DISEASE

Message of common value

WHY DO YOU REGULAR NEED
EYE EXAMINATION WHEN YOU
HAVE GLAUCOMA?

YOU DON'T FEEL ANYTHING
BUT YOUR EYE CAN GET BLIND
SLOWLY
WHEN THE EYE PRESSURE
IS TO HIGH!

HOLIDAYS = LENSES

METAMORPHOSIS
(=curved lines)

THIS MAY INDICATE AGE
RELATED MACULA
DEGENERATION

SHOW YOUR EYES ...
WITH LENSES !!!

ARE THERE...
DISCREET MAGNIFIERS?

YES, SUCH AS EASYPOCKET

LENSES....
SO EASY !

WHAT IS CATARACT?

CLOUDING OF THE LENS

DAILIES: SAY IT WITH
YOUR EYES!

YOU ONLY HAVE 2 EYES:

CHECK YEARLY !

SEE CLEARLY !

DISEASE » ANTERIOR CHAMBER : glaucoma / iritis »

CLOSED ANGLE GLAUCOMA

THE ANGLE CAN COME VERY NARROW, SO THE NORMAL AQUEOUS FLOW IS BLOCKED
THE HIGH PRESSURE DAMAGES THE OPTIC NERVE

CLOSED ANGLE GLAUCOMA

WHAT?
This is a disorder characterized by the following three signs: pain / red eye / wide pupil and is caused by rapidly rising pressure (over 20mm Hg). This increase is conceived as follows: In the posterior chamber fluid is created. This is discharged into the anterior chamber angle. This requires the moisture seeping through the lens, to come in the anterior chamber. This is compounded when the pupil is dilated (evening), because the iris closer to the lens to lie. This keeps the moisture accumulation behind the iris, so it will protrude into the anterior chamber. In that way the chamber angle is narrower.

TREATMENT
Certain medications can trigger additional pupil-dilation: mainly for colds / diarrhea / depression and Parkinson's disease. In patients who by nature a narrow front room angle (classic by far-sighted or cataract, associated with lens swelling) that angle is completely closed so the drainage of the aqueous acutely compromised, as rapid increase in pressure provokes the described consequences. If the pressure remains high for several days, the optic nerve be quickly eroded with permanent blindness. It is therefore important to attack as soon as possible to break.
For this problem, the patient should be hospitalized. We strive drug testing during the following way:
a pupil constricting agent, to eliminate causal dilation: isoptocarpine
pressure lowering drugs (Diamox injection and local Betagan eyedrops
anti-inflammatory drug: Tobradex eye ointment collyria and Deicol
This medication will normally rapidly normalize the pressure (a few hours to 2 days).

In order to avoid new attacks in the affected eye, it's necessary to make a hole in the iris, with YAG laser. Thus, the chamber in communication with the posterior chamber and the tear film can no longer pile up behind the iris with all its consequences. This is done under a drop of anesthesia. Given the present inflammation it isn't always easy and must be settled in half hole with instancy for creating a new YAG laser who widened the hole some more. Only rarely there can not be made a laser cavity, and should be proceeded to surgery.

Usually we establish that the other eye order the same (for a narrow-angle). Therefore, here also best preventative made a hole in the iris (iridectomy), with YAG-laser. Because there is no inflammation present, it's usually go well.

PREVENTION
Siblings can have the same construction. You recommend them a preventive examination with their own ophthalmologist. Possibly they should also receive such preventive iridectomy! Your children can later, when they reach your age, also getting the same problem!

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