What are the treatment principles of glaucoma

Abstract: glaucoma is a group of clinical signs or eye diseases that threaten visual function and are mainly related to elevated intraocular pressure, that is, if the intraocular pressure exceeds the limit that the tissues in the eyeball, especially the retina, can bear, it will bring damage to visual function.

glaucoma is a particularly worrying disease. When glaucoma occurs, our eyes will be afraid of strong light, and it will have a serious impact when they look at things. The treatment of glaucoma is relatively cumbersome. What are the relevant treatment principles when treating glaucoma.

glaucoma is one of the main causes of blindness in China, and the damage of visual function caused by glaucoma is irreversible and the consequences are very serious. Generally speaking, glaucoma cannot be prevented, but early detection and reasonable treatment can maintain useful visual function for most patients for life. Therefore, early detection, early diagnosis and early treatment must be emphasized in the prevention of glaucoma.

glaucoma is a group of clinical signs or eye diseases that threaten visual function and are mainly related to elevated intraocular pressure, that is, the intraocular pressure exceeds the limit that the tissues in the eyeball, especially the retina, can bear, which will bring damage to visual function. The most typical and prominent manifestation is optic nerve depression atrophy and visual field defect and shrinkage. If effective treatment is not taken, the visual field can be completely lost and eventually blind. The treatment principle of glaucoma:

1. Primary glaucoma

primary glaucoma is mostly bilateral, but the incidence of both eyes can be sequential; Primary glaucoma can be divided into two types: closed angle and open angle.

1. Angle closure glaucoma

angle closure glaucoma is a common type of primary glaucoma. Most of them are over 45 years old, and less than 30 years old. In the past, it was called congestive glaucoma because there can be obvious ocular congestion during the attack. If angle closure glaucoma can be treated correctly in the early stage, it can often obtain satisfactory curative effect and even cure. The pathogenesis of

and

angle closure glaucoma can be divided into four stages: 1. Attack stage; 2. Intermittent remission; 3. Chronic progressive stage; 4. Preclinical.

angle closure glaucoma often has some inducements, such as emotional fluctuation, mental or physical fatigue, reading too long or watching TV and movies. At the beginning of the attack, the patient felt some slight eye swelling, headache or nausea. During the day, the vision was foggy (foggy vision), and at night, there was iridescence (rainbow around the light). Patients often come to see a doctor when this phenomenon occurs frequently or the symptoms are serious and can no longer be relieved. At this time, the intraocular pressure rises sharply and the height of vision decreases, so that only the sense of light remains (the affected eye can’t see anything, only some light). At this time, it is urgent to actively carry out rescue and treatment, quickly control the intraocular pressure to reduce it, and the vision can be gradually restored. Without proper treatment, because the damage of glaucoma to vision is irreversible, vision will become worse and worse after multiple attacks, and the final result is blindness. When

and

glaucoma attack, some cases are often misdiagnosed as iridocyclitis in Ophthalmology, gastroenteritis and migraine in internal medicine, and the condition worsens through the opposite treatment.

and

angle closure glaucoma can be cured by surgical treatment if it can be found early, but if the operation opportunity is missed, the effect will be greatly reduced even if the operation is carried out.

2. Open angle glaucoma

open angle glaucoma is also known as simple glaucoma. The progress of open-angle glaucoma is very slow, and there are no obvious symptoms, so it is difficult to find it early. Some patients have even lost sight in one eye, and do not know when to start. This eye disease, which gradually leads to blindness without symptoms, has a greater risk. The age of the patients ranged from 20 to 60 years old.

symptoms: there are almost no symptoms in the early stage of open-angle glaucoma. Only when the disease progresses to a certain extent, the patient will have the feeling of blurred vision, eye swelling and headache, and sometimes there may be iridescence and fog. In the late stage, when the binocular visual field (the range seen by the eyes) shrinks, there may be night blindness and inconvenient movement.

if patients often have the above symptoms, they need to find an ophthalmologist for systematic and detailed examination to make a clear diagnosis. If glaucoma is diagnosed, correct treatment is needed to prevent visual damage. The treatment is generally to use drug treatment first, and then consider surgical treatment when it is ineffective.

