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Glaucoma - What Can Be The Risk Factors Involved?

MBBS, MD - Ophthalmology, Fellowship in Vitreo Retina, Fellowship in Cornea
Ophthalmologist, Bangalore
Glaucoma - What Can Be The Risk Factors Involved?

Glaucoma is a group of diseases that causes damage to your eye's optic nerve and gets worse over time. The optic nerve is a bundle of millions of nerve fibres which carry visual impulse from the retina at the back of eye to the brain. The increased Eye pressure, called intraocular pressure, can damage the optic nerve and fasten the natural nerve fibre loss. Since nerve cells can't regenerate this damage is permanent and irreversible.

Without treatment, glaucoma can cause total permanent blindness within a few years. Because most people with glaucoma have no early symptoms or pain from this increased pressure, it is important to see your eye doctor regularly so that glaucoma can be diagnosed early and treated before significant functional visual loss occurs.

If you are over age 40 and have a family history of glaucoma, you should have a complete eye exam with an eye doctor every one to two years. If you have any risk factors, you may need to visit your eye doctor more frequently.

What Are the Symptoms of Glaucoma?

For most people, there are usually few or no symptoms of glaucoma. The first sign of glaucoma is often the loss of peripheral or side vision, which can go unnoticed until late in the disease. This is why glaucoma is often called the "Sneak Thief of Vision" or "Silent Thief of Eye Sight".

If you have any of the following symptoms, seek immediate medical care:

  1. Seeing halos around lights
  2. Vision loss
  3. Redness in the eye
  4. Eye that looks hazy (particularly in infants)
  5. Nausea or vomiting
  6. Pain in the eye
  7. Narrowing of vision (tunnel vision)

Risk Factors

There are several risk factors, which may lead to glaucoma, such as

  1. Age of the individual
  2. Ethnicity- African, Caribbean, Hispanics and Asians are at higher risk
  3. Increased eye pressure or IOP History of glaucoma in family or relatives
  4. Presence of Myopia or Hyperopia
  5. Previous eye injuries
  6. Use of steroids- as injections, tablets, eye or ear drops or ointments or protein supplements for muscle building in gyms or inhalers
  7. Previous history of anemia
  8. Individuals conditions affecting blood flow like hypertension, diabetes or high blood sugar, migraine etc are also at risk.


The treatment for glaucoma relies on the nature and seriousness of every case. Generally, glaucoma cannot be totally cured, but it can be controlled. Eye drops, pills, laser strategies, and means of surgery are utilized to maintain and prevent further harm from happening. Talk to your eye doctor to find out if you are at risk of developing glaucoma.

Please remember, any one can have Glaucoma, without knowing about it! It runs in family, so if any of your relative has Glaucoma, please get yourselves checked. Use the drops as prescribed. Dont alter them on your own! Periodic Visual field analysis as well as Optic nerve assessment by OCT is essential, as vision lost can only be detected by them. This vision loss is permanent and cannot be restored back by any means.

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Diagnosis and treatment for Glaucoma

Dr. Maneesh Aggarwal 85% (10 ratings)
MBBS, MS - Ophthalmology
Ophthalmologist, Ghaziabad
Diagnosis and treatment for Glaucoma

Glaucoma: An Overview
This disease can be developed or inherited; it usually refers to the accumulation of fluid inside a person's eyes leading to excessive pressure on his or her optic nerve.

How to Diagnose the Symptoms of Glaucoma:

  1. A Fundamental Eye Examination: An experienced eye doctor will check the dilated pupils of your eyes so as to take a closer look at the optic nerve that further discerns the stage of glaucoma a patient is in. Doctors tend to keep track on the sequential progression of glaucoma and its specific mode of treatment through pictures of the optic nerve taken during an examination. 
  2. Tonometry may also be performed: Signs of Glaucoma may be spotted through the procedure called tonometry where the doctor will test a person's eye pressure and so on so forth. A visual field test might also be conducted to check if the patient can see things at the periphery of his line of vision.  

