Glaucoma Awareness Week - What you need to know about The Silent Thief of Sight

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(Edited)

Greetings to all and sundry,

It is another blessed day and the end of an amazing week. Work has been fun and interesting research is currently ongoing. The end of this week marked the end of Glaucoma Awareness across the globe and as an eye care provider is only right that i took my time to share something with you regarding that.

And so for today, we are going to take a look at the ocular condition called glaucoma, the risk factors, the things we can possible do to protect ourselves or help our loved ones, what we need to do if and when we get diagnosed, and some basic tips to help protect and maintain our sight. I do hope you enjoy the read.


What is Glaucoma?

Glaucoma is a disease or condition of the eye where there is gradual loss or death of optic nerves cells which is mostly characterized by a rise in intraocular pressure alongside thinning of the retina and other changes within the retina.

This allows us to look at glaucoma as more of a syndrome owing to the many parameters that come into play before one can conclude that a patient has glaucoma.

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There are different types of glaucoma the most common ones are open angle-closure glaucoma, acute angle-closure angle glaucoma, normal-tension glaucoma, etc. All of them have one thing in common which is apoptosis of the optic nerve.

Glaucoma is nicknamed the silent thief of sight because it tends not to present any symptoms to the patient with the condition until the visual loss is at a significant stage.

This is however with the exception of acute close angle glaucoma because it tends to present symptoms owing to the alacrity with which damage comes in. Acute close angle glaucoma is actually considered an emergency case and as such ought to be taken quite seriously. This would be treated another day though.


Diagnosis and What Can be Done

As already stipulated above glaucoma could be look as a syndrome owing to the many parameters that come together before one can be diagnosed but what we need to know is the fact that whiles glaucoma is a blinding condition getting diagnosed is not a decree you would go blind.

Early diagnosis is key, when caught early one could actually manage their condition well to enjoy the fullness of their sight for their entire lifespan. The only way to know if you have glaucoma or not is for your Optometrist or Ophthalmologist to give you comprehensive eye care to evaluate your retina and optic disc.

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And so the first step would be regular eye care or checkup. Do not wait to have any issues with the eye before you visit your eye care provider. Visit your optometrist at least twice every year to ensure everything about your eye is on point as they ought to.

If your OD suspects you to have glaucoma he or she may ask you to undergo series of test to verify since lots of other conditions including high myopia can masquerade the signs of glaucoma on the retina. Some of the test include Visual Field test, Visual Acuity test, Ocular Coherence Tomography and Tonometry.


So You Have Glaucoma, What Next?

The first thing to do is not panic, glaucoma is not a sight loss decree with proper management one could save their sight and enjoy it to the fullest. Once you have been diagnosed with a glaucoma patient your optometrist would put you on medication. Glaucoma management drugs are of different categories and effectiveness and so based on what your optometrist observes you would be managed accordingly.

Most often the startup medication for most cases of mild conditions that get cause early starts with timolol maleate which you are probably going to use morning and evening. In cases of very high IOP, you may be given Diamox tablets to help bring the pressure down quicker.

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Now it is pertinent that you do not skip your drops, you ought to be religious with your treatment and even it so happens it skips you quickly to get back on track and resume. It is also advisable that you do not wait for your drug to run out completely before you go for a refill.

Leaving your treatment for days, weeks, or even months would bring about rapid deterioration and cause massive damage to your cells that there would have been. Be sure to not skip your review dates and if you notice any extreme side effects with your drugs report to your optometrist to change them for you.


Other things you can do and How to protect yourself

First and foremost let's look at the risk factors that can exacerbate your situation as a glaucoma patient or be a leading cause for you to get the condition. The first one would be Heredity.

Glaucoma tends to run through the family although no specific genes or alleles have yet to be associated and as to whether it is dominant or recessive. But we do know that it can skip generations which probably makes it a recessive allele irrespective it is advisable that if you have a family history of glaucoma you get yourself checkout by an optometrist.

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Another point to consider is your geographical location or origins, Africans and African-Americans tend to have open-angle glaucoma whereas individuals of Eastern descent tend to have close-angle glaucoma.

Lifestyle habits such as smoking and alcohol tend to have a long-term negative effect of a rise in intraocular pressure which correlates with the development or progression of glaucoma. It would thus be advisable to let these habits go.

