Glaucoma is an eye disease in which the pressure inside your eyes increases enough to damage the nerve fibers in your optic nerve and cause vision loss. The increase in pressure happens when the passages that normally allow fluid in your eyes to drain become clogged or blocked. Glaucoma often is called the “silent thief of sight,” because most types typically cause no pain and produce no symptoms until noticeable vision loss occurs.
Glaucoma is one of the leading causes of blindness in the U.S. Glaucoma can be a devastating disease if not diagnosed and treated. It most often occurs in people over age 40. People with a family history of glaucoma, African Americans, and those who are very nearsighted or diabetic are at a higher risk of developing the disease.
A less common form of glaucoma is acute angle-closure glaucoma, symptoms can occur suddenly and can include blurry vision, halos around lights, intense eye pain, nausea and vomiting. If you have these symptoms, make sure you see an eye doctor or visit the emergency room immediately so steps can be taken to prevent permanent vision loss.
Normal-tension glaucoma (also termed normal-pressure glaucoma, low-tension glaucoma or low-pressure glaucoma) is an open-angle type of glaucoma that can cause visual field loss due to optic nerve damage. But in normal-tension glaucoma, the eye’s IOP remains in the normal range. The cause of normal-tension glaucoma is not known. But many doctors believe it is related to poor blood flow to the optic nerve. Normal-tension glaucoma is more common in those who are Japanese, are female and/or have a history of vascular disease.
Everyone should be concerned about glaucoma and its effects. It is important for each of us, from infants to senior citizens, to have our eyes checked regularly. Early detection and treatment of glaucoma is the only way to prevent vision impairment and blindness.
There are a few conditions related to this disease which tend to put some people at greater risk. This may apply to you if:
· You are over 45 and have not had your eyes examined regularly
· Someone in your family has a history of glaucoma
· You have abnormally high intraocular pressure
· You are of African descent
· You have diabetes
· You are highly myopic (nearsighted)
· You have regular, long-term steroid/cortisone use
· You have a previous eye injury
Glaucoma cannot be prevented but if diagnosed and treated early, it can be controlled. Generally glaucoma can be treated successful if diagnosed. Treatment can involve glaucoma surgery, lasers or medication, depending on the severity. Eye drops with medication aimed at lowering IOP usually are tried first to control glaucoma.
Despite the fact that glaucoma patients are being treated for their eye condition, LASIK or other laser vision correction options may still be an option for patients who are near-sighted, far-sighted or have astigmatism.
Many patients with glaucoma may have been told that due to the elevated pressure within their eyes, they were not considered a good candidate for LASIK. If the glaucoma is under good control, LASIK can still be an option to a patient’s vision problems.
Candidates must be thoroughly screened, undergoing a complete eye examination, including a retinal exam. During the examination, the LASIK surgeon will make observations and measurements to determine if LASIK is a possibility. The surgeon may consider between the PRK and LASIK procedures, both are similar forms of laser vision correction. PRK generally causes less of a pressure increase during the surgery so is sometimes the favored method of laser vision correction.
If you are turned down for LASIK surgery because you have glaucoma, it might be advisable to visit a glaucoma specialist or another LASIK surgeon who has had experience with performing LASIK on glaucoma patients.


