Glaucoma is a group of eye diseases characterised by damage to optic nerve usually due to excessively high intra ocular pressure (eye pressure). If left untreated can lead to optic nerve damage resulting in progressive, permanent vision loss. Glaucoma usually affects people above the age of 40, but can affect younger people as well. This condition causes fluid to build up in the eye, which puts pressure on the optic nerve. 

There are broadly two types of glaucoma - Open angle glaucoma ( more common in elderly) and angle closure glaucoma.
Women are more likely to suffer from glaucoma than men are. Ethnicity also plays an important role in determining the risk of suffering from this condition. East Asian and African Americans have a high risk of glaucoma, as they have a shallow, anterior chamber depth. Some of the other conditions that can increase a person s risk of glaucoma are:

Diabetes
Hypothyroidism
Myopia
An earlier eye surgery
Retinal detachment
Tumours
Injury to the eye
Long term corticosteroid medication
If diagnosed early enough, glaucoma can be treated and its effects can be reduced. However, the damage already caused by glaucoma cannot be reversed. The aim of glaucoma treatment is to either reduce the production of fluid in the eye or improve its flow. This helps slow down the progression of this disease and prevents any further loss of vision. Glaucoma treatment usually takes the form of eye drops or surgery.

Eye drops are the first step towards treating glaucoma. There are many different types of eye drops. Prostaglandin analogues aim at increasing the flow of fluid out of the eye and are usually prescribed in cases of swelling around the rim of the eyes, darkening of the iris and blurred vision. Beta-blockers can also help lower the secretion of fluids in the eye.

Patients who are also suffering from diabetes or lung conditions such as bronchitis may be prescribed cholinergic agents, carbonic anhydrase inhibitors or sympathomimetic drugs. Cholinergic agents help improve the outward flow of fluid in the eyes while Carbonic anhydrase inhibitors reduce fluid production in the eyes. Sympathomimetic drugs do both reduce the production of fluids and improve outflow.

If the eye drops are not effective, surgery may be advised to lower the pressure built up in the eye. Some of the common types of surgery for glaucoma are:

Trabeculoplasty: This procedure involves directing a high-energy laser beam into the eye to open clogged drainage canals. The surgery has high success rates but the problem may recur after surgery.
Filtering surgery: This involves creating an opening in the eye and removing a part of the trabecular meshwork, thus allowing fluid to flow outwards.
Drainage implants: Children or patients with secondary glaucoma may be treated with this surgery where a small silicone tube is placed in the eye to aid in fluid drainage.

Glaucoma - Factors That Put You Risk!

Tip for eye care

This is the worst time of the year, for your eyes. Pollution from firecrackers, smog due to weather change and generally ever increasing vehicular pollution adds up to be the worst for your eye health. 

Protect your eyesight and take care of your eyes by following these simple daily eye care tips.

1. Eat Well: Protect your eyes from within. Eat for good vision. Eat foods that have various nutrients such as omega 3 fatty acids, zinc and lutein, vitamins A, C and E to keep eye problems at bay. Green leafy vegetables, salmon and other oily fishes, eggs and nuts, orange and citrus fruits are great for eyesight.

2. Quit Smoking: For better eye-care leave smoking. This simple activity can make you likelier to get optic nerve damage, macular degeneration and cataracts.

3. Have eye-care routine: Most of us don’t have an eye care routine, which is essential for keeping them fit. So, develop a good eye-care routine. In this routine, practice eye exercises, focusing eyes on a point far away to promote muscle development. Clean eyes everyday with fresh, clean water to reduce eye mites and other problems.

4. Wear Sunglasses: Wearing sunglasses on a regular basis will protect eyes from UV rays and ensure protection. This will help in reducing the chances of getting cataracts and developing macular degeneration.

5. Use Safety Wear: It is important that you regularly wear safety wear problems. For instance, for sports, wear eye protection products, sports goggles or protective face masks.

6. Look away from computer: A lot of us use computers too much for work and recreation. Now is the time to look away from it. Staring at the computer for long can cause eyestrain and blurry vision, trouble focusing at a distance and result in dry eyes as well as neck and shoulder pain with headaches. So, take regular breaks from that computer.

If you would like to consult with me privately, please click on 'Consult'.