2. Secondary glaucoma

there are many kinds of secondary glaucoma:

1. Secondary glaucoma caused by anterior corneal sticky white spot;

2. Secondary glaucoma caused by iridocyclitis;

3. Secondary glaucoma caused by ocular trauma;

4. Fundus vasculopathy and secondary glaucoma;

5. Intraocular tumors and secondary glaucoma;

6. Facial vascular nevus and secondary glaucoma;

7. Hormone and secondary glaucoma; (systemic or local use of hormones can produce high intraocular pressure if it lasts for a long time).

8. Ciliary body inflammation glaucoma syndrome;

9. Cystic glaucoma; (due to cataract).

III. congenital glaucoma

congenital glaucoma is caused by abnormal development of anterior chamber angle tissue in fetal period, and most of them already exist at birth. Because the eyeball wall of infants is easy to expand under pressure, the whole eyeball continues to increase, so it is called “water eye”.

treatment: once congenital glaucoma is diagnosed, decompression surgery should be performed as soon as possible in principle to save visual function.

after we understand the above contents, we have a fairly clear understanding of the relevant treatment principles of glaucoma. When glaucoma comes to us, it will affect our daily life and mainly affect our eyesight. Therefore, we should treat glaucoma as a diseaseTake it seriously.

shared:

people who read this article should take care of their eyes. The following products are more >

compound Xueshuantong capsule: promoting blood circulation and removing blood stasis, supplementing qi and nourishing yin. It is used to treat retinal vein occlusion with blood stasis and deficiency of Qi and Yin, such as decreased vision or abnormal vision, signs of fundus blood stasis, mental fatigue, dry throat, dry mouth, etc; And stable tired angina pectoris for blood stasis and deficiency of Qi and Yin. Symptoms include chest tightness and pain, palpitation, palpitation, palpitation, shortness of breath, fatigue, upset and dry mouth. Citicoline sodium capsule: used to treat the sequelae of nervous system caused by craniocerebral injury or cerebrovascular accident.

price: ¥ 668

IOP lowering drug. Acetazolamide is suitable for chronic open-angle glaucoma and secondary glaucoma. It is also suitable for the preoperative treatment of acute angle closure glaucoma.

and

price: ¥ 25

and

IOP lowering drugs. Acetazolamide is suitable for chronic open-angle glaucoma and secondary glaucoma. It is also suitable for the preoperative treatment of acute angle closure glaucoma. Price of

and

: ¥ 26

and

nourish the liver and kidney, nourish yin, generate fluid, clear the liver and brighten the eyes. It is used for glaucoma, cataract in the early and middle stages, shyness, photophobia, blurred vision and other diseases caused by Yin deficiency of liver and kidney.

price: ¥ 25

for acute angle closure glaucoma, chronic angle closure glaucoma, open angle glaucoma, secondary glaucoma, etc. This product can be combined with other mydriasis agents β Receptor blockers, carbonic anhydrase inhibitors, sympathetic drugs or hypertonic dehydrating agents are used in the treatment of glaucoma. After ophthalmoscopy, this product can be dripped to shrink the pupil to counteract the effect of ciliary muscle paralysis agent or pupil dilator. Price of

and

: ¥ 7

and

nourish the liver and kidney, nourish yin, generate fluid, clear the liver and brighten the eyes. For shyness, photophobia and blurred vision caused by Yin deficiency of liver and kidney; Glaucoma, early and middle cataract with the above syndrome.

and

price: ¥ 29

and

are used to treat uveitis, keratitis and scleritis, inhibit the formation of corneal neovascularization, treat the inflammatory reaction after intraocular surgery, laser curtain forming or various eye injuries, and inhibit the mydriasis reaction in cataract surgery; Used for analgesia and anti-inflammatory after excimer laser keratectomy; Allergic eye diseases such as spring conjunctivitis and seasonal allergic conjunctivitis, prevent and treat inflammation and macular cystoid edema after cataract and intraocular lens surgery, and promote the formation of filtering blebs after glaucoma filtering surgery.

and

price: ¥ 12

and

are used to treat uveitis, keratitis and scleritis, inhibit the formation of corneal neovascularization, treat the inflammatory reaction after intraocular surgery, laser curtain forming or various eye injuries, and inhibit the mydriasis reaction in cataract surgery; Used for analgesia and anti-inflammatory after excimer laser keratectomy; Allergic eye diseases such as spring conjunctivitis and seasonal allergic conjunctivitis, prevent and treat inflammation and macular cystoid edema after cataract and intraocular lens surgery, and promote the formation of filtering blebs after glaucoma filtering surgery. Price of

and

: ¥ 21

and

are used to treat uveitis, keratitis and scleritis, inhibit the formation of corneal neovascularization, treat the inflammatory reaction after intraocular surgery, laser curtain forming or various eye injuries, and inhibit the mydriasis reaction during cataract surgery; Used for analgesia and anti-inflammatory after excimer laser keratectomy; Allergic eye diseases such as spring conjunctivitis and seasonal allergic conjunctivitis, prevent and treat inflammation and macular cystoid edema after cataract and intraocular lens surgery, and promote the formation of filtering blebs after glaucoma filtering surgery.

