Glaucoma, also called as Silent thief of sight is an asymptomatic disease of the eye which exhibits a typical optic neuropathy which results in progressive visual field loss.The most important risk factor is raised intraocular pressure.Risk factors for glaucoma include age above 40 years, diabetes, myopia, mature cataract, trauma, certain retinal diseases and a family history of glaucoma.
It is important to realize that there is no cure for glaucoma. Once nerve fibers die and visual function is lost, it cannot be recovered. Treatment can only help preserve remaining vision; hence it is imperative to detect the disease in its earliest stage.
The management of glaucoma must be an individualized effort. Simplistically speaking, in angle closure glaucoma doctors use a laser to create an alternative path for the fluid to drain out. However, this approach works for early cases; advanced cases require medication and surgery as for open angle glaucoma. An attack of closed angle glaucoma is an emergency and the IOP must be lowered as soon as possible to prevent damage to the optic nerve.