Glaucoma and combined cataract/glaucoma surgery

Glaucoma is a disorder which causes damage to the optic nerve due to an increase in pressure within the eye. If left untreated it can lead to blindness. In Germany an estimated four million people suffer from glaucoma, a quarter of them without even realising it. The main danger of glaucoma is that at the beginning there is no reduction in vision or any other symptoms. For this reason everybody should have their intraocular pressure measured once a year by the ophthalmologist as of the age of 40. The earlier a glaucoma is diagnosed, the easier it is to avoid damage to the eye and the better the treatment options.

Glaucoma

In the eye, the aqueous fluid produced by the ciliary body has the task of keeping the intraocular pressure stable within certain natural fluctuation limits. The aqueous fluid fills the anterior and posterior chamber, i.e. the space between the cornea, iris and lens. The aqueous fluid is produced by the ciliary epithelium directly behind the iris. From the ciliary body the aqueous fluid flows through the pupil into the anterior chamber from where it is led out of the eye via a tissue filter, the trabecula of the angle of the anterior chamber.

Glaucoma occurs when the outflow of aqueous fluid is obstructed at the angle of the anterior chamber, and pressure within the eyeball increases. The nerve fibres in the iris and in the optic nerve are particularly sensitive to pressure and thus at most risk from a glaucoma. Once these nerve fibres have been damaged, this damage cannot be reversed. In chronic cases, the increasing loss of optic nerve fibres leads to increasingly severe losses of visual field right up to complete blindness.

Ocular fundus (Glaucoma)

Retina-photograph

Laser-Retina-Scan (HRT)


Further information on glaucoma>>

 

 
 
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