followed over and over with the measurement of intranocular tension and the visual field to see if there are different. If black spots or scotomas are added to the visual field, it is shown that even though the tension may be normal, treatment is not working properly.

When Is Surgery Needed?

The best thing is to keep it stable. Now that it's not stable with medication, surgery is done, and if it succeeds, treatment is broken, but you're still under control all the time to see the deer end, which we call a bee.

It is good for each of us to do at least 1 times a year to check our view. / Health.com.al