Symptoms that will help a doctor identify this condition in people:

  1. A loss of peripheral vision is experienced in the early stages of glaucoma.
  2. A person may see halos when in the presence of bright lights.
  3. Your eyes could turn red.
  4. Hazy or blurry vision is a problem faced by young children affected with glaucoma.
  5. Glaucoma could be accompanied by headaches and eye pain.
  6. An affected person might repeatedly feel nauseous.

Ways to Treat Glaucoma:

  1. Microsurgery can effectively treat Glaucoma: Microsurgery can be performed in various ways. There is one way in which a channel is made to pump out the fluid creating extra pressure on the optic nerve. This method is referred to as trabeculectomy. 
  2. Eye Drops: Eye drops can relieve you from painful glaucoma. They are known to control the formation of excess fluid in a person's eye. In some cases, they can induce the accumulating fluid to flow out of the patient's eyes. 
  3. Laser Treatment: Laser surgeries can be undertaken to get rid of glaucoma. Laser can help in moving out fluid from the eyes of the affected person. It successfully hinders fluid blockage as well. There are different kinds of laser treatments available to cure glaucoma.

Which Eye Tests That Are Conducted Before Surgery?

Cornea Cataract & Lasik
Ophthalmologist, Delhi
Which Eye Tests That Are Conducted Before Surgery?

Any patient who needs to undergo cataract surgery must be evaluated in a thorough manner so as to establish the requirement, appropriateness, expected surgical problems, expected benefits and co-morbid conditions having an influence on cataract surgery.

The preoperative assessment consists of -

A test for your existing glasses prescription:

It is useful for your cataract surgeon to know your existing glasses prescription in cases where there is a high refractive error (people who are very short or long sighted), in order to plan to correct this error after cataract surgery.

A full ocular examination: This includes looking at:

  • The eyelid anatomy and inflammation.
  • The state of the tear film, dry eye changes could make surgery difficult
  • The presence of abnormalities in the cornea that could make visualisation of the cataract difficult during surgery.
  • The amount of dilation the iris undergoes with dilating drops.
  • The type of cataract. Soft cataracts can be aspirated. Hard cataracts need more ultra-sound energy and surgical time to break up and remove. White cataracts may need trypan blue staining to visualize the capsule
  • The measurement of intra-ocular pressure. With this test, we aim to exclude glaucoma and ensure optimal control of immediate pre-operative and intra-operative eye pressures often with extra eye drops that temporarily lower eye pressure.

Biometry Tests: This is a simple pre-operative measurement. It calculates the correct power of artificial intra-ocular lens. They will be implanted into your eye once your cataract is removed.

Corneal Topography: This is a test to map out the corneal curvature in greater detail. It is used prior to premium IOL Implantation like Toric IOLS either monofocal or multifocal , to ensure avoid postoperative refractive errors. This extra test is only required if the biometry readings show larger than normal differences in keratometry readings.

Optical Coherence Tomography (OCT): This test allows detailed visualisation of the macula (the central sensitive part of the retina used for fine vision). If the ophthalmologist suspects any macula changes that may prevent a patient from visual improvement after cataract surgery, he always suggest optical coherence tomography.

Blood Pressure Measurements: It is very important to know your blood pressure measurements before your cataract operation. The risk of having a bleed at the back of your eye during cataract surgery (supra-choroidal haemorrhage) is very small (1 in 10000). But is higher if you have uncontrolled blood pressure.

Blood Sugar Measurements in Diabetic Patients: Cataract surgery itself does not affect your blood sugar measurements if you are diabetic. A routine checkup of blood sugars in diabetics before cataract surgery is done and the surgery if often delayed if the levels were greater than 20mmol/L as the risk of post-operative infection is higher.

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Comprehensive Eye Exam - How Is It Beneficial?

Ophthalmologist, Ahmedabad
Comprehensive Eye Exam - How Is It Beneficial?

While an eye exam should be conducted for anybody at least every six months, many people do not believe it to be so important. However, there are benefits to having a comprehensive eye exam. But, what exactly are these benefits?

