Self-care for hypertension and glaucoma

  It is common to see parents in ophthalmology clinics panicking when their child has a high IOP measurement, fearing that glaucoma has a poor prognosis. In fact, the definition of glaucoma includes a pathological increase in intraocular pressure and a visual field defect with damage to the optic nerve papillae caused by this surface. If only the IOP is often higher than normal, in the range of 22-28 mm Hg, and no damage to the optic nerve papilla and visual field changes occur, it is referred to as hypertelorism, or as suspected glaucoma and not as early glaucoma.  There is no consensus on the specific treatment of hypertension. It is considered that long-term, regular, comprehensive, and close follow-up should be performed, with IOP, fundus, and visual fields reviewed every 1-3 months, including IOP tracings, fundus photography of the optic nerve papillae and retinal fiber layer if available. During the observation period, no treatment is given in order to avoid possible adverse drug side effects and psychological burden on the patient.  A more reasonable and feasible principle is to treat as appropriate. If both eyes are hypertensive and can be conditioned and can insist on cooperation, they can be left untreated and reviewed regularly. Otherwise, one eye can be treated with a certain kind of low-concentration drug for testing first. After 1-2 weeks of treatment, if the IOP decreases to normal or the IOP decreases by more than 5 mm Hg, the treatment can be changed to both eyes at the same time. If the effect of pressure reduction is not significant, the drug concentration can be increased, or the drug can be stopped and continued observation. If one eye is definitely glaucomatous, the other eye should be given regular treatment. Treatment should also be given if the patient has high-risk factors, including a large cup-and-disc ratio, high myopia, diabetes, cardiovascular disease, and a family history of glaucoma.  For patients with glaucoma, great importance should be attached to self-care. Only practical and reasonable self-care health care measures can obtain a lasting and reliable treatment effect and ensure good visual function.  1. Treat it correctly and build up confidence. Although glaucoma is a serious, blindness-causing eye disease, if once discovered, not lost vision, it is possible to control the development of the disease with active treatment, generally not to the end of blindness, especially in early patients with good vision.  2, maintain a good mood, happy and open-minded, avoid all bad stimuli and emotional ups and downs, overcome the shortcomings of impatience and irritability or melancholy, reduce the possible triggering factors of the onset.  3, in the case of the whole body allows, physical exercise within the ability to achieve real physical and mental health.  4.Keep your daily life in order, do not eat too much, eat less spicy and stimulating food, keep your bowels open, do not overexert yourself, and ensure sufficient sleep.  5, do not stay in the dark environment for a long time, such as watching TV or watching movies, it is best to come out for a break in the middle of the appropriate time.  6, should not drink a lot of water, tea, should be a number of small amounts, should not drink coffee and strong tea.  7, should not continue to read and write for a long time, every hour should rest for a moment, for a long view. When reading and writing at night, there should be sufficient, bright light source lighting.  8, the most important thing is to adhere to the doctor’s orders, regular medication, do not take the initiative, self-righteousness, unauthorized stop, change and add medication.  9, it is also important to insist on regular follow-up examinations, even if the condition is very stable, do not have a paralyzing fluke mentality, and do not take it lightly.  If you can do the above points carefully and persistently, the good treatment effect will be more reliable guaranteed.