and

price: ¥ 7.5

and

are used to treat uveitis, keratitis and scleritis, inhibit the formation of corneal neovascularization, treat the inflammatory reaction after intraocular surgery, laser curtain forming or various eye injuries, and inhibit the mydriasis reaction during cataract surgery; Used for analgesia and anti-inflammatory after excimer laser keratectomy; Allergic eye diseases such as spring conjunctivitis and seasonal allergic conjunctivitis, prevent and treat inflammation and macular cystoid edema after cataract and intraocular lens surgery, and promote the formation of filtering blebs after glaucoma filtering surgery.

and

price: ¥ 8

and

are used to treat uveitis, keratitis and scleritis, inhibit the formation of corneal neovascularization, treat the inflammatory reaction after intraocular surgery, laser curtain forming or various eye injuries, and inhibit the mydriasis reaction in cataract surgery; Used for analgesia and anti-inflammatory after excimer laser keratectomy; Allergic eye diseases such as spring conjunctivitis and seasonal allergic conjunctivitis, prevent and treat inflammation and macular cystoid edema after cataract and intraocular lens surgery, and promote the formation of filtering blebs after glaucoma filtering surgery.

price: ¥ 8

is suitable for reducing elevated intraocular pressure in the following cases: high intraocular pressure, open-angle glaucoma can be used as a treatment for high intraocular pressure β Blockers are ineffective, or patients with contraindications use separate therapeutic drugs, or as β Synergistic therapeutic drugs of blockers.

price: ¥ 70

has a good effect on reducing intraocular pressure in primary open-angle glaucoma. For some secondary glaucoma, ocular hypertension, some primary angle closure glaucoma and glaucoma with ineffective drugs and surgery, the addition of this product can further enhance the effect of reducing intraocular pressure.

price: ¥ 9.9

indications: 1. Inflammatory and degenerative rheumatism: rheumatoid arthritis, juvenile rheumatoid arthritis, ankylosing spondylitis, osteoarthritis and spinal arthritis. Spinal pain syndrome. 2. Non joint rheumatic diseases, such as shoulder pain, tenosynovitis, bursitis, myalgia and post exercise injury pain. 3. Acute attack of gout. 4. Post traumatic and postoperative inflammatory pain, such as post-traumatic, post strain, toothache, headache, etc; Pain or inflammation in gynecology, such as primary dysmenorrhea or accessory inflammation. 5. Severe painful infections of ear, nose and throat can be used as adjuvant drugs, such as pharyngeal tonsillitis and otitis. Original

price: ¥ 17

this product can effectively reduce intraocular pressure and is used for the treatment of patients with chronic open-angle glaucoma and / or ocular hypertension. It can be used alone or in combination with other drugs to reduce intraocular pressure.

price: ¥ 52 “KDS, Fang came to see a doctor. At this time, the intraocular pressure rises sharply and the height of vision decreases, so that only the sense of light remains (the affected eye can’t see anything, only some light). At this time, it is urgent to actively carry out rescue and treatment, quickly control the intraocular pressure to reduce it, and the vision can be gradually restored. Without proper treatment, because the damage of glaucoma to vision is irreversible, vision will become worse and worse after multiple attacks, and the final result is blindness. When

and

glaucoma attack, some cases are often misdiagnosed as iridocyclitis in Ophthalmology, gastroenteritis and migraine in internal medicine, and the condition worsens through the opposite treatment.

and

angle closure glaucoma can be cured by surgical treatment if it can be found early, but if the operation opportunity is missed, the effect will be greatly reduced even if the operation is carried out.

