Glaucoma is usually diagnosed on the basis of the clinical picture. 2nd order laboratory parameters – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification. Inflammatory parameters – CRP (C-reactive protein).
Therapeutic targets Improvement of symptoms by increased aqueous humor outflow or decreased aqueous humor production. Neuroprotection (see below). Therapy recommendations Neuroprotection (attempt to keep nerve cells and nerve fibers from dying by pharmacological or nutritive methods/supplements)! The “European Glaucoma Society, (EGS)” defines open angle glaucomas as follows: “Open angle glaucomas are chronic, progressive optic neuropathies … Glaucoma: Drug Therapy
Mandatory medical device diagnostics. Slit-lamp examination (slit-lamp microscope; viewing of the eyeball under appropriate illumination and high magnification) of the anterior and middle segments of the eye (if not performed within the past year) Stereoscopic findings of optic disc (area of retina where retinal nerve fibers gather and form optic nerve after leaving eyeball) and … Glaucoma: Diagnostic Tests
A risk group indicates the possibility that the disease may be associated with the risk of vital substance deficiency (micronutrients). The complaint glaucoma indicates a vital substance (micronutrient) deficiency for: Vitamin B1 VItamin B6 Vitamin B12 Folic acid Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for supportive … Glaucoma: Micronutrient Therapy
1st order Argon laser or diode laser trabeculoplasty – this method increases aqueous humor outflow, thereby lowering intraocular pressure YAG laser iridotomy – incision of the iris to improve aqueous humor outflow. Diode laser cycloablation – destroying part of the aqueous humor-producing tissue and thus reducing aqueous humor outflow Trabeculotomy – incision of the trabecular … Glaucoma: Surgical Therapy
To prevent glaucoma (glaucoma), attention must be paid to reducing risk factors. Behavioral risk factors Diet Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Consumption of stimulants Tobacco (smoking) – risk increase of about 88%. Overweight (BMI ≥ 25; obesity). Environmental pollution – intoxications (poisonings). Particulate matter levels – people from neighborhoods in the … Glaucoma: Prevention
The following symptoms and complaints may indicate glaucoma (glaucoma): Leading symptoms of glaucoma Visual field loss (due to chronic optic atrophy) – generally detected very late because initially only peripheral areas of the visual field have defects; visual deterioration does not occur until central areas of the visual field are also affected. Decreased visual acuity … Glaucoma: Symptoms, Complaints, Signs
Pathogenesis (development of disease) Glaucoma is now defined as progressive (advancing) optic nerve degeneration (optic neuropathy), in the course of which retinal (“belonging to the retina”) ganglion cells die and visual field loss to blindness develops. A large proportion of glaucomas are usually caused by excessive intraocular pressure, which then damages the optic nerve by … Glaucoma: Causes
The following are the most important diseases or complications that may be contributed to by glaucoma (glaucoma): Eyes and eye appendages (H00-H59). Blindness Severe limitation of the ability to see Cardiovascular system (I00-I99) Cerebral microinfarcts (WML, “white matter lesions”) [with an increase in visual field defects, in patients with primary open-angle glaucoma (POAG) and normotensive … Glaucoma: Secondary Diseases
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Eyes [vascular congestion, blood in the eyeball, bluish discoloration of the eye]. Ophthalmic examination – examination of the eye with a slit lamp, determination of … Glaucoma: Examination
Medical history (history of the patient) represents an important component in the diagnosis of glaucoma. Family history Is there a history of frequent eye disease in your family? Social anamnesis Current medical history/systemic history (somatic and psychological complaints). Have you noticed any visual field loss? Has your visual acuity decreased? Do you have acute pain … Glaucoma: Medical History
Eyes and ocular appendages (H00-H59). Other forms of glaucoma Congenital optic disc anomalies, unspecified. Anterior uveitis – inflammation of the medial skin of the eye, which consists of the choroid, the corpus ciliare, and the iris; in anterior uveitis, the anterior part is affected Psyche – Nervous System (F00-F99; G00-G99). Cluster headache Migraine Injuries, poisonings … Glaucoma: Or something else? Differential Diagnosis
