Vancouver Senior Health | December 13, 2023
Seniors and Glaucoma | Glaucoma, a condition that can harm the optic nerve and cause vision loss, is the second most common cause of blindness. As pressure in the eyes gradually increases, up to 40 percent of vision may be compromised without detection. Fortunately, prompt intervention can safeguard against significant vision impairment.
At the front of the eye lies the anterior chamber, where a clear fluid circulates constantly to nourish the surrounding tissues. This fluid exits through an open angle where the cornea and iris meet, passing through a sponge-like meshwork acting as a drain before leaving the eye. However, if this drainage process is hindered and the fluid accumulates, it can lead to increased pressure within the eye that may harm the optic nerve and cause vision loss. Hence, regulating this pressure is crucial for maintaining healthy eyesight.
Having high eye pressure does not necessarily mean that an individual will develop glaucoma. Each person’s tolerance for elevated eye pressure varies. Undergoing a thorough dilated eye exam can assist your eye care provider in determining the appropriate level of eye pressure for you.
Open-angle Glaucoma: The most prevalent form of glaucoma is open-angle glaucoma, which impacts around 3 million individuals in the United States. It is characterized by a gradual, painless decline in peripheral vision, caused by blockages in the eye’s drainage canals. The resulting vision impairment resembles the view through a paper towel tube. Symptoms and warning signs are typically absent, and vision loss may go unnoticed for a long period. Fortunately, medication is effective in treating this type, particularly when detected early and promptly addressed.
Low-Tension or Normal-Tension Glaucoma: Low-tension or normal-tension glaucoma can cause optic nerve damage and narrowed side vision even when eye pressure is within the normal range. While medications that reduce eye pressure by at least 30 percent may slow down the progression of this condition in some patients, it may not have the same effect for others. That’s why a thorough medical history is crucial in identifying any potential risk factors, including low blood pressure. In cases where no risk factors are found, treatment options remain similar to those for open-angle glaucoma.
Angle-Closure Glaucoma: Angle-closure glaucoma is a type of glaucoma where the fluid in the front of the eye cannot escape due to a blockage caused by part of the iris. This leads to a rapid rise in eye pressure, causing symptoms such as intense pain, nausea, redness, and blurred vision. If you experience these signs, it is crucial to seek emergency medical treatment right away. Left untreated, the condition can result in permanent blindness within just one or two days. Fortunately, with prompt laser surgery and medication, the blockage can typically be cleared and sight preserved.
There are also rare types of glaucoma that can affect seniors. In addition to the more common forms, seniors may also develop less common types of glaucoma. One such type, called pigmentary glaucoma, involves the flaking off of iris pigment which can then block the meshwork and impede fluid drainage. This particular type poses a significant threat to visits throughout a lifetime. Furthermore, glaucoma caused by trauma can occur as a result of severe eye injury, exposure to chemicals, or penetration into the eye.
At this time, there is no known cure for glaucoma. Nevertheless, there are options such as medication or surgery that can aid in slowing down or halting any additional vision deterioration. The course of treatment will vary depending on the specific type of glaucoma a person is dealing with.
Throughout treatment, certain medications may become ineffective or have adverse effects when combined with other prescriptions. Having a physician oversee the management of glaucoma and its corresponding medications is important. For those undergoing treatment for glaucoma, it is crucial to consistently take the prescribed medication each day.
Research has proven that identifying and treating glaucoma in its early stages is the most effective method of managing the disease. It is essential to undergo regular eye examinations with dilated pupils by a qualified eye specialist. Starting at the age of 40, it is recommended to have an exam every two to four years, increasing to annual exams after 55. Individuals over 50 with a family history of glaucoma should receive full annual exams.
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References:
AgingCare.com. “Glaucoma Can Steal 40% of Vision Before the Person Notices” by Marlo Sollitto. Web.2016.
A Place for Mom. “Glaucoma In Seniors: Symptoms & Care” by Jeannette Franks, Ph.D. Web. 2013.
Glaucoma Research Foundation.“Glaucoma Facts and Stats.” Web. 2016.
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