Doctor's Advice On How To Keep Your Eyes Safe This Diwali

Glaucoma is a serious eye condition in which the optic nerve gets damaged and the situation gets worse over time. If untreated, individuals may go permanently blind. Most individuals, with glaucoma, have no previous symptoms or warning signs of this disorder and this is the reason why it is important to have regular eye check-ups.

Causes of glaucoma
Eyes have a liquid called aqueous humor. This fluid flows out of the eyes through mesh like channels for proper lubrication of the eye. However, there can be situations in which these channels may get blocked. In such a case, there would be a build-up of this liquid, thereby causing an increase in fluid pressure. This is usually a major cause of glaucoma. Although there has been no elaborate evidence of what exactly causes this blockage, doctors have noticed that this can be inherited.

Other less common causes include:

Any sort of blunt injury or chemical injury to the eye
Blocking of blood vessels inside the eye
Other inflammatory conditions
Improper eye surgery
Types of glaucoma
There are mainly two kinds of glaucoma than can occur:

Open-angle glaucoma: This is the most common kind of glaucoma and is also called wide-angled glaucoma. In this kind, the tubular meshwork through which the liquid flow occurs is normal. However, the fluid flow isn t the way it should be.
Angle-closure glaucoma: This is also known as acute glaucoma or chronic angle closure. In this case, the liquid is not able to drain properly because of the angle between the iris and the cornea being too narrow, thus causing the iris to be in the way. This can cause a sudden build-up of pressure, thereby leading to chronic glaucoma.
Facts about glaucoma

This disorder usually has no previous signs or symptoms and occurs all of a sudden.
This disorder mainly affects individuals above 40 years of age.
Glaucoma can be inherited.
People with diabetes have chances of suffering from glaucoma.
If not treated early, it may lead to permanent blindness.
Symptoms of glaucoma
Usually there aren t many symptoms to warn people about this disorder. However, one of the first signs is definitely losing peripheral or side vision. Other symptoms might include

Chronic vision loss
Visibility of halo around lights
Narrowed vision
Glaucoma is treated by any of the three methods:

Prescription eye drops in order to reduce eye fluid formation, thereby resulting in outflow increase
Laser surgery
Microsurgery

Glaucoma - A Complete Guide on It!

Did you know that your vision is responsible for around 80% of you sensory input? your eyes are among the most delicate organs in your body. Long work hours in front of the computer and long study hours results in tired and sometimes irritating eye conditions. But help isn't too far. Before you head to the doctor, you can head to your kitchen to look for solutions. There are several home remedies that you can try to not only improve your eyesight but also get rid of glasses and rebuild your vision! here's how you can do it:

1. Exercise: Just like any other body part, your eyes need exercise too. Blinking your eyes rapidly for 5 seconds helps moisturize it. Similarly, cupping your eyes with you palms for 4-5 minutes triggers acupuncture points that helps the eye to relax. There are specific exercises to reduce eye strain, improve blurred vision and enhance reading. Do these as per the specific problem you are facing.

2. Take a break: Follow the 10-10-10 rule when you are on the computer for extended hours. For every half hour of work, take a 10 min break to look at something n a distance at least 10 feet away for 10 seconds. These becomes tricky if you are studying or working in a fast paced environment and easily forget to take breaks. Set alarms that help you know the time so that you can actively plan your breaks. To enhance break time, try to look at greenery during your 10 sec break which helps the eyes relax better. Splash your eyes with cold water to give them a fresh feel.

3. Yoga: Yoga and meditation relaxes your body and mind. It is also a great way to relax your eyes as you get to close them and give them rest. When you close your eyes, you shut out a big chunk of sensory inputs helping your body go from an active reaction mode to a passive action mode.

4. Eat for your eyes: Make sure you add your weekly quota of vision enhancing food in you diet. Carrots which are rich in beta-carotene and vitamin a are great for the eyes. Similarly grapes and blueberries work great to improve your night vision. Green leafy veggies, garlic, shallots, eggs and onion all contribute in keeping your eyes healthy and strong. Cold water fish rich in DHA is an another great food that helps reduce dry eyes and muscular degeneration.

5. Change your lifestyle: Other than exercise and proper nutrients, you need to ensure you get a shut eye for six to eight hours every day to let your eyes fully rest and rejuvenate. As always drink 6 - 8 glasses of water. And don't forget to get regular eye check ups especially if you are a diabetic or have other health conditions that adversely affect your eyes.