Conditions such as Diabetes and Hypertension also tend to have a positive correlation with the development and progression of glaucoma and other ocular conditions of equally damaging or blinding effects such as proliferative diabetic retinopathy and hypertensive retinopathy. If you have any of these do well to visit your OD often.

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The last thing we can do to help protect ourselves and better our glaucoma diagnosis is the adoption of good habits in general. We must do well to eat well, green leafy vegetables are great for the eye they have lots of antioxidants that are good for ocular health.

Citrus and other fruits full of citric acid and other vitamins also does a lot of good for the eye. Vitamin C is the most powerful antioxidant when it comes to the eye although glutathione is well known for the whole system, if you ensure you always have a good amount of vitamin C in your system it would generally help your ocular health. Don't forget to exercise too.


Conclusion

The best way out is early diagnosis, visit your optometrist today if you are yet to, glaucoma is not a blinding sentence. Staying healthy and living healthy as well as being religious with your medication or treatment should just do it.

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Nonetheless, if you have any issues you would want to discuss with me you can kindly let me know in the comment section or reach out to me in steemsocial discord channel, same username. Greetings to my friends, professor @lemouth, and my brother from Nigeria @gentleshaid. I do hope that you learned a thing or two from today's lesson though.

Thanks for reading, Stay safe and have a wonderful time.

All images unless otherwise cited are owned by @nattybongo


Rerefences

Lee, A. J., Rochtchina, E., Wang, J. J., Healey, P. R., & Mitchell, P. (2003). Does smoking affect intraocular pressure? Findings from the Blue Mountains Eye Study. Journal of glaucoma, 12(3), 209–212. https://doi.org/10.1097/00061198-200306000-00005

PEXCZON, J. D., & GRANT, W. M. (1965). GLAUCOMA, ALCOHOL, AND INTRAOCULAR PRESSURE. Archives of ophthalmology (Chicago, Ill. : 1960), 73, 495–501. https://doi.org/10.1001/archopht.1965.00970030497009

Erb C. (2016). Management von Glaukompatienten [Management of Glaucoma Patients]. Klinische Monatsblatter fur Augenheilkunde, 233(2), 132–133. https://doi.org/10.1055/s-0042-100350

Wiggs, J. L., & Pasquale, L. R. (2017). Genetics of glaucoma. Human molecular genetics, 26(R1), R21–R27. https://doi.org/10.1093/hmg/ddx184

Ramdas W. D. (2018). The relation between dietary intake and glaucoma: a systematic review. Acta ophthalmologica, 96(6), 550–556. https://doi.org/10.1111/aos.13662

Han, F. F., & Fu, X. X. (2022). Vitamin intake and glaucoma risk: A systematic review and meta-analysis. Journal francais d'ophtalmologie, S0181-5512(22)00041-9. Advance online publication. https://doi.org/10.1016/j.jfo.2021.10.010

Bol P. (2003). Glaucoom [Glaucoma]. Nederlands tijdschrift voor tandheelkunde, 110(7), 298–299.

Kang, J. M., & Tanna, A. P. (2021). Glaucoma. The Medical clinics of North America, 105(3), 493–510. https://doi.org/10.1016/j.mcna.2021.01.004

Weinreb, R. N., Aung, T., & Medeiros, F. A. (2014). The pathophysiology and treatment of glaucoma: a review. JAMA, 311(18), 1901–1911. https://doi.org/10.1001/jama.2014.3192



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Thank you

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You're welcome @nattybongo, nice achievement 😊👍 Keep going like this!

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I think I have already done this a long time ago but will just do it again to confirm

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Thank you. The previous proposal has expired end of last year, hence why we ask you to renew your vote on the one we did for 2022

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Surgeons have started using laser iridotomy and iridectomy for the recurrence .

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It is also done for young once with a longer lifespan to help keep them of drugs for a while and also give them a better prognosis

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If I have well understood, having glaucoma means that we will need to be treated for life, won't we? But with a permanent treatment, then at the end of the day we cal have a very normal life. Is this correct?

Cheers, and thanks for sharing this blog with us!

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Yes indeed glaucoma is a lifetime condition that stays with you however once caught if the patient should stay religious with the treatment they get to ensure their life normally and keep their vision, the other way round may result in loss of vision though

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Thanks for this repetition that confirms my understanding of your blog :)

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