Eye Check-ups are Indicative
To start with, when one goes for an eye exam, problems relating not just to the eyes can be discovered. As a matter of fact, an ophthalmologist or an eye specialist is quite often the first person to detect problems with the entire body. These problems include diabetes and hypertension. It can be said that a person who has healthy eyes is more likely than not to be in the pink of health! When a person has a health issue detected early by an eye doctor, it can result in easier treatment - easier on the person as well as on the pocket! After all, why go through the pain of more pain and expense before getting it addressed?

Catch your ailments early
It can be said that eye exams are very important for children as having bad eyesight which goes uncorrected can have some really serious consequences. The strain on the child’s eyes due to school work like staring at the board with weak eyes can cause very bad headaches and the situation gets worse. Children usually do not have a proper idea of what normal vision is like so they are more likely to not notice a decrease in the quality of vision. This really does increase the need of eye exams for them.

Eye exams are different from vision tests
Many people are of the opinion that getting their eyes checked is the same as having an eye exam. However, it is to be noted that this is not the same. A person who does not have advanced medical qualifications when it comes to the eyes usually conducts a vision test. This could be a nurse or an optometrist. They actually do not dig much further beneath the surface, so they miss out the critical bits!

Eye alignment matters
The truth is that only an eye doctor knows what exactly to look for when an eye exam is conducted. So what exactly does an eye doctor look for? Apart from early signs of glaucoma and diabetic retinopathy, the eye doctor would look for strabismus. This refers to the alignment of the eyes. When the eyes are not properly aligned, depth perception suffers and this can cause serious damage, especially if a person drives.

Apart from these, the doctor would also look at how well one’s eyes work together and whether there are any age-related diseases.


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Can homeopathy bring back peripheral sight loss due to onset of glaucoma in the one eye or both eyes?

Homeopath, Hyderabad
Can homeopathy bring back peripheral sight loss due to onset of glaucoma in the one eye or both eyes?
It may not be possible in most of the cases. However, it is safe and gentle and can boost the healing process and help stop the chronic tendencies and aid recovery in some cases (depends upon the response of the body to the treatment ).
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Hi, After Laser surgery for NA Glaucoma my IOP remained at 15/16mmHg for 5/6 years. Of late in 2018, it was 22/20mmHg without any apparent indication in premature. As precaution, Dr.advised to instill Xalatan once at night. Since last one year it is steady at 17/14mmHg. My vision is normal. Am I case for Surgery? Why IOP went High? Your opinion will be highly appreciated.

DNB Ophtalmology, MBBS
Ophthalmologist, Bangalore
Hi, After Laser surgery for NA Glaucoma my IOP remained at 15/16mmHg for 5/6 years. Of late in 2018, it was 22/20mmHg...
By laser surgery, did you mean just laser application or proper surgery for glaucoma was done? If after the laser or surgery, if iop rose, that means failure of the treatment. But since with eye drops, since the pressure is under control, leave it at it. But yes, regular 6monthly (atleast) follow up is needed.
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glaucoma can cure? I am 56 years old. Left eye totally damage, right eye also effected.

DHMS (Hons.)
Homeopath, Patna
glaucoma can cure? I am 56 years old. Left eye totally damage, right eye also effected.
Hi, Lybrate user, •Go for a walk in the morning to restore blood circulation to nourish your body. •Go for meditation to reduce your stress to keep intraocular pressure in control. •Tk,  plenty of water to hydrate your body. •Your diet be easily digestible on time to check gastric disorder that triggers eye pressure. •Keep in touch with your eye consultant, regularly. •Monitor your medication, ,always. •Regulate all sort of anti diabetics/ antihypertensive  norms ,if you are diabetic or hypertensive. •If you can't see in the night,  change your driving habits. •Tk, homoeopathic medicine:@ Staphisagria 30-5 drops,  thrice. Avoid, junkfood, alcohol and Nicotine. Tk, care.
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I have a problem of anterior uveitis, complicated cataract and secondary glaucoma due to uveitis. From 1 month my pressure got elevated to 32. Doctor gave me latanoprost brinzox eye drops. I want to know does this condition of secondary glaucoma is curable or not I am very depressed.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
I have a problem of anterior uveitis, complicated cataract and secondary glaucoma due to uveitis. From 1 month my pre...
In general, glaucoma cannot be cured, but it can be controlled. Eye drops, pills, laser procedures, and surgical operations are used to prevent or slow further damage from occurring. With any type of glaucoma, regular eye examinations are very important to detect progression and to prevent vision loss.
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Hyperopia - Its Treatments!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Hyperopia - Its Treatments!

