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Cataract and Glaucoma Specialist

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Home > Archives for Angle-Closure Glaucoma

An Overview of the Different Types of Glaucoma

October 11, 2016 by Anne Arundel Eye Center

The term Glaucoma actually refers to a group of eye conditions that lead to intraocular pressure (IOP) and damage the optic nerve, the nerve that carries visual information from the eye to the brain. This pressure comes from a buildup of normal fluid called the aqueous humor, which is naturally and continuously produced in the front of your eye.

The different types of glaucoma include:

  • Primary Open-Angle Glaucoma: Affecting around one percent of all Americans (mainly those individuals age 50 or older), it is the most common form of glaucoma. And because this form of glaucoma develops slowly, it rarely ever presents any symptoms and often goes undetected without regular screenings.
  • Normal Tension Glaucoma: Also known as Low-Tension Glaucoma, this form is characterized by progressive optic nerve damage and visual field loss with a statistically normal IOP. The lack of blood flow and the decrease in oxygen to the optic nerve is directly related to this form of glaucoma.
  • Angle-Closure Glaucoma: This form of glaucoma is related to narrow angles. And with several subcategories – including Intermittent and chronic Acute Angle-Closure or Narrow Angle-Closure – this form affects nearly 500,000 Americans, but is most common in people of Asian descent or those individuals with farsightedness (hyperopia). Unlike POAG where the IOP increases gradually, Angle-Closure Glaucoma is characterized by a sudden increase in IOP, often in only a matter of hours. This dramatic increase in IOP can cause severe eye pain, nausea, vomiting, blurry vision and headache. An acute attack is an emergency condition. Long-term effects of Angle-Closure Glaucoma include: scarring of the trabecular meshwork, resulting in chronic glaucoma; cataracts; damage to the optic nerve; permanent vision loss.
  • Pigmentary Glaucoma: This form is a type of inherited open-angle glaucoma, which develops more frequently in men than in women and is most prevalent in individuals in their twenties and thirties. Pigmentary Glaucoma is associated with near-sightedness (myopia).
  • Trauma-Related Glaucoma: A blow to the eye, chemical burn, or penetrating injury may lead to the development of either acute or chronic glaucoma.
  • Childhood Glaucoma: Also referred to as Pediatric Glaucoma, the approach to treatment is slightly different than with glaucoma in adults and almost always requires immediate surgery to relieve IOP. Approximately 80-90 percent of babies who receive prompt surgical treatment, long-term care, and monitoring of their visual development will do well, and may have normal or nearly normal vision for their lifetime. However, if the disease is not caught early more permanent vision loss will result.

The most common symptoms of glaucoma include:

  • Vision loss (most commonly tunnel vision – the gradual loss of peripheral or side vision)
  • Severe eye pain
  • Nausea and vomiting
  • Sudden onset of visual disturbance
  • Blurred or blurry vision
  • Halos around lights
  • Reddening of the eye

If you feel you may be experiencing any of these symptoms, schedule an appointment with your eye doctor immediately. These symptoms are serious and require prompt medical attention from your optometrist or ophthalmologist.

However, many people do not experience any symptoms until they begin to lose their vision. At this point, the damage is irreversible. This is why regular eye exams are so important. While there is no cure for glaucoma, early detection and treatment are your best options to slow or even prevent further vision loss brought on by the disease. Without treatment, glaucoma can lead to permanent vision loss.

Glaucoma is the second-leading cause of vision loss in the United States behind only cataracts.

If you have any questions about what you have just read, please contact board certified ophthalmologist Samuel Boles and the eye care specialists at Anne Arundel Eye Center by calling 410-224-2010 or click here to visit AnneArundelEyeCenter.com today!

For more eye care advice and information, please take a look at our previous blog posts.

Sources:
Types of Glaucoma GlaucomaFoundation.org

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Angle Closure Glaucoma Treatment in Annapolis

April 22, 2014 by Anne Arundel Eye Center

Dr. Sam Boles, an Annapolis eye doctor, specializes in the diagnosis and treatment of all forms of glaucoma.

Glaucoma, the second leading cause of blindness in the United States, comes in many forms, including Primary Open Angle Glaucoma, Angle Closure Glaucoma, Normal Tension Glaucoma, and Secondary Glaucoma. Over the next several weeks, we will take a closer look at each type of glaucoma, giving you a better understanding of the eye disease.

About Angle Closure Glaucoma

Also known as acute glaucoma or narrow angle glaucoma, angle closure glaucoma is much rarer than primary open angle glaucoma (POAG), the subject of last week’s blog post. Unlike POAG where the intraocular eye pressure (IOP) increases gradually, angle closure glaucoma is characterized by a sudden increase in IOP, often in only a matter of hours. This dramatic increase in IOP can cause severe eye pain, nausea, vomiting, blurry vision and headache.

Why does this happen? Narrow angles!

With angle closure glaucoma, the angle between the iris and the cornea is not as wide and open as it should be. Hence the name: angle closure or narrow angle glaucoma. And when the pupil enlarges too much or too quickly, the outer edge of the iris bunches up over the drainage canals, causing the dramatic increase in IOP.

