{"id":288,"date":"2019-10-03T14:13:15","date_gmt":"2019-10-03T14:13:15","guid":{"rendered":"http:\/\/www.barnaclinic.com\/blog\/oftalmologia\/en\/?p=288"},"modified":"2019-10-03T14:13:15","modified_gmt":"2019-10-03T14:13:15","slug":"treatment-of-acute-glaucoma","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/oftalmologia\/en\/treatment-of-acute-glaucoma\/","title":{"rendered":"Treatment of acute glaucoma"},"content":{"rendered":"

The manifestations of acute glaucoma<\/strong>\u00a0are completely different to\u00a0chronic glaucoma<\/strong><\/a>. The main difference is the presence of numerous\u00a0acute glaucoma\u00a0symptoms<\/strong>: very severe eye pain, loss of vision, photophobia and, occasionally, general malaise accompanied by nausea and reflex vomiting. The main\u00a0cause of<\/strong>\u00a0acute glaucoma<\/strong>\u00a0is sudden and severe blockage of the\u00a0aqueous humour<\/strong>\u00a0or\u00a0intraocular fluid<\/strong>\u00a0in the anterior chamber of the eye.<\/p>\n

<\/p>\n

TREATMENT OF ACUTE GLAUCOMA<\/h2>\n
Medication<\/h5>\n

Acute glaucoma<\/strong>\u00a0is treated by general medication, such as hyperosmolar agents. These drugs cause the eye tissue to \u201cdehydrate\u201d, forcing out fluid from inside. They are usually administered intravenously. However, there are also diuretics which do the same job that are administered orally.<\/p>\n

Eye drops<\/h5>\n

It is also possible to use\u00a0eye drops to reduce intraocular pressure<\/strong><\/a>, such as those mentioned in previous posts. Eye drops that cause the pupil to close can also be used to mechanically move the iris that is “blocking” the drainage angle of the anterior part of the eye.<\/p>\n

YAG laser peripheral iridotomy<\/h5>\n

However, the primary treatment to be implemented is called\u00a0YAG laser peripheral iridotomy (PI)<\/strong>. During\u00a0peripheral iridotomy<\/strong>,\u00a0a small hole is made in the iris to allow the fluid in the eye to circulate freely.\u00a0The hole helps drain this fluid and thus\u00a0reduce\u00a0<\/strong>intraocular pressure<\/a>. This\u00a0treatment for acute glaucoma<\/strong>\u00a0provides instant relief for the patient, as the accumulated fluid is immediately removed.<\/p>\n

SYMPTOMS OF ACUTE GLAUCOMA AND POSSIBLE CONSEQUENCES<\/h2>\n

Acute glaucoma<\/strong>\u00a0is a very serious condition that causes numerous complications for the patient. As we have already mentioned, the\u00a0symptoms of acute glaucoma<\/strong>\u00a0include significant eye pain, general malaise, nausea and reflex vomiting. If it is not treated immediately, it may lead to irreversible loss of visual acuity. And even if treated early, the consequences may still be serious, such as loss of visual field, non-reactive mydriasis, lens opacity, etc.<\/p>\n

WHO CAN SUFFER FROM ACUTE GLAUCOMA?<\/h2>\n

It is important that patients with\u00a0hypermetropia<\/strong>, who have\u00a0eyes with short axial length<\/strong>\u00a0or\u00a0a family history of acute glaucoma<\/strong><\/a> go to their ophthalmologist. These patients should be checked whether they have an\u00a0eye at risk of acute glaucoma\u00a0<\/strong>and are likely to require\u00a0prophylactic peripheral iridotomy<\/strong>. This is particularly important for those patients who already exhibit some type of symptom, such as eye pain, headache or coloured vision halos when looking at light, especially in low light conditions.<\/p>\n

INTRAOCULAR LENS TO PREVENT ACUTE GLAUCOMA<\/h2>\n

After an episode of acute glaucoma<\/strong>,\u00a0or in predisposed eyes that already have a\u00a0significant increase in intraocular pressure<\/strong>, it is recommended that\u00a0phacoemulsification<\/em><\/a>\u00a0<\/u><\/em>be performed. Phacoemulsification<\/em><\/a>\u00a0is a\u00a0procedure to remove\u00a0<\/strong>cataracts<\/a>\u00a0or the lens<\/strong>\u00a0(if this has not yet become opaque, causing\u00a0a cataract<\/strong>) and\u00a0the placement of an intraocular lens<\/strong><\/a>.\u00a0The objective is to extract a bulky lens from the inside of these small eyes and create a space for the\u00a0intraocular fluid<\/strong>\u00a0to freely circulate. The\u00a0intraocular lens<\/strong><\/a>\u00a0that is inserted inside the eye is flattened and therefore occupies much less space than the lens (physiological lens) of the eye.\u00a0<\/strong><\/em><\/p>\n

\n

\"\"<\/a><\/h4>\n

\u00a0<\/em><\/strong>\u201cAcute glaucoma is a very serious condition that can result in irreversible loss of visual acuity and requires treatment with YAG laser peripheral iridotomy. <\/strong>Cataract\u00a0surgery<\/a> is often recommended in such eyes and eyes which are predisposed to this condition\u201d<\/strong><\/p>\n

Dra.\u00a0Elena Milla<\/strong><\/a><\/p><\/blockquote>\n

\n
\n

<\/p>\n

DO YOU WANT TO CONTACT DRA ELENA MILLA?<\/span><\/h1>\n

REQUEST APPOINTMENT<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

The manifestations of acute glaucoma\u00a0are completely different to\u00a0chronic glaucoma. The main difference is the presence of numerous\u00a0acute glaucoma\u00a0symptoms: very severe eye pain, loss of vision, photophobia and, occasionally, general malaise accompanied by nausea and reflex vomiting. The main\u00a0cause of\u00a0acute glaucoma\u00a0is sudden and severe blockage of the\u00a0aqueous humour\u00a0or\u00a0intraocular fluid\u00a0in the anterior chamber of the eye.<\/p>\n","protected":false},"author":2,"featured_media":283,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[112,111,116,115,113,114],"yoast_head":"\nTreatment of acute glaucoma - Ophtalmology blog<\/title>\n<meta name=\"description\" content=\"The manifestations of acute glaucoma are completely different to chronic glaucoma. 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