Treatment of Farsightedness-

  • Homeopathic Treatment of Farsightedness
  • Acupuncture & Acupressure Treatment of Farsightedness
  • Psychotherapy Treatment of Farsightedness
  • Conventional / Allopathic Treatment of Farsightedness
  • Surgical Treatment of Farsightedness
  • Dietary & Herbal Treatment of Farsightedness
  • Other Treatment of Farsightedness

Homeopathic Treatment of Farsightedness-

Homeopathic remedies are useful in the treatment of various eye problems including farsightedness and shortsightedness. Some of the homeopathic remedies for farsightedness are:

  • Calcarea
  • Ruta
  • Apis
  • Pulsatilla
  • Silica

Acupuncture & Acupressure Treatment of Farsightedness-

Acupuncture helps to increase the blood flow to the brain and eye. It helps in stimulating the retinal nerve growth factors and leading to metabolic changes in the central nervous system. It focuses on the activation of eye muscles to facilitate eye focusing.

Conventional / Allopathic Treatment of Farsightedness-

The conventional or allopathic treatment for farsightedness is the use of glasses and contact lenses.

Surgical Treatment of Farsightedness-

There are different types of surgeries that are used in the treatment of farsightedness:

  • Photoreactive keratectomy (PRK) – The process uses a laser to flatten the back of the eye to help the images focus more closely to the retina.
  • Laser-assisted in situ keratomileusis (LASIK) – it involves cutting a flap in the cornea and then removing some of the corneal tissue with a laser, and then the flap is replaced.
  • Laser-assisted subepithelial keratectomy (LASEK) – Instead of creating a flap in the cornea, the surgeon creates a flap involving only the cornea’s thin protective cover (epithelium).

Dietary & Herbal Treatment of Farsightedness-

  • Eat plenty of fruits and vegetables
  • Eat dark green leafy foods
  • Eat foods rich in vitamin A
  • Avoid the intake of refined sugars and processed foods

What is Farsightedness?

Farsightedness or hyperopia is a condition where you see far or distant objects clearly, but not objects up close which get blurred. It is caused when light rays overshoot the retina and focus behind it.

Symptoms of Farsightedness-

  • Nearby objects may appear blurry
  • You need to squint to see clearly
  • Constant blurred vision
  • Eye strain, burning eyes and aching
  • General feeling of irritability and nervousness
  • Eye discomfort or a headache doing close tasks, such as reading, writing, computer work or drawing
  • Causes of Farsightedness
  • Eyeball being too small
  • The focusing power being too weak

Risk factors of Farsightedness-

  • Hereditary factors

Complications of Farsightedness-

 Diagnosis of Farsightedness-

Farsightedness is diagnosed by a basic eye exam. A complete eye examination involves the following tests.

  • Eye movement testing
  • Glaucoma testing
  • Refraction test
  • Retinal examination
  • Slit-lamp examination
  • Visual acuity

Precautions & Prevention of Farsightedness-

  • Eat plenty of fruits and vegetables
  • Do not smoke
  • Use good lighting
  • Use the right glasses
  • Wear sunglasses that block UV radiation
  • Have your eyes checked regularly
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Glaucoma - Homeopathic Treatment!

MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Glaucoma - Homeopathic Treatment!

