Preventing the Invisible Vision Killer: Glaucoma

  Glaucoma is the second most blinding eye disease in the world. Like cataracts, it is mostly seen in the elderly, but unlike cataracts, there is no treatment available to restore the vision of glaucoma patients once they have lost their eyesight. Therefore, people are generally afraid of glaucoma, but as long as we have a proper understanding of glaucoma and treat it early, it is possible to maintain useful vision for life.  With the popularity of electronic products, it is easy to look at cell phones and tablet computers for a long time in a dark room, which may induce glaucoma when combined with the body’s susceptibility. When you come to the hospital with painful eye swelling and are told that you have glaucoma, it is unfortunate, but not all glaucoma patients have eye swelling. Compared to those who do not know they have glaucoma yet and cannot start treatment in time are lucky, because you have been diagnosed and are about to start standardized treatment.  Glaucoma is commonly associated with pathologically elevated intraocular pressure, which is caused by the accumulation of atrial fluid in the eye due to obstruction of the atrial pathway, resulting in pressure damage to the optic nerve and eventually complete optic nerve atrophy and blindness. In cases where medications do not provide lasting control of IOP, surgery can open the blockage and create a new atrial aqueous pathway to lower IOP to a safe range and protect residual visual function.  The various devices needed to examine glaucoma, such as a non-contact tonometer, fundoscope, computerized visual field meter, and a German Zeiss optical coherence tomograph to examine the anterior chamber angle and optic nerve fiber layer, provide for early detection and assessment of the effectiveness of glaucoma treatment. Nowadays, the main surgical procedures for glaucoma treatment are YAG laser peripheral iridotomy (to prevent the occurrence of acute angle-closure glaucoma), trabeculectomy (the most widely used), and Ahmed glaucoma drainage valve implantation (for refractory glaucoma).  Glaucoma valve In the treatment, we hope you can understand and pay attention to the following matters: 1, first of all, we should establish confidence, we should pay attention to but not worry and pessimism, although glaucoma can not be cured at present, but if we can timely and correct treatment, most of the course of glaucoma can be controlled or delayed, and maintain useful visual function for life.  2, more knowledge about glaucoma, can be through the Internet, reading popular science books, and communication with doctors. This can help you better handle the physical and emotional aspects of the treatment process.  3.Actively communicate and cooperate with the medical staff to improve the necessary preoperative tests in order to determine the nature, type and stage of the disease process of the glaucoma you have, which will help to select and develop the best surgical plan and provide basic information for assessing the regression of the disease after treatment.  4. Before surgery, we will use medication to lower the IOP to the normal range and reduce the patient’s discomfort as much as possible to create good conditions for successful surgery. If any discomfort occurs during the treatment, please tell us in time so that we can deal with it as early as possible.  5, bad mood, insomnia, etc. can induce an increase in IOP, which is not conducive to disease control, so keep optimistic mood, listen to music, chat more with relatives and patients, walk and play tai chi the day after surgery to relax, do not argue with others and prevent mood swings. At the same time to maintain adequate sleep, if necessary, you can take some appropriate sedative and sleeping drugs.  6, constipation is also a harmful factor, can make the eye pressure rise. Therefore, we should eat reasonably and choose some light and easily digestible food, such as green leafy vegetables, barley, watermelon, honey, etc. Avoid greasy and stimulating food. Drink water in small amounts several times, do not drink a large amount of water at one time.  7.Some patients’ surgical incisions may still not be open to make the IOP rise again, or too open to cause low IOP, so glaucoma patients must be reviewed regularly to better control the disease and achieve the purpose of maintaining useful visual function for life.