Is vitreous opacity a precursor to glaucoma?

Written by Li Zhen Dong
Ophthalmology
Updated on September 06, 2024
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Vitreous opacities are not a precursor to glaucoma. Vitreous opacities can be divided into physiological and pathological types. Physiological vitreous opacities generally do not affect vision, and one may see variously shaped black shadows in front of the eyes. Pathological vitreous opacities can impact vision and should be further examined by an ophthalmologist. The precursors of glaucoma include eye pressure, eye pain, photophobia, tearing, relief after rest, and a decrease in vision, along with halos seen around lights. If these symptoms occur, active treatment should be sought. Glaucoma can be classified into primary, secondary, congenital, and mixed types.

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Written by Li Zhen Dong
Ophthalmology
1min 13sec home-news-image

How to rule out glaucoma with high eye pressure?

Normal intraocular pressure ranges from 10-21mmHg. If it exceeds 21mmHg, it is considered to be increased intraocular pressure. Main symptoms of high intraocular pressure include eye distension, eye pain, tearing, photophobia, blurred vision, nausea, vomiting, headache, etc. High intraocular pressure is a primary diagnostic criterion for glaucoma, but it is not the only standard. Glaucoma can be divided into primary glaucoma, secondary glaucoma, congenital glaucoma, and mixed glaucoma. Primary glaucoma can further be subdivided into open-angle glaucoma and angle-closure glaucoma. Only during an acute attack of angle-closure glaucoma does the intraocular pressure increase, whereas open-angle glaucoma generally does not affect intraocular pressure. Therefore, the diagnosis of glaucoma mainly relies on a comprehensive assessment of the angle of the anterior chamber, intraocular pressure, visual field, visual acuity, and the condition of the optic disc.

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Written by Zheng Xin
Ophthalmology
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What to do with high eye pressure glaucoma?

Glaucoma is a group of eye diseases characterized by typical optic nerve atrophy and visual field defects. Its main features are high intraocular pressure and visual field damage. The treatment of glaucoma primarily focuses on controlling intraocular pressure, delaying damage to the optic nerve, and preserving remaining vision. Lowering intraocular pressure is essential for treating glaucoma, so it can be treated locally with medications that reduce intraocular pressure. If medications cannot control the pressure, surgery may be necessary to manage it. (Specific medications should be used under the guidance of a physician.)

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Written by Zhou Qing
Ophthalmology
1min 14sec home-news-image

Early symptoms of glaucoma

Glaucoma is a condition where the intraocular pressure exceeds the tolerance limits of the tissues within the eyeball, especially the optic nerve, causing characteristic optic nerve atrophy and visual field defects. In the early stages of glaucoma, the following symptoms may occur: First, there is eye pain, which may also be accompanied by headaches; Second, transient phenomena of rainbow vision or foggy vision, resembling the appearance of rainbow-like halos around light sources such as light bulbs; Third, there is a family history of glaucoma, especially if suspicious symptoms are present; Fourth, the eyeball becomes harder, and may feel as hard as a stone. Fifth, unexplained decrease in vision or visual field defects. Some glaucomas have atypical early symptoms, but the presence of the above symptoms should be taken seriously and prompt a hospital visit for diagnosis. High-risk groups for glaucoma should undergo annual eye exams to prevent the disease.

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Written by Peng Xi Feng
Ophthalmology
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Glaucoma open angle vs closed angle differences

Primary glaucoma is clinically divided into two major categories: angle-closure glaucoma and open-angle glaucoma. The difference between them is that angle-closure glaucoma is due to a pre-existing abnormal configuration of the iris, leading to a mechanical blockage of the anterior chamber angle by peripheral iris tissue, which obstructs the outflow of aqueous humor, thus causing an increase in intraocular pressure. In contrast, open-angle glaucoma has a normal appearance of the anterior chamber angle, which remains open, and its increase in intraocular pressure is due to a pathology in the trabecular meshwork’s aqueous humor outflow system, increasing the resistance to aqueous outflow. Currently, the ratio of primary angle-closure glaucoma to primary open-angle glaucoma is about 3:1, making it the most common type of glaucoma in China.

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Written by Peng Xi Feng
Ophthalmology
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What is glaucoma?

Glaucoma is one of the main blinding eye diseases in ophthalmology, with a certain genetic predisposition, affecting 10 to 15 percent of direct relatives of patients. Intraocular pressure is the pressure exerted by the contents within the eyeball against its inner wall. Glaucoma is a group of diseases characterized by distinctive optic nerve atrophy and visual field defects, and pathologically increased intraocular pressure is one of the main risk factors for glaucoma. The level of increased intraocular pressure and the tolerance of the optic nerve to pressure damage are primarily related to the occurrence and progression of glaucomatous optic nerve atrophy and visual field defects.