Glaucoma history and symptoms: Difference between revisions

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==History and Symptoms==
== Overview ==
[[Symptom]]s of glaucoma vary greatly, depending on the type of disease present.


''Open-angle glaucoma''
== History and Symptoms ==
* Most people have no [[symptom]]s until they begin to lose [[vision]]
Early changes in vision due to open-angle glaucoma involves a loss of peripheral vision at first, while visual acuity (e.g., central vision) is maintained until later in the course of the disease. For this reason, open-angle glaucoma progresses relatively asymptomatically, and patients often do not present with symptoms or visual complaints until late in the course of the disease.
* Gradual loss of [[Peripheral vision|peripheral (side) vision]] (also called [[tunnel vision]])


''Angle-closure glaucoma''
Clinical suspicion should, therefore, be high in the following patients who have or have had:
* [[Symptom]]s may come and go at first, or steadily become worse
* A previous ocular history such as history of eye pain or redness, headaches, uveitis, diabetic retinopathy, cataracts, vascular occlusions, or multicolored halos
* Sudden, severe [[pain]] in one eye
* Ocular surgery like photocoagulation or refractive procedures such as laser eye surgery)
* Decreased or cloudy [[vision]]
* Head or ocular trauma
* [[Nausea]] and [[vomiting]]
* Take certain medications such as hypertensive medications that may influence IOP or systemic/topical steroids
* Rainbow-like halos around lights
* Medical history of diabetes mellitus, migraine headaches, hypertension, vasospasm, cardiovascular disease
* [[Red eye]]
* Family history (e.g., first-degree relative with glaucoma, especially significant if this is a sibling) that would place them at a greater risk of developing open-angle glaucoma.
* Eye feels [[swollen]]


''Low-tension or normal-tension glaucoma''
* Narrowed side vision in people with normal [[IOP|eye pressure]]
''Congenital glaucoma''
* [[Symptom]]s are usually noticed when the child is a few months old
* Cloudiness of the front of the eye
* Enlargement of one eye or both eyes
* [[Red eye]]
* Sensitivity to light
* Excessive [[Tears|Tearing]]
== References ==
== References ==
{{Reflist|2}}
{{Reflist|2}}
{{WH}}
{{WS}}


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Latest revision as of 21:52, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Rohan Bir Singh, M.B.B.S.[2]

Overview

History and Symptoms

Early changes in vision due to open-angle glaucoma involves a loss of peripheral vision at first, while visual acuity (e.g., central vision) is maintained until later in the course of the disease. For this reason, open-angle glaucoma progresses relatively asymptomatically, and patients often do not present with symptoms or visual complaints until late in the course of the disease.

Clinical suspicion should, therefore, be high in the following patients who have or have had:

  • A previous ocular history such as history of eye pain or redness, headaches, uveitis, diabetic retinopathy, cataracts, vascular occlusions, or multicolored halos
  • Ocular surgery like photocoagulation or refractive procedures such as laser eye surgery)
  • Head or ocular trauma
  • Take certain medications such as hypertensive medications that may influence IOP or systemic/topical steroids
  • Medical history of diabetes mellitus, migraine headaches, hypertension, vasospasm, cardiovascular disease
  • Family history (e.g., first-degree relative with glaucoma, especially significant if this is a sibling) that would place them at a greater risk of developing open-angle glaucoma.

References

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