Doctors

Glaucoma examination

Glaucoma is a severe chronic eye disease which, if no preventive measures are taken and if it is not treated timely, can result in irreversible blindness. Today, it takes the first place among ophthalmic diseases resulting in disability.
The problem of glaucoma consists in systematic increase in the intraocular pressure. This process can not be stopped, it must be constantly suppressed for not losing the sight.

Symptoms, causes

How is glaucoma progressing? The intraocular pressure systematically increases when the intensity of moisture secretion exceeds the rate of its withdrawal. The moisture in an increased amount presses on the lens and vitreous humor acting on the retina. The retina presses against the vascular wall which prevents from normal supply of the eye with the necessary substances, and against the optic nerve. As a result, the retinal cells begin to die. The optic nerve fibers also gradually wear out and die.
The disease is aggravated by bluish clouding of the lens. Thus, visual acuity begins to fall. An optic nerve atrophy results in blindness.
The symptoms of glaucoma are imperceptible and painless for the patient. Its presence becomes apparent when 50% of the optic nerve has already atrophied.

Symptoms of the glaucoma progress are:
– Loss of visual acuity – or short-sightedness. All objects located far away have blurred outlines;
– increased photosensitivity. The objects are veiled, but more often the bright light seems excessively bright and blinding;
– lowered twilight vision. “Spots” appear before the eyes;
– peripheral vision disappears and tunnel vision develops. Flashing spots appear before your eyes. The “tunnel” is gradually narrowing, and the central vision gets veiled. If one does not compensate this process, the eyesight will be completely lost.
Unfortunately, the reasons why moisture is not absorbed properly are not fully explained in the modern medicine.

Glaucoma prevention and treatment

This disease requires constant monitoring and supervision by an ophthalmologist. The “VIZIOBUD +” ophthalmological center offers you planned treatment and dynamic monitoring of the visual system in the form of the «Glaucoma» Annual Monitoring Program.

The «Glaucoma» ANNUAL MONITORING PROGRAM means

Initial clinical examination. Determination of the tactics of treatment of the disease.
Selection of the adequate treatment providing for normalization and stabilization of the intraocular pressure (IOP).
Dynamic control of the level of intraocular pressure and the functional state of the visual analyzer with the most up-to-date equipment, treatment correction (timely appointment of the laser and surgical methods).
Conducting courses of vascular treatment individually according to the indications (trophic therapy) is paid separately.

OBJECTIVE OF THE PROGRAM – Preservation of the patient’s eyesight by monitoring the level of the intraocular pressure and the state of functional stability of the visual analyzer according to research results.

ADVANTAGES OF THE PROGRAM:

The program employs highly professional, specially trained doctors.
Monitoring of regular surveillance.
Most up-to-date diagnostic equipment.
Individual approach to the choice of treatment tactics for each patient.
Profitable price. The total cost of the program is lower than the sum of individual procedures and examinations by 20%.

Schedule of surveillance of the patients with glaucoma in the standard disease course:

Measurement of the intraocular pressure and the follow-up examination – every 3 months.
Computer perimetry (field of vision examination) – every 6 months.
Tonography (state of the eye hydrodynamics) – every 6 months.
Optical coherence tomography of the retina and the optic nerve – at least once a year.
Photos of the eye-ground with measurement of the retinal vessels – at least once a year.
Doppler sonography of the vessels of the eye, head and neck – once a year.
Courses of trophic treatment for the retina and optic nerve – 1 to 2 times a year.

GLAUCOMA DEVELOPMENT RISK FACTORS:
• hereditary predisposition;
• age over 65;
• thin cornea (thickness at the center of less than 520 μm);
• vertical optic disk excavation ratio of more than 0.5;
• decrease in overall sensitivity or presence of characteristic scotomas in the Bjerum zone;
• expansion of the blind spot during examination at the computer perimeter.

Both too low and too high intraocular pressures are dangerous for the eyesight, that is why it is so important to carry out eyesight examination and intraocular pressure check every few years. Such a timely analysis will make it possible to detect the first signs of glaucoma development and prevent from its development by the necessary treatment.

Comments

Over time, the eyesight began getting worse, the more I worked (constantly in front of the monitor), the more noticeable the problem became. At the hospital I was told that everything was normal, that it was age-related and there was nothing to be done. I had to go to the Viziobud center where they made a decent examination and found out that glaucoma was progressing. Good luck it was detected in time, and treatment was set almost on the same day, thank you!

Semen, 47 years old