Eye Conditions

Glaucoma

Glaucoma is the name given to a group of eye diseases that damage the optic nerve and causes vision loss. Vision loss is gradual, and peripheral (side) vision may be lost before you are aware of any problem. The optic nerve is a bundle of nerve fibres that carries images or signals from the eyes to the brain.

Glaucoma eye condition

In an eye without glaucoma, a clear fluid called aqueous humor circulates through the eye and then drains out through a mesh-like channel (trabecular meshwork). In an eye that has glaucoma, this channel becomes blocked and fluid does not drain properly, this in turn increases the pressure inside the eye (intraocular pressure). The increased intraocular pressure causes damage to the ocular nerves and blood vessels resulting in vision loss.

Types of glaucoma

The different types of glaucoma include:

  • Open Angle Glaucoma: this is the most common form of glaucoma, it can also be called primary or chronic glaucoma. This type of glaucoma occurs when the eye’s drainage system becomes clogged and gradually increases the pressure inside the eye. The angle between the iris and cornea is wide open.
  • Closed Angle Glaucoma: this form of glaucoma is less common and can cause sudden build of pressure in the eye. The angle between the iris and cornea is narrow or closed.
  • Normal tension or low-tension glaucoma: the optic nerve is damaged in this type of glaucoma despite normal intraocular pressure.

Other types of glaucoma also include congenital, pigmentary, secondary, pseudoexfoliative glaucoma, traumatic glaucoma, neovascular glaucoma and irido corneal endothelial syndrome (ICE).

Treatment

The aim of treatment is to reduce the pressure in your eyes, which involves using eye drops or medications. In some cases, laser treatment or surgery is performed to prevent further damage,

Peter Hinchcliffe

What treatments are available for Macular Degeneration?

The type of macular degeneration you have will determine the type of treatment options that are recommended for you.

There is no current treatment or cure for dry macular degeneration, however, nutrition plays an important role in optimising your macular health. A well-balanced diet, with daily intake of green leafy vegetables and fruit, eating fish two to three times a week and handful of nuts a week can assist with keeping your eyes healthy.

There is treatment available for wet macular degeneration, however, it is important to remember that these treatments do not cure the disease but aim to stabilise and maintain the best vision for as long as possible.

A protein called Vascular Endothelial Growth Factor, or VEGF, is mainly responsible for the growth and leaking of new blood vessels that result in a rapid loss of vision.

To stop or slow this process, various drugs that block the protein, called anti-VEGFs, may be injected into the eye. There are several anti-VEGF drugs used to treat wet macular degeneration in Australia. Your ophthalmologist will discuss with you the most appropriate drug.

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