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Symptoms of glaucoma
Open angle glaucoma, which is the most frequent type, develops stealthily and without symptoms: visual impairment appears later on and is sometimes accompanied by eye pain or headaches. The visual field diminishes progressively. The central vison becomes smaller.
The tell-tale symptom of advanced glaucoma is visual impairment: firstly the peripheral vision as the centre of the visual field is initially unaffected. If left untreated, this may lead to irreversible visual impairment, even blindness .
Glaucoma diagnosis
Diagnosis is often made during an vision test for some other reason (short-sightedness, presbyopia, etc.). It may also be diagnosed at follow-up examinations of a person with predisposing factors of glaucoma, such as diabetes or a family history.
An ophthalmologist will confirm the glaucoma diagnosis by means of a clinical test, with additional tests :
- Intra-ocular pressure is measured using a tonometer
- The condition of the optic nerve head and optic fibres is inspected by means of dilated-pupil examination, or by optical coherence tomography (OCT)
- Examination of the angle to be confirmed as open or closed and to see if there is any obstruction to aqueous humour drainage
- Assessment of visual field, which shows the extent of optic nerve lesions and their progression
Also, it exists different ways to treat glaucoma.
Sources:
(1) La Revue du Praticien Médecine Générale, Volume 32, no. 998, March 2018.
(2) French Association of Qualified Ophthalmologists, Ophthalmology, Elsevier Masson, 2017.
(3) Ameli, Glaucome [online]. Available at: www.ameli.fr/assure/sante/themes/glaucome
(4) Inserm, Glaucome [online]. Available at: www.inserm.fr/information-en-sante/dossiers-information/glaucome