Glaucoma (Eye Pressure) Treatment

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Glaucoma (Eye Pressure) Treatment

Glaucoma (Eye Pressure) Treatment

What is Glaucoma?

Glaucoma starts mostly after the 40s without any symptoms and increases the eye tension. It is especially a condition of the optical nerves which transacts the images from the eye to the brain. Optical nerves are combined forms of the multiple nerve tendons. If those nerval tendons are damaged somehow, blind spots in the visual field might occur. Those blind spots mostly cannot be early diagnosed and when the nerval tendon is too much damaged; it’s too late which might lead to total blindness. Early diagnose of the glaucoma is very important in order to prevent any nerval tendon damages and blindness.

Glaucoma is subject to ophthalmology. Glaucoma is an eye condition that damages the optic nerve. The optic nerve sends visual information from your eye to your brain, which is vital for vision. High pressure damages the optic nerve. That’s called Intraocular pressure (IOP) However, glaucoma can also be seen with normal eye pressure.

In many cases, glaucoma does not show any symptoms. You may not notice a change in your vision until the disease has progressed. Glaucoma is more common in the elderly. However, it is a disorder that can occur at any age. It is considered one of the most important causes of blindness in people over the age of 60.

In this article, we will talk about the causes of glaucoma and the symptoms of glaucoma first. In the second part of the article, you can read about the importance of early detection and diagnosis of glaucoma. In the final part, we will focus on glaucoma treatment options.

Causes of Glaucoma

Glaucoma is an eye condition in which the optic nerve, which connects the eye to the brain, is damaged. Glaucoma can be seen in a person for a variety of reasons If the fluid is not drained properly, pressure builds up in the eye. This is the most common cause of glaucoma cases. The pressure rise damages the optic nerve over time. If there is higher outflow resistance in the trabecular meshwork, then the eye pressure gradually increases. The factors that cause Glacumo can be explained as follows:

  • Aging: Glaucoma becomes more common as you get older. Being over 55 years old is a risk factor.
  • Family history: Your risk is greater if you have a family history of glaucoma.
  • Ethnicity: African, Caribbean, or Asian descent are at higher risk. 
  • Other medical conditions: Some other diseases can cause glaucoma, such as nearsightedness, farsightedness, and diabetes.
  • If you have a cornea that is thin in the center
  • Eye injuries

Symptoms of Glaucoma

Glaucoma tends to develop slowly over time and first affects the edges of your vision. That's why people don't realize that they have glaucoma, and it only shows up in tests.

Usually, both eyes are affected, it can be seen in one eye as well. 

Some of the symptoms of glaucoma can be lined up as below:

  • Intense eye pain
  • Nausea and vomiting
  • Red eye
  • Headache
  • Tenderness around the eyes
  • Blurred vision
  • Rainbow-colored halos around lights can be seen

If you doubt you develop some of these symptoms of glaucoma you should go to visit an expert at a certified medical center as soon as possible. Early diagnosis is very important for glaucoma.

Importance of Early Detection and Diagnosis of Glaucoma

It is widespread for glaucoma to be diagnosed during a routine eye test without causing any obvious symptoms. Other tests are usually needed later on to monitor the patient's condition.

Regular eye tests like visual field tests and tonometry are critical for diagnosing and treating conditions such as glaucoma. Early treatment is key to preventing your vision from being seriously affected.

It is recommended to have an eye test every two years. If you have a higher risk of glaucoma, then more frequent testing will help.

These tests are done by an optometrist and it is recommended to have eye tests done at the nearest hospital or health facility.

Glaucoma Treatment Options

Your treatment and medications for glaucoma depend on the type of glaucoma. Eye drops are used to treat primary open-angle glaucoma, the most common type. In advanced stages, laser treatment, a laser trabeculoplasty, filtration surgery, or other surgical interventions for glaucoma may be required. Also, glaucoma drainage devices and neuroprotection can be parts of the treatment.

For other types of glaucoma, treatment may include:

  • Primary angle closure glaucoma: First, emergency treatment is carried out in the hospital with medication to reduce the pressure in the eye, in the second stage, laser therapy is applied.
  • Secondary glaucoma: Eye drops, laser therapy, or surgery are available depending on the underlying cause.
  • Childhood glaucoma: It is an operation to prevent fluid buildup and pressure in the eye.