Angle Closure Glaucoma affects nearly 500,000 Americans, but is most common in people of Asian descent or those individuals with farsightedness (hyperopia). Fortunately, a simple test can be used to see if your angle is normal and wide or abnormal and narrow.

 

Angle Closure Glaucoma Annapolis

Angle Closure Glaucoma Treatment in Annapolis

A regional leader in the diagnosis and treatment of glaucoma, the Anne Arundel Eye Center, led by board certified ophthalmologist Dr. Samuel Boles, offers a wide range of advanced procedures to improve and preserve your vision.

Treatment of angle closure is usually a simple laser treatment called peripheral iridotomy (PI) or conventional surgery to remove a small portion of the bunched-up outer edge of the iris and unblock the drainage canals. Should you require surgery, your comfort and wellbeing are our top priority.

If you have any questions about Angle Closure Glaucoma Treatment in Annapolis or wish to schedule an appointment with Anne Arundel Eye Center, please contact Dr. Boles, Dr. Corinne Casey, and the eye care specialists here at AAEC by calling 410-224-2010 or visiting AnneArundelEyeCenter.com today. You can also follow us on Facebook, Twitter, Google+, and YouTube as well!

For more eye care advice and information, please take a look at our previous blog posts.

Sources:

Angle-Closure Glaucoma – Glaucoma Research Foundation

Filed Under: Glaucoma Tagged With: Angle-Closure Glaucoma, Annapolis

Glaucoma: An Overview from Dr. Nathan Frank

January 30, 2012 by Anne Arundel Eye Center

According to a survey conducted in 2002 by Prevent Blindness America, 30 percent of Americans have never heard of
glaucoma and only half of those participating in the survey actually knew what it was. Glaucoma is the second leading cause of blindness in the world, and specialists believe that roughly 2.2 million people in America are affected. Only half of these individuals know that they have the disease. Given that January is Glaucoma Awareness Month, this is a great time to review the condition so that you, as patients, can become better informed and more knowledgeable.

Glaucoma is a multi-factorial disease that causes damage to the optic nerve that eventually leads to vision loss. Peripheral (side) vision loss occurs due to damage of the optic nerve of eye, which is similar to a fiber optics cable with about 1.2 million fibers that send images from the eye to the brain. There are two main types of glaucoma: primary open angle glaucoma and angle closure glaucoma. Both are usually marked by increased eye pressure inside the eye, but differ in the anatomical structure of the drainage system of the eye.

Risk factors for glaucoma? Everyone is at risk for glaucoma, newborn babies and senior citizens alike. However, there are several groups of people with an increased risk of developing the disease. Risk is heightened by:

  • Race (African Americans, Asians and Hispanics)
  • Diabetes
  • High blood pressure
  • Steroid Use
  • Age (People over 60)
  • History of eye trauma
  • Family History of glaucoma
  • High near-sighted patients

What are the common symptoms of glaucoma? The majority of people that have glaucoma are without symptoms. The visual symptoms that do occur tend to occur later in the disease process.

How to diagnose glaucoma? A comprehensive eye evaluation is imperative to rule out any suspicion for glaucoma. There are several important factors that need to be assessed prior to making a diagnosis. These include: measurement of eye pressure (normal range 12-22), a close assessment of the optic nerve, a peripheral visual field measurement, an exam of the drainage system of the eye, and finally a measurement of the cornea of the eye. These measurements are repeated once or twice a year or more often if there is any concern about progression.

How is glaucoma treated? The best way to protect your vision if diagnosed with glaucoma is to continue care
with your eye care provider. The goal of treatment is to lower the intraocular pressure to prevent further damage to the optic nerve. When diagnosed with glaucoma, the first line of treatment usually starts with the use of a single eye drop that is instilled once a night. If further pressure lowering is needed, additional drops can be used. Further treatment options include laser therapy or, if necessary, surgical treatment.

Glaucoma is a very complicated disease and this is only a brief overview. Some questions may still remain; a great
resource for information is glaucoma.org, a website that is constantly updated with information for those with glaucoma and for those who may know others with glaucoma.

If you have any further questions and would like to learn more about Glaucoma Detection and Treatment, please Dr. Frank and the eye care specialists at Anne Arundel Eye Center by calling 410-224-2010 or click here to visit AnneArundelEyeCenter.com today!

Cast your vote now for Anne Arundel Eye Center, Dr. Samuel Boles and Dr. Frank in Chesapeake Family Magazine’s Favorite Docs 2012! Voting ends on March 15th.

Dr. Boles and everyone else at the Anne Arundel Eye Center proudly support the efforts of The Polakoff Foundation and their role in the ongoing fight against glaucoma. Click here to purchase tickets online for the Polakoff Foundation’s Mardi Gras Celebration to help raise money to aid the fight against blindness.

Located in Annapolis, Maryland, the Anne Arundel Eye Center offers comprehensive specialized ophthalmic exams as well as diagnostic pre and post-surgical eye care. Specializing in glaucoma and cataracts, Dr. Boles has helped restore and preserve thousands of patients’ vision.

Glaucoma and Cataracts may be a natural part of aging. Losing your vision doesn’t have to be.

For more eye care advice and information, please take a look at our previous blog posts.

You can also follow Anne Arundel Eye Center on Facebook, Twitter, Google+, and YouTube as well!

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