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September 12, 2019
Dry eye is a very common problem that affects women more than men and becomes more prevalent as people get older. It can present in many ways, with symptoms that can include a foreign body sensation,...

Open and Close Angle Glaucoma

90% of Glaucoma Cases are Open Angle

Glaucoma is a disease that affects the optic nerve. The disease causes the nerve cells at the front of the optic nerve to die, which leads to partial or total vision loss. The first two types of glaucoma occur with in an eye that has no structural deformities.  These two types of glaucoma both stem from a problem in the angle between the cornea and iris of the eye. They are called Narrow Angle and Closed Angle Glaucoma.

Open Angle glaucoma, also referred to as chronic glaucoma, normally develops after the age of 35 and is the most common form of glaucoma. It occurs when aqueous fluid builds up and causes the pressure inside your eye to increase. The fluid is not drained properly because of a clog in the trabecular meshwork, a sponge-like, porous tissue which drains fluid from the eye. This happens gradually, with no symptoms. It can lead to partial or total vision loss and can only be detected through routine eye examinations.

The second type of glaucoma affects a small percentage of people and is called Normal Tension glaucoma. It occurs with normal eye pressure and can be attributed to an unusually fragile optic nerve or reduced blood flow to the optic nerve. This trait may be inherited and can only be monitored through routine eye exams.

Narrow Angle glaucoma can develop either quickly or slowly and usually occurs in people with farsightedness. It occurs when the angle narrows causing the aqueous fluid to build up. This narrowing is caused by a bowing of the iris. Narrow Angle glaucoma can only be detected through routine eye examinations. It can cause vision loss and can also lead to an emergency condition called closed angle glaucoma.

Closed angle glaucoma, also called angle closure glaucoma, develops quickly and is a medical emergency. It occurs when the iris bows forward so much that the angle is completely closed. That means that no aqueous fluid can escape, which causes the pressure to build up rapidly. There are many symptoms associated with closed angle glaucoma such as headaches, severe pain, vision loss, redness and nausea. As stated earlier, this is a medical emergency and if not treated immediately can cause severe damage to the optic nerve.

Routine eye examinations are important to detect and monitor glaucoma early. Speak with your eye care provider if you are at risk for glaucoma.

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