Recommended Checks for Different Ages

Between 20 - 29 Years Old: Every 3 - 4 Years if a family member has Glaucoma history.

Between 30 - 39 Years Old: Every 2 - 3 Years if a family member has Glaucoma history.

Between 40 - 64 Years Old: Every 2 years

65 Years old and older: Once in a year.

OUR DOCTORS

Prof. Dr. Günhan ErbakanHe was born in Ankara in 1945. He attended TED Ankara College, İzmir Bornova Anatolian High School and Ege University, Faculty of Medicine between 1963 and 1969, respectively. Upon his graduation, he started his specialization at Ege University, Faculty of Medicine, Eye Diseases Department and assumed the title of Eye Diseases Specialist in 1971. Between 1974 and 1975, he performed his military service as an ophthalmologist in Hatay Military Hospital in İzmir. After that, he was educated on Retinal Diseases and Lasers in Ophthalmology Clinic of the Faculty of Medicine at University of Gant, Belgium for 1 year. In 1977, he assumed the title of Associate Professor of Ophthalmology, and he founded and operated Retina and Contact Lenses units in Ege University, Faculty of Medicine, Department of Eye Diseases. In 1982 he became a Professor of Eye Diseases. Between 1992 and 2000, he served as the Head of Department of Eye Diseases, Faculty of Medicine, Ege University. In the meantime, he published 3 books and more than 150 domestic and foreign scientific papers, and about 170 papers in national and international congresses. He is married to Dr. Nigar Erbakan and has two sons.
Assoc. Prof. Dr. Esat ÇınarDr Esat Çınar was born in Diyarbakır in 1976. He started İstanbul University, Faculty of Medicine in 1997 and graduated in 2003. He completed his speciality degree between 2003 and 2009 at İzmir Ege University, Faculty of Medicine, Ophthalmology Department. He was in charge of Glaucoma and Cornea Departments as a Deputy Associate Professor in İzmir University Hospital Faculty of Medicine, Department of Ophthalmology. He studied “Keratoplasty” in Ege University, Faculty of Medicine for 6 months (also known as “eye transplant”). He also was in charge of the controls of the premature babies’ in İzmir University Ophthalmology Department. He attended the course for vivisection both in clinical and laboratory fields for one month. His special interests are; Cataract surgery (multifocal, trifocal and thoric intraocular lenses), Cataract surgery with laser (Femtosecond Cataract), Keratoplasty, glaucoma surgery (non-penetrant surgeries such as viscocanalostomy, deep sclerotomy), Excimer Laser Surgeries (Lasik, Lasek, PRK), medical retinal diseases. He has many published articles in international indexes. He has many verbal and written presentations in national and international scientific meetings. He is an active member of the Turkish Association for Ophthalmology. He speaks fluent English and has one child.
Opr. Dr. Gökhan ErbakanHe was born in Izmir, in 1971. He attended summer school at Mids School of English, Eastbourn, England for learning a foreign language while he was in Bornova Anatolian High School and graduated with a high degree. He started his medical education at Ege University and continued with his specialization at JL Uni-Giessen, Germany, where he had the chance of working peer to peer with names such as Prof. Dr. Karl W. Jacobi, Prof Dr. Herbert Kaufmann, Prof. Dr. S. Pavlovic. Then, he found the opportunity to further his education in the field of refractive surgery by working with the most important names, such as Prof. Dr. T. Kohnen, JWG Uni-Frankfurt, Prof. Dr. I. Pallikaris, University of Crete, Prof Dr. Mahmut Kaşkaloğlu, Ege University Faculty of Medicine and Kaşkaloğlu Eye Hospital. Besides, he did scientific studies about medical glaucoma treatment, which is his other field of interest, with Ass. Prof. Dr. Karl Georg Schmidt, CGC Uni-Dresden. He is a member of DOG, ESCRS, ISRS of the AAO and TOD. He is married and has one child.
