Glaucoma is a group of eye diseases that cause damage to various parts of the eye, especially the optic nerve, due to intermittent or persistent abnormalities in intraocular pressure, resulting in damage to visual function. This disease has nothing to do with glaucoma, flash or anything else, but the name is probably due to the green foggy appearance of the black eye caused by corneal edema during the attack, so the ancients named it, right? There are several meanings here: a. Normal intraocular pressure, but abnormalities around the sieve plate of the optic nerve in the eye, still causing damage to the optic nerve normal intraocular pressure glaucoma. Second, high intraocular pressure, but may be due to individual corneal thickness, endocrine, seasonal factors and other reasons, the optic nerve damage changes can not be observed, this is not considered glaucoma, only regular review, monitoring changes in the condition. Third, abnormal intraocular pressure, with various lesions, impaired visual function, this part is our usual meaning of glaucoma, need to actively treat. It is not true that high IOP must be glaucoma, nor is it true that normal IOP must not be glaucoma. It’s a bit of a mouthful but it’s a misconception of many doctors, not to mention the general public! Glaucoma needs to be diagnosed before treatment begins, and glaucoma medications are very specific and should not be used indiscriminately! The diagnosis is not a simple matter, but requires many tests and even regular observation before a conclusion can be made. General tests include visual acuity, optometry, intraocular pressure, ocular axis, ocular ultrasound, corneal thickness measurement, fundus photography, UBM, anterior and posterior segment OCT, visual field, VEP, etc. Currently many patients with highly suspected glaucoma require direct hospitalization for 24-hour IOP testing to confirm the diagnosis, which is troublesome, but this disease definitely needs to be treated with caution! Unless the primary glaucoma acute grand mal, various signs and symptoms are obvious, can immediately confirm the diagnosis and start treatment, other types are very difficult to immediately decide. There is no such thing as a doctor who can determine the diagnosis with a glance and confidence, telling with conviction that he knows how to get well and when he will be cured, if you encounter such a doctor, you need to be alert to quackery or charlatanism! The real eye doctor will not guarantee you anything, including the use of drugs to control the condition, each person’s physique is different, different reactions to the same drug, different sensitivity to different drugs, can only be treated while observing what drugs, how the use is the most suitable for you. The doctor will not guarantee the results of your surgery, and it is impossible to predict whether your IOP will be fully controlled and how your vision will be after surgery due to the special nature of glaucoma. The doctor can only guarantee that the treatment will be tailored to your condition, give you the best chance of improvement, and give you the maximum amount of effort and effort, and the result will be good, or maybe not ideal, requiring second-stage surgery or medication. Patient healing is the greatest reward for every doctor and the most desired ending, but doctors don’t tell fortunes, don’t demonize and deify doctors, and there is no need to be suspicious or even hostile to them. If there is a persistent loss of vision, visual field defects, eye swelling and pain, or even chronic soreness in the eyes, it is important to go to the hospital to rule out the possibility of glaucoma. These symptoms may not necessarily be glaucoma, but the sudden appearance of severe eye distention, headache, blurred vision, nausea and vomiting is highly suspicious of glaucoma, and many patients go to neurology delayed for a few days before thinking of ophthalmology consultation, delaying the valuable time to restore sight. If IOP is not controlled in time, it can cause blindness in 24 hours, which is why it is important to treat glaucoma so carefully. Glaucoma damages visual function and causes vision loss that cannot be recovered. This is the key! Many eye diseases can be treated with medication or surgery to restore sight, such as the familiar cataracts, while glaucoma, even if treated successfully, is unlikely to fully restore normal vision! Generally after the diagnosis of glaucoma needs to be controlled with medication early, if it is ideal, it can be done without surgery, and many patients have a good ending with lifelong medication. If the medication is not ideal, there can be many combinations of medications to go with it, requiring cooperation between doctor and patient to figure out. Ultimately, if you are not satisfied, you will have to seek surgical treatment. As for the surgical procedure and choice, here is not a waste of words, the patient is difficult to understand, I believe the doctor will give the most sensible, wise, the most cha. We doctors do not like the disease of glaucoma because the prognosis is not pretty. The so-called not beautiful, because the patient after treatment no obvious vision improvement, or even a slight decline, not as beautiful as the cataract doctor, surgery vision immediately restored. Many patients feel that they spend a lot of money, undergo surgery, and then do not regain their vision, they blame the doctor and doubt the doctor. All I can say is that glaucoma damages the optic nerve, and the nerve cannot regenerate, so this dictates that the prettiest glaucoma treatment is one that allows the patient’s visual function to stay at the level it was at the moment before treatment and not continue to decrease. Usually this standard is difficult to reach. So the need for early detection, early treatment, to nip this disease in the bud is the best way, but unfortunately our country, whether institutional, or the general public science can not do the level and standard of foreign census, this is not the fault of doctors, the national situation helpless, ophthalmologists called in vain. Early detection and treatment, which is more effective than any advanced treatment after the onset of the disease. It is most desirable for patients to understand this disease as soon as possible, to make the wisest choice, to participate in medical screening, to find out the potential risk of glaucoma, and to deal with it before the onset of glaucoma, such as laser, surgery. But the general public will not understand, I do not have a problem why do surgery, why laser, is not the doctor cheat me money? Our country has a long way to go compared to developed countries, both in terms of doctors and patients, the concept is too far apart.