Glaucoma Symptoms

    Published: 06-16-2009
    Views: 11,757
    Dr. Guy Eakin and Donald Zack, M.D., Ph.D., discuss the symptoms of the two most common forms of glaucoma.

    Dr. Guy Eakin: Today I am going to talk about glaucoma, the leading cause of irreversible vision loss and ultimately blindness. Glaucoma normally develops gradually with no real symptoms to warn of its presence. For this reason, it's often called the sneak thief of sight.

    Experts estimate that half of those affected by glaucoma may not even know that they have it. This is because there are normally no symptoms during the early stages of the disease, therefore those at a higher risk for developing glaucoma should have their eyes examined more frequently.

    Paula Ernst: I have been having some kind of a light disturbance with my eyes, so made appointment with the doctor and I was concerned it might be something related to stroke or something like that so I went with that and they did finally decide that it was just that light sensitivity that you get prior to a migraine so that I wasn't getting the headaches but I was getting the lights, so that's they diagnosed that as a migraine related eye disturbance, but then also did the eye pressures and discovered the glaucoma.

    Guy Eakin: If glaucoma is left untreated or undiagnosed, eventually the optic nerve can be damaged enough that the patient may notice vision changes. The first noticeable sign is usually the loss of peripheral or side vision. Blurry vision or difficulty reading, are typically signs that indicate the need for glasses, the development of cataracts or possibly other eye diseases.

    For glaucoma, by the time for peripheral vision is beginning to be lost, permanent damage to the optic nerve has been done. While there is currently no cure for glaucoma, and the vision loss cannot be restored, treatments are focused on preventing any further loss of vision. This is the case for open angle, normal tension and chronic closed angle glaucoma.

    The exceptions are types of glaucomas such as acute closed angle glaucoma. This disease comes on suddenly and does exhibit significant symptoms including pain, nausea blurred vision and sometimes even color and halos around lights. If you or someone close to you is experiencing these symptoms, treatments should be started immediately.

    Dr. Donald Zack: So usually patients don't know they have glaucoma, if they notice they have a change of their vision, that's bad, because that means they have very advanced glaucoma. Most people with early glaucoma and that's when we want to detect it, really don't know they have it. So number one, it's important to go, see your eye doctor, so you have a chance of being diagnosed with glaucoma, particularly if you are at high risk.

    High risk individuals are people who are a little bit older, people have a family history, meaning they have a relative with glaucoma or people with certain racial and ethnic groups. Your eye care professional will advise you how often to schedule your appointments. The regularity of your visits will depend on your particular level of risk for the disease as well as the disease type and the rate of progression of the disease.

    Generally speaking you should have your eyes examined at least every one to two years and possibly more often if your doctor is concerned about you developing glaucoma in the future.

    To learn more about glaucoma, check out the other videos in this series including how to diagnose glaucoma.