Natural Remedies For Better Eyesight

Most of us take our eyes for granted. It has been often noticed that an individual splurges on expensive sunglasses for looking smarter. But, when it comes to the health of eyes, he or she is either ignorant or simply reluctant to do anything. This tendency is bad for the health of your precious eyes.

Remember, how you use them to stare at the screens of your gadgets all day long. Take out some time from your busy schedule and take care of your eyes. They are precious and vulnerable too.

Follow the tips below to keep your eyesight intact till your dying day:

Eat right for a good vision: It is very important to provide the right and sufficient amounts of nutrients to your body for developing or maintaining a good eye sight. Include nutrients such as omega-3 fatty acids, lutein, zinc, and vitamins C and E in your regular diet to boost your eyesight. Food items like green and leafy vegetables, salmon, tuna, and other oily fish, eggs, nuts, beans, and other non-meat protein sources, oranges and other citrus fruits or juices and oysters and pork are excellent for the eye. The intake of a balanced diet keeps you away from diabetes, which causes blindness.
Give up smoking: Cigarettes or other tobacco products are bad for your eyes. They make your eyes more vulnerable to diseases like cataracts, optic nerve damage, and macular degeneration.
Guard your eyes from sunlight: It has been found that long exposure to sunlight leads to damage of the eyeballs. This happens as the UV rays in sunlight have an adverse impact on our eyes. You must put on sunglasses when you are outdoors for a longer period. You must choose sunglasses which give you 90 to 100 percent protection against sunlight. UV rays can cause cataracts and macular degeneration.
Avoid the screen: It is advisable to not spend long hours sitting in front of the computer screen or TV. Take breaks while working on the computer. Also, remember blinking your eyes while staring at the screen to avoid drying up of the eyes. Blinking increases tear production, keeping the eyes moist and healthy.
Use safety devices: If you work with hazardous substances, it is advisable that you put on safety devices on your eyes for their protection.
Hydrate your eyes: In order to have a good vision, you must hydrate your eyes by splashing water on your eyes wide open at specific intervals in a day. When you wash your face after returning from outside, don't forget to wash your eyes as well. As you splash water on the eyes, the dust particles on the surface of the eyelid, gathered from outside, gets washed away. f you wish to discuss about any specific problem, you can consult a ophthalmologist.

Tips for Improved Eye Health

Ever noticed spots or strands that  float  into your line of vision. These are known as floaters. In most cases, they do not affect your vision, but can cause a lot of discomfort. Thus, in most cases they do not require treatment unless they affect your vision significantly. Floaters are more likely to stand out when looking at bright objects or something like a clear blue sky. Moving your eyes can shift the fluid in your eyes and move these floaters out of your line of sight.

Dust particles entering and irritating the eye should not be confused with floaters. Floaters can be described as flecks of a protein called collagen. These flecks can be seen when they are loosened from the back of the eye known as the vitreous. This can happen at any age but is more likely to affect people between the ages of 50 and 75. Being near sighted or suffering from cataract also increases your risk of seeing floaters. In rare cases, it can also be triggered by a disease in the eye, an injury to the eye, tumors or crystal deposits in the back of the eye.

Noticing the odd floater is not something to worry about. However, if you notice a sudden increase in the number and frequency of floaters in your eye, see flashes of light, have pain in the eyes or experience a loss of side vision, consult a doctor immediately. This could also be a sign of a more serious condition like a detached retina that requires immediate medical attention. Excessive floaters can be removed through a surgery known as a vitrectomy or laser vitreolysis. A vitrectomy involves the removal of vitreous gel from the middle of the eye and replacing it with silicone oil or a gas bubble. The surgery last 2 or 3 hours, but you may require an overnight stay in the hospital.

Laser vitreolysis is a more recent form of treatment for this condition. This pain free procedure involves the projection of a laser beam into the eye that focuses on large floaters to break them apart or vaporize them. This procedure can be performed as an outpatient and is considered safer than a vitrectomy. The form of treatment suited to a person will depend on a number of factors including their age, what the floaters look like, where they are located and the frequency of their appearance.

Eye Floaters - When Should You Consult A Doctor?

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