Opr. Dr. Lider ÇelikHe graduated from Hacettepe University Faculty of Medicine in 1998. He completed his speciality in İzmir Dokuz Eylül University Faculty of Medicine Department of Eye Diseases between 1998 and 2002. He studied Retinal Surgeries in Munich Ludwig – Maximillian University Faculty of Medicine, Department of Eye Diseases. Special Interests: Cataract Surgeries (Multifocal, Trifocal, Toric Intraocular Lenses), Laser Cataract Surgeries (Femtosecond, Laser Cataract), Excimer Laser Surgeries (Lasik, Lasek, PRK) and Medical & Surgical Retinal Surgeries, Eyelid Surgeries. He has many articles published which were also scientifically indexed. He has oral and poster presentations in national & international science meetings. He is an active member of Turkish Society of Ophthalmology. He speaks English & German well, and married with 2 children.
Opr. Dr. Sezar MuralHe graduated from Istanbul University, Faculty of Medicine and completed his specialty training in S.S.K Istanbul Hospital in 1984. He worked at Çanakkale State Hospital between 1984 and 2007. After 2007, he worked in private sector health units. He is an active member of The Turkish Ophthalmology Association and American Cataract and Refractive Association. Anterior segment (cataract) medical retina, glaucoma and contact lens are his areas of interest. He has a good command of English.
Opr. Dr. Gökmen YıldırımHe was born in 1977. He graduated from Ege University. Fields of Interest: Cataract Surgery (Monofocal, Multifocal, Trifocal, EDOF, Toric Lenses) Excimer Laser (Femtosecond LASIK, PRK, No-Touch) ICL Keratoconus - Crosslink, Hard Contact Lens Application, Intrastromal Corneal Ring Strabismus Surgery Oculoplastic Surgery (Eyelid Aesthetic Surgery, Ectropium, Entropium, Ptosis, Probing, Tear Duct Obstruction) Pterygium Surgery (with Autograft) Glaucoma Medical and Laser Therapy Retinal Diseases (Intraocular Drug Injections, Diabetic Retinopathy, Yellow Spot Disease, Retinal Tears) Soft Contact Lens Inspection and Application He is a member of Turkish Association of Ophthalmology. He is married.
Opr. Dr. Kaan Okan ErdemDr. Kaan Okan Erdem was born in İzmir, in 1968. He finished middle school in Private İzmir Türk College and high school in Atatürk High School. He studied medicine in Selçuk University Faculty of Medicine. He is an active member of European Association of Cataract and Refractive Surgery, European Association of Ophthalmic Plastic and Reconstructive Surgery. He is interested in cataract, refractive surgery, oculoplastic and reconstructive surgery (upper and lower eyelids, tumour removals around the eye, entropium, ectropium ptosis, blepharoplasty), eye ultrasound, medical retinal and glaucoma. He speaks fluent English and married with 2 children.
Opr. Dr. Uğur KaragözHe graduated from Dokuz September University Faculty of Medicine in 1996. He completed his specialized education in the Department of Ophthalmology of the Faculty of Medicine of the Aegean University between 1996-2001 and earned the title of ophthalmologist Dec. He has published numerous scientific articles that fall into international scientific indexes. There are numerous oral and poster presentations to national and international scientific meetings. He is an active member of the Turkish Ophthalmology Association (Tod). He speaks good English, Opr. Dr. Uğur Karagöz is the father of 2 children. Special interests: Cataract surgery (multifocal, trifocal, Toric intraocular lenses) Cataract surgery with laser (Femtosecond Laser Cataract) Excimer laser surgeries (Lasik, Lasek, PRK) Medical and surgical Retina Eyelid Surgeries
Opr. Dr. Ramazan BİRGÜLHe graduated from Süleyman Demirel University Faculty of Medicine in 2011. He completed his specialized education in the Department of Ophthalmology at Trakya University Faculty of Medicine between 2012 and 2016 and earned the title of ophthalmologist. Dec. He has published a large number of scientific articles that have entered international scientific indexes. There are many oral and poster presentations to national and international scientific meetings. He is an active member of the Turkish Ophthalmology Association (TOD) and the European Society of Cataract and Refractive Surgeons (ESCRS). Opr, who speaks English well. Dr. Ramazan Birgul is married and has 2 children.   Special interests: Cataract Surgery (multifocal, trifocal, toric intraocular lenses) Cataract Surgery with Laser (Femtosecond Laser Cataract) Excimer Laser Surgeries (Lasik, Lasek, PRK) Medical and Surgical Retina Eyelid Surgeries Strabismus Surgeries Glaucoma Upper and Lower Lid Eye Aesthetic Surgeries (Blerophoplasty)
