Check Your Eye In Time - Workouts

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It is often referred to as the ?silent thief of sight? because the gradual loss of vision it afflicts mostly manifests itself when it is too late. Glaucoma is a menace that may lead to a permanent loss of eyesight, and a person may not even know when the symptoms actually began.

Glaucoma is a disorder that damages the optic nerve of the eye and may lead to permanent loss of eyesight.

According to WHO statistics, the prevalence of glaucoma in India is 2.6 per cent. However, most people are not even aware of the disease and the need to guard against it even when regular and thorough check-up of the eyes is the only way to sight signs of the disease early and control it in time.

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?People over the age of 40, people with a family history of glaucoma, those suffering from diabetes, migraine, who frequently change their spectacles, who have high minus numbers, use steroids too often and most importantly those who have a family history of Glaucoma are generally at a higher risk of contracting this disease,? says Dr Harsh Kumar, Centre for Sight, Delhi.

Dr Kumar adds that one of eight persons above 40 is a glaucoma suspect and 11.2 million people suffer from glaucoma in India.

While in some people, the disease shows with symptoms like redness in eyes, pain and blurry vision, appearance of halos around lights, nausea and vomiting, the more common variety of glaucoma is the silent type (Chronic Open angle Glaucoma) in which the patient is totally asymptomatic and is even unaware of his gradual loss of vision.

As the World Glaucoma Week is observed internationally from March 10 to 16, doctors are urging people to keep a tab on the condition of their eyes and get periodical check ups done.

?Glaucoma once detected can be stopped from worsening further but reversing it is impossible. Even if you haven?t reached the age of 40, a regular eye check including test for Glaucoma is advisable,? says Dr Rakesh Joshi, 'Surya Eye Care Centre', New Delhi.

Besides the regular eye check-up for vision, what a person needs to get done is a comprehensive eye examination as well.

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The comprehensive eye test, explains Dr Joshi, includes a vision check, a slit lamp examination, an IOP (Intraocular pressure) check and optic disc evaluation. A baseline record of Visual fields is recommended in patients with a family history of Glaucoma. All these indicators help doctors determine the condition of the eye.

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?High eye pressure may exist without noticeable symptoms so many people do not even know that they have the disease unless they go for a periodic ophthalmic examination. When symptoms do become noticeable, it's usually only when significant loss of vision has occurred,? says Dr J C Das, Shroff Eye Centre, Kailash colony, New Delhi.

Glaucoma is a group of eye diseases characterized by damage to the optic nerve. A healthy eye produces a fluid, called aqueous humor, at the same rate at which it drains. High pressure occurs when the drainage system is blocked and the fluid cannot exit at a normal rate. Unlike a ball or a balloon, the eye cannot relieve pressure by springing a leak and "deflating" when pressure is too high. The high eye pressure instead keeps building and pushing against the optic nerve which is responsible for vision. The extreme pressure can permanently damage the nerve fibers leading to loss of vision.

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Since few glaucoma patients experience its symptoms from the beginning, early detection of the disease is generally difficult. Doctors suggest that the only way to prevent this blinding disease is a regular and through check-up of the eyes.

Since reversing the disease is not possible, the doctors say that one should not wait for these symptoms to crop up to get a check-up done. Small efforts like getting a thorough check-up done every time you change your spectacles can make a big difference in early detection of the disease and save you from its catastrophic effects.

While there is no cure for Glaucoma, elevated Intra Ocular Pressure (IOP) is currently the main treatable risk factor. Research is still on the areas of Neuroprotection and Vasoprotection. It is important to treat aggressively with the most effective products such as prescription eye drops that can provide maximum reduction of elevated IOP with long-term control. In some cases, surgery can also help. It is important for patients to use medication as prescribed and maintain regular examinations with an ophthalmologist who can evaluate glaucoma progression and treatment options.

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