Glaucoma the Thief of Sight is a group of chronic and progressive optic nerve diseases caused by increased eye pressure as one of the main risk factors. Glaucoma is a multifactorial disease, the main factor is high eye pressure which is often caused by an obstacle to the release of eyeball fluid (Aqueous Humor). Glaucoma symptoms and risk factors may develop without any obvious symptoms. People with glaucoma often don't realize they have the disease until they have advanced vision damage. Glaucoma can affect anyone.
Some of the risk factors for glaucoma are aged > 40 years, have a family history of glaucoma, have high eye pressure, have high myopia (nearsightedness) and hypermetropia (farsightedness), have a history of diabetes mellitus, hypertension, migraines, heart disease, long-term steroid drug user, has experienced eye trauma.
1. Primary open-angle glaucoma, which is most often found in the elderly, which slowly damages vision without pain, so that the patient does not realize that he eventually becomes blind (sight thief).
2. Acute primary angle closure glaucoma, namely sudden blurred vision, rainbow appearance when looking at light has signs or characteristics of red eyes, headache, nausea, vomiting, and sudden high eye pressure.
3. Secondary glaucoma occurs as a result of complications from eye accidents or trauma, uncontrolled diabetes, prolonged use of steroids, eye inflammatory reactions.
4. Congenital glaucoma is a corner of the eyeball that is not fully formed from birth, the eyeball is larger than normal, the cornea is cloudy, afraid of light and watery eyes.
How to prevent glaucoma? At the age of >40 years, it is necessary to check eye pressure periodically every 6 months, especially those who have the risk factors as mentioned above. Examination to make a diagnosis of glaucoma, namely by measuring eye pressure with a tonometer, then looking at the angle of the anterior chamber with gonioscopy, then examining the visual field with Humphrey/Goldmann perimetry and finally examining the state of the optic nerve with Optical Coherence Tomography (OCT).
Glaucoma therapy can be done with drugs, through lasers and surgery. For operative action can be done with trabeculectomy, which is a surgical procedure by making drainage holes in the sclera to reduce intraocular pressure (IOP). TSCPC or trans-scleral cyclophotocoagulation, is a laser therapy to lower intraocular pressure (IOP). Installation of implants, also known as glaucoma drainage devices, are used to inhibit or even stop the progress of glaucoma.
The types of implants provided at the Yogyakarta "Dr.YAP" Eye Hospital include Valve Implants: Ahmed Implants, Valveless Implants (Non-Valve): Baervelt Implants, Virna Implants, AADI Implants Early detection and monitoring is an effort that needs to be enforced.