There is always a rainbow in front of the eyes, the original is glaucoma in the problem, the terrible thing is that the disease will be inherited

Blurry eyes, pain all the time? Look out for glaucoma

Recently, Nie Li, deputy director of the glaucoma specialist, received the patient aunt Lou in the consulting room. Aunt Lou told Doctor Nie: "I recently feel things can not see clearly, the orbit here is very painful, the head is dizzy, so about a week." Sometimes I feel nauseous and tired." After a preliminary physical examination and auxiliary examination, Dr. Nie found that Aunt Lou's room corner showed a closed state. After careful medical history, I learned that Aunt Lou's mother also suffered from acute angle-closure glaucoma. After learning her own situation, Aunt Lou was very nervous: "Can this disease be inherited?" How am I doing now, or will I not be able to see?" Dr. Nie said that there is a family history of angle-closure glaucoma, and there is indeed a possibility of inheritance. The key point of glaucoma prevention and treatment is early diagnosis and treatment, and it is particularly important not to let the condition continue to deteriorate.

Symptoms of acute angle-closure glaucoma

Angle-closure glaucoma may appear in the early stage of eye pain, iris, fog vision, etc., can be completely improved after rest, and in the acute attack of red eyes, vision drop, serious may be accompanied by headache, nausea, vomiting. Sometimes it is an acute attack of glaucoma, but because of cranium pain and vomiting, many people ignore the symptoms of the eye, thinking that it is migraine, acute gastroenteritis ah, these diseases ran to the wrong department, but also delayed the condition!

Doctor Nie suggested that these symptoms appear, hurry to the hospital. The scope of view is reduced, the vision is blurred, especially the close-range work is difficult, and frequent lens change can not be solved; There is a rainbow phenomenon at night; In a little dark environment, see things have a headache eye distention, especially if your eyes are still a little red, it must go to the doctor immediately!

How to treat acute angle-closure glaucoma?

Glaucoma treatment is divided into drug treatment and surgical treatment (including laser treatment), the principle is to establish a new aqueous humor dynamic balance, or reduce the amount of aqueous humor production, or increase the amount of aqueous humor discharge, to reduce the intraocular pressure to a safe range. Acute angle-closure glaucoma must be treated immediately with surgery.

Dr. Nie emphasized that the optic nerve damage caused by glaucoma is irreversible, whether it is drug or surgical treatment, the purpose is only to reduce eye pressure and prevent further damage to the optic nerve, but not to improve vision and improve visual field problems. So the key to the treatment of glaucoma is early diagnosis, early treatment!

Is there any way to prevent glaucoma?

Finally, Aunt Lou consulted Dr. Nie, is there any way to prevent the occurrence of glaucoma. Dr. Nie replied: "There is no way to prevent before detection, early detection is the key!" Eye examination is an effective way to detect glaucoma early, every year, many patients are found in the physical examination of glaucoma without symptoms, can maintain long-term vision through timely treatment. The main tests to confirm glaucoma are intraocular pressure, visual field, fundus examination, and atrial Angle scopy. Nie also warned two groups of people to have their eyes checked regularly: people over 40; People with a family history of hyperopia, diabetes, and high myopia.

Author: Nie Li, special science expert of Ophthalmology Branch of Chinese Geriatrics Society, Deputy chief physician of glaucoma Department, Hangzhou Hospital of Optometry Affiliated to Wenzhou Medical University

 

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