Opr. Dr. Hasane Pehlivan YoleriBorn in Cyprus Serdarlı, he graduated from Nicosia Turkish High School. He graduated from Dokuz Eylul University Faculty of Medicine. He completed his specialization in Atatürk Health Site Yeşilyurt State Hospital with his thesis on the comparison of the rear camera lens application and the front camera lenses, which was started to be applied for the first time in the clinic under the management of Zühal Çakırca, the clinical chief. She worked as a contact lens center in İzmir for three years and then as chief physician at Karşıyaka Kızılay Fatma Kutluay Dispensary. He continued to work in Karşıyaka by establishing the Private Yalı Polyclinic in 2005 and the Private Yalı Eye Health Branch Center in 2007, his special interests are refraction and contact lenses. He is a member of the Turkish Ophthalmology Association.
Opr. Dr. Gazi DumanHe graduated from Ege University Faculty of Medicine in 1989. Specialization he completed his education in Izmir Education and Research between 1991-1994. He completed his Ophthalmology Department at the Hospital. International A large number of scientific articles included in scientific indexes have been published. Numerous oral and poster presentations to national and international scientific meetings has a presentation. He is an active member of the Turkish Ophthalmology Association (TOD). Fluent in English, Opr. Dr. Gazi Duman is married and has two children. Special interests: Cataract Surgery (multifocal, trifocal, toric intraocular lenses) Cataract Surgery with Laser (Femtosecond Laser Cataract) Excimer Laser Surgery (Lasik, Lasek, PRK) Medical and Surgical Retina Eyelid Surgery Strabismus Surgery
Opr. Dr. Hüseyin AslankaraHe graduated from Dokuz September University Faculty of Medicine in 2005. September 2005-2010, he completed his specialty education in the Department of Ophthalmology of the Faculty of Medicine of Dokuz Eylül University and earned the title of ophthalmologist. Dec. He has published a large number of scientific articles that have entered international scientific indexes. There are many oral and poster presentations to national and international scientific meetings. He is an active member of the Turkish Ophthalmology Association (TOD), the American Academy of Ophthalmology Association and the European Society of Cataract and Refractive Surgeons. He won the European Ophthalmology Qualification Exam (European Board of Ophthalmology) and became a FEBO. Opr, who is married and has 1 child. Dr. Hüseyin Aslankara speaks English well.  Special interests: Retinal Diseases and Vitreoretinal Surgery Cataract Surgery (multifocal, trifocal, toric intraocular lenses) Cataract Surgery with Laser (Femtosecond Laser Cataract) Excimer Laser Surgeries (Lasik, Lasek, PRK) Strabismus Treatment and Surgery Children's Eye Diseases Eye Pressure (Glaucoma) Treatment and Operations Retinopathy of Prematurity and Its Treatment Eyelid Surgeries
Opr. Dr. Mustafa Alper ÇerçiHe was born in Nevşehir in 1977. He graduated from Ege University Faculty of Medicine in 2000. He completed his specialization education at Celal Bayar University Faculty of Medicine, Department of Ophthalmology between 2000-2004 and earned the title of ophthalmologist. He is the owner of the Turkish Ophthalmology Board Certificate, which was first given in 2003. A large number of scientific articles that entered international scientific indexes have been published. There are many oral and poster presentations to national and international scientific meetings. He is an active member of the Turkish Ophthalmology Association (TOD). Between 2007 and 2008, Ophthalmology Manual for General Practitioners, Brucellosis in the Etiology of Uveitis and A.O.O.O. There are book translations in Wound Healing Chapters. Op. Dr. Mustafa Alper Çerçi is fluent in English. Special interests: Cataract Surgery (multifocal, trifocal, toric intraocular lenses) Cataract Surgery with Laser (Femtosecond Laser Cataract) Excimer Laser Surgery (Lasik, Lasek, PRK) Medical Retina Eyelid Surgery Strabismus Glaucoma
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