Knowing More about the Role of Glaucoma Ophthalmologists

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Knowing More about the Role of Glaucoma Ophthalmologists
Knowing More about the Role of Glaucoma Ophthalmologists
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The role of an ophthalmologist who specializes in glaucoma is very necessary in dealing with glaucoma. If not treated properly, glaucoma can cause the sufferer to experience severe eye damage to the loss of the ability to see

Glaucoma is a condition of increased pressure inside the eyeball due to fluid buildup. If left untreated, this condition can lead to nerve damage to the eye and lead to blindness. To prevent this, the role of an ophthalmologist who specializes in glaucoma is needed.

Getting to Know More about the Role of Glaucoma Ophthalmologists - Alodokter

Glaucoma ophthalmologists are sub-specialist doctors who have deeper abilities to diagnose and treat glaucoma. To become an ophthalmologist who specializes in glaucoma, general practitioners need to first study as an ophthalmologist.

Conditions That Glaucoma Specialist Ophthalmologists Can Treat

Glaucoma disease is divided into several types. The following are some types of glaucoma that can be treated by an ophthalmologist who specializes in glaucoma:

1. Open angle glaucoma

This type of glaucoma occurs when the eye fluid cannot flow normally, because the drainage channels inside the eyeball are partially blocked. This condition triggers a buildup of fluid and causes an increase in pressure inside the eyeball.

2. Angle closure glaucoma

Closed angle glaucoma occurs when the drainage channel inside the eyeball is completely closed, so that the flow of eye fluid stops. However, this type of glaucoma generally occurs slowly or chronically.

In certain cases, angle-closure glaucoma can occur suddenly, causing a drastic and sudden increase in pressure inside the eyeball. This type of glaucoma can cause sufferers to feel severe eye pain, nausea and vomiting, to severe headaches.

3. Normal pressure glaucoma

Normal pressure glaucoma occurs when the optic nerve is damaged, even though the pressure inside the eyeball is normal or even low. Until now, the cause of this type of glaucoma is still unknown.

4. Secondary glaucoma

Secondary glaucoma is a glaucoma disease caused by disorders of the eye, such as inflammation, infection, injury, to complications from eye surgery.

In certain cases, glaucoma can occur in people with certain diseases, such as uncontrolled hypertension and diabetes.

5. Pigmentary glaucoma

The iris of the eye is made up of natural dyes called pigments. When there is a disturbance of pigment in the eye, these substances can be damaged or destroyed and accumulate in the eye's fluid drainage system.

This condition makes the fluid in the eyeball increase and cause glaucoma pigmentary.

6. Congenital Glaucoma

Congenital glaucoma occurs due to abnormalities in the formation of the structure and drainage system of fluid in the eyeball. This type of glaucoma is a type of glaucoma that can occur in newborns.

Actions Performed by Glaucoma Expert Ophthalmologists

To diagnose the type of glaucoma and its severity, an ophthalmologist who specializes in glaucoma will perform a physical examination of the eye and supporting examinations, such as:

  • Tonometry, to measure eye pressure
  • Gonioscopy, to check the drainage of eye fluid
  • Pachymetry, to measure the thickness of the cornea of ​​the eye
  • Perimetry or visual field examination, to find out how wide the angle of view or distance of the eye is
  • Ophthalmoscopy
  • Blood and urine test
  • radiological examination, such as ultrasound, MRI, and CT scan of the eye

After the type and severity of glaucoma is known, the glaucoma specialist ophthalmologist can determine the treatment according to the patient's condition. Types of handling that can be done are:

Medications

In dealing with glaucoma, glaucoma specialist ophthalmologists can prescribe medications in the form of eye drops or oral medications. The following are some types of drugs that doctors can prescribe to treat glaucoma:

  • Prostaglandins, to smooth the flow of fluid in the eye so that the pressure in the eye is reduced
  • Beta blockers and carbonic anhydrase inhibitors, to reduce fluid production in the eyes
  • Alpha-adrenergic agonist, to reduce eye fluid production and increase fluid flow in the eyeball
  • Rho kinase inhibitor, to reduce pressure in the eye by suppressing the rho kinase enzyme which is responsible for increasing fluid in the eye
  • Miotic or cholinergic, to facilitate the flow of fluid from the eye

If eye drops alone can't reduce pressure in the eye, the doctor may also give you oral or oral medication.

Operation

If the administration of glaucoma drugs does not succeed in overcoming the patient's glaucoma, an ophthalmologist who specializes in glaucoma can perform medical action in the form of eye surgery. Eye surgery in glaucoma cases can be done conventionally or by other methods, such as laser surgery or electrosurgery.

Laser surgery aims to open the eye drainage channels, improve the flow of fluid in the eyeball, and reduce the production of fluid in the eyeball. Thus, the pressure inside the eyeball will be reduced.

Which is the Right Time to Visit a Glaucoma Specialist Ophthalmologist?

You may be advised to consult an ophthalmologist who specializes in glaucoma after receiving a referral from a general practitioner or ophthalmologist. However, you can also go directly to this subspecialist doctor if you feel some symptoms of glaucoma, such as:

  • Visibility of vision, for example, dark spots appear on the side or center of view
  • Vision conical forward like a tunnel (tunnel vision)
  • Severe headache
  • Sore eyes
  • Nausea and vomiting
  • Blurred vision
  • A rainbow-like circle appears when you see a bright light
  • Red eyes

Preparation Before Consultation with Glaucoma Expert Ophthalmologist

Before seeing an ophthalmologist who specializes in glaucoma, prepare the following things to make it easier for doctors to determine the right diagnosis and treatment:

  • To record the symptoms and complaints experienced
  • Bring the results of previous examinations or laboratory tests, if any
  • Bring notes related to the history of diseases and medications that have been or are being taken

Please note, glaucoma that is not treated immediately has the risk of causing permanent eye nerve damage, leading to blindness. Therefore, you need to see an ophthalmologist who specializes in glaucoma immediately if you experience the signs or symptoms of glaucoma mentioned above.

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