Glaucoma - Homeopathic Treatment

It is a condition that causes damage to the eye's optic nerve and gets worse over time. It's often linked to a buildup of pressure inside your eye.
 The increased intraocular pressure can damage the optic nerve, if the damage continues, glaucoma can lead to permanent vision loss. Without treatment, glaucoma can cause total permanent blindness within a few years

It’s the result of an intrinsic deterioration of the optic nerve, which leads to high fluid pressure on the front part of the eye.
 Normally, the fluid, called aqueous humor, flows out of the eye through a mesh-like channel. If this channel gets blocked, the liquid builds up. The reason for the blockage is unknown, 
It is more likely to get it if persons
* are of African-American, Irish, Russian, Japanese, Hispanic, Inuit, or Scandinavian descent
* are over 40
* have a family history of glaucoma
* have poor vision
* have diabetes
* take certain steroid medications, like prednisone
* have had trauma to the eye or eyes

Types of Glaucoma-

There are two main types

  • Open-angle glaucoma- It is the most common type. It also calls wide-angle glaucoma. The drain structure in the eye -- it’s called the trabecular meshwork -- looks normal, but fluid doesn’t flow out as it should.
  • Angle-closure glaucoma- It is less common. It is called acute or chronic angle-closure or narrow-angle glaucoma. The eye doesn’t drain right because the drain space between the iris and cornea becomes too narrow. This can cause a sudden build-up of pressure in your eye. It’s also linked to far sightedness and cataracts, a clouding of the lens inside your eye.

Signs and Symptoms- The signs and symptoms of glaucoma vary depending on the type and stage of your condition. For example:
Open-angle glaucoma-
* patchy blind spots in your side (peripheral) or central vision, frequently in both eyes
* tunnel vision in the advanced stages

Acute angle-closure glaucoma-
* severe headache
* eye pain
* nausea and vomiting
* blurred vision
* halos around lights
* eye redness


  • Tonometry to check the eye pressure.
  • Visual field test, 

Homeopathic Medicines-

  • Phosphorus: 200

1. Optic nerve is damaged (atrophied). 
2. Tiredness of eyes all the time. The eyes seem very tired even when they are not engaged in much work. 
3. The vision is blurred and the patient feels that every object is under the cover of dust when he or she looks at it.
4. Halos around light is also an important symptom. 
5. Slightly improved vision by shading the eyes with hands. By doing this, the objects that look blurred seem somewhat clear. 

  • Comocladia 30

1. Glaucoma with pain, 
2. Fullness sensation in eyes. The fullness is mostly accompanied by pain in eyes. 
3. The eyes feel very enlarged esp in nigh. The eye pain gets worse by warmth and better in pain and eye fullness in open air.

  • Belladonna 30

1. Belladonna is the best for acute symptoms in a patient of glaucoma. 
2. Sudden increase in dimness of vision. 
3. The eyes appear red. This is accompanied by a severe pain in eyes and head. The pain is very violent in character. 
4. Nausea and vomiting. 

  • Osmium 30

1. It is of great help in improving dim vision. 
2. The intraocular pressure is raised. 
3. The patient is the display of various changeable colours of an object when looked at from different angles like a rainbow (iridescent vision).
4. The patient may also have intolerance to light.

  • Physostigma 30

1. Glaucoma following injury, 
2. Dim vision, blurring of vision or partial blindness. 
3. Pain in eyes. The pain is usually worse after using the eyes. 
4. Glaucoma with myopic condition 

  • Prunus spinosa 30

1. Sudden pain in right eye as a result of glaucoma. 
2. Pain in eye is so acute and violent that it results in a bursting sensation in the eyeball.

  • Cedron 30

1. Cedron is centered on the left eye of a glaucoma patient. 
2. Severe, violent pain in the eye, especially left eye.
3. The onset of pain may show certain periodicity in its occurrence. The pain may radiate to the nose.

  • Gelsemium 30

1. Dilatation of pupils. Disturbed accommodation.
2. Pain in eyes with or without lachrymation. 

  • Spigelia 30

Pain sharp and stabbing through the eyes and head worse on motion and night. Or doing fine works.


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