2. Open angle glaucoma

open angle glaucoma is also known as simple glaucoma. The progress of open-angle glaucoma is very slow, and there are no obvious symptoms, so it is difficult to find it early. Some patients have even lost sight in one eye, and do not know when to start. This eye disease, which gradually leads to blindness without symptoms, has a greater risk. The age of the patients ranged from 20 to 60 years old.

symptoms: there are almost no symptoms in the early stage of open-angle glaucoma. Only when the disease progresses to a certain extent, the patient will have the feeling of blurred vision, eye swelling and headache, and sometimes there may be iridescence and fog. In the late stage, when the binocular visual field (the range seen by the eyes) shrinks, there may be night blindness and inconvenient movement.

if patients often have the above symptoms, they need to find an ophthalmologist for systematic and detailed examination to make a clear diagnosis. If glaucoma is diagnosed, correct treatment is needed to prevent visual damage. The treatment is generally to use drug treatment first, and then consider surgical treatment when it is ineffective.

2. Secondary glaucoma

there are many kinds of secondary glaucoma:

1. Secondary glaucoma caused by anterior corneal sticky white spot;

2. Secondary glaucoma caused by iridocyclitis;

3. Secondary glaucoma caused by ocular trauma;

4. Fundus vasculopathy and secondary glaucoma;

5. Intraocular tumors and secondary glaucoma;

6. Facial vascular nevus and secondary glaucoma;

7. Hormone and secondary glaucoma; (systemic or local use of hormones can produce high intraocular pressure if it lasts for a long time).

8. Ciliary body inflammation glaucoma syndrome;

9. Cystic glaucoma; (due to cataract).

III. congenital glaucoma

congenital glaucoma is caused by abnormal development of anterior chamber angle tissue in fetal period, and most of them already exist at birth. Because the eyeball wall of infants is easy to expand under pressure, the whole eyeball continues to increase, so it is called “water eye”.

treatment: once congenital glaucoma is diagnosed, decompression surgery should be performed as soon as possible in principle to save visual function.

after we understand the above contents, we have a fairly clear understanding of the relevant treatment principles of glaucoma. When glaucoma comes to us, it will affect our daily life and mainly affect our eyesight. Therefore, we should pay attention to glaucoma.

, glaucoma is a group of clinical signs or eye diseases that threaten visual function and are mainly related to elevated intraocular pressure, that is, the intraocular pressure exceeds the limit that the tissues in the eyeball, especially the retina, can bear, which will bring damage to visual function. The most typical and prominent manifestation is optic nerve depression atrophy and visual field defect and shrinkage. If effective treatment is not taken, the visual field can be completely lost and eventually blind. Treatment principles of glaucoma: 1. Primary glaucoma. Primary glaucoma is mostly bilateral, but the incidence of both eyes can be sequential; Primary glaucoma can be divided into two types: closed angle and open angle., 1. Angle closure glaucoma. Angle closure glaucoma is a common type of primary glaucoma. Most of them are over 45 years old, and less than 30 years old. In the past, it was called congestive glaucoma because there can be obvious ocular congestion during the attack. If angle closure glaucoma can be treated correctly in the early stage, satisfactory curative effect can be obtained and even cured., The pathogenesis of angle closure glaucoma can be divided into four stages: 1. Attack stage; 2. Intermittent remission; 3. Chronic progressive stage; 4. Preclinical., The attack of angle closure glaucoma can often have some inducements, such as emotional fluctuation, mental or physical fatigue, reading too long or watching TV and movies. At the beginning of the attack, the patient felt some slight eye swelling, headache or nausea. During the day, the vision was foggy (foggy vision), and at night, there was iridescence (rainbow around the light). Patients often come to see a doctor when this phenomenon occurs frequently or the symptoms are serious and can no longer be relieved. At this time, the intraocular pressure rises sharply and the height of vision decreases, so that only the sense of light remains (the affected eye can’t see anything, only some light). At this time, it is urgent to actively carry out rescue and treatment, quickly control the intraocular pressure to reduce it, and the vision can be gradually restored. Without proper treatment, because the damage of glaucoma to vision is irreversible, vision will become worse and worse after multiple attacks, and the final result is blindness., When glaucoma breaks out, some cases are often misdiagnosed as iridocyclitis in Ophthalmology, gastroenteritis and migraine in internal medicine, and the condition worsens through the opposite treatment., If angle closure glaucoma can be found early, it can be cured by surgical treatment and obtain satisfactory curative effect. However, if the operation opportunity is missed, the effect will be greatly reduced even if the operation is performed., 2. Open angle glaucoma, also known as simple glaucoma. The progress of open-angle glaucoma is very slow, and there are no obvious symptoms, so it is not easy to find it early. Some patients have even lost sight in one eye, and do not know when to start