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Mar 12
Glaucoma Awareness: Seeing into Your Future

​By Reu’el McAllister Singh (HST Communications Intern)

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Glaucoma is one of the leading causes of blindness worldwide, including in South Africa. Regrettably, many individuals remain unaware of their condition until they experience vision impairment. This progressive disease develops silently, without noticeable symptoms, affecting approximately 80 million people globally.

What is Glaucoma?

Glaucoma refers to a group of eye conditions that cause a build-up of pressure in the eye, which can ultimately damage the optic nerve, leading to permanent vision loss or blindness. While it can develop for various reasons, many cases can be managed with treatment. Staying informed about the risk factors and having routine eye check-ups can help safeguard your vision.

Types of Glaucoma

Various forms of glaucoma exist, which can generally be classified into several distinct categories:

  • Open-Angle Glaucoma: This represents the most prevalent type. The drainage angle between the iris and cornea remains open, but the drainage system doesn’t work properly, causing fluid build-up and increasing eye pressure over time.
  • Angle-Closure Glaucoma: In this type, the iris blocks the drainage area, causing a sudden rise in eye pressure. This can lead to severe pain, blurred vision, and requires immediate medical attention.
  • Secondary Glaucoma: This occurs when another condition, such as an eye injury or certain medications, increases the eye pressure, leading to glaucoma. Conditions like diabetes or inflammation in the eye can also cause secondary glaucoma.
  • Congenital Glaucoma: A rare form of Glaucoma that babies are born with due to abnormal development in the eye’s drainage system during pregnancy. Early treatment is crucial to prevent permanent vision damage.


Recognising Symptoms and Risk Factors


What to Look Out for:

  • Gradual loss of peripheral (side) vision is often the first sign.
  • Blurred or hazy vision.
  • Eye pain or pressure.
  • Frequent headaches, particularly around the eyes.
  • Sudden vision loss (a symptom of angle-closure glaucoma requiring immediate medical attention).
  • Seeing rainbow-colored halos around lights, particularly when accompanied by nausea or vomiting.

    Key Risk Factors to Consider:
  • Being over 40, with risk increasing over the age of 60.
  • A family history of glaucoma.
  • Higher prevalence in people of African or Asian descent.
  • Elevated eye pressure.
  • Medical conditions such as diabetes, high blood pressure, and heart disease.
  • Eye injuries or surgeries.
  • Long-term use of steroid medications.


Recognising these symptoms and understanding the risk factors are crucial steps toward early diagnosis and treatment. Regular eye exams are key, even if you don’t experience symptoms.

The Importance of Early Detection and Treatment for Glaucoma

Early detection through routine eye examinations are essential, as it helps identify the condition in its earliest stages before irreversible damage occurs. Comprehensive eye examinations can measure eye pressure, assess the optic nerve, and track changes in the visual field, all key factors in diagnosing glaucoma early.

Although the damage from glaucoma cannot be reversed, early diagnosis allows for treatment to slow or prevent further vision loss, helping people maintain their quality of life. Treatment typically focuses on lowering eye pressure to protect the optic nerve, with options including medicated eye drops, oral medications, laser therapy, and, in some cases, surgery. Lifestyle changes, such as maintaining a healthy diet, regular exercise, and managing underlying health conditions like diabetes and high blood pressure, can also help manage the condition effectively.

Resources and Support

The South African Glaucoma Society (SAGS) is dedicated to providing essential information and support to individuals affected by glaucoma. Additionally, SAGS collaborates with international glaucoma organisations, such as the World Glaucoma Association (WGA) and The International Agency for the Prevention of Blindness (IAPB), to raise awareness and promote research aimed at preventing vision loss.

Glaucoma is often called the "silent thief of sight" because it can progress without noticeable symptoms until significant damage has occurred. Early detection through regular eye exams is crucial in preventing irreversible vision loss. Being proactive about eye health, individuals can take the necessary steps to protect their vision and maintain quality of life.

For information on glaucoma or assistance, please visit:

E: webmaster@dipity.co.za

E:  info@worldglaucoma.org

 

 

 


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