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GLAUCOMA

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mambra cadabra This user has been deleted
Post time 15-7-2003 10:17 PM | Show all posts |Read mode
doc,

saya ade follow ruangan khas dlm buletin utama tajuk glaukoma tadi (15/6)
and it tells about 3 golongan yang berisiko
unfortunately i've missed the last one
somethin about cermin mata...
i need to confirm it
kalau tak silap .. tak boleh pakai sekejap ..bukak sekejap..
can u help me?

thank you.
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Dr.Cheah This user has been deleted
Post time 15-7-2003 11:43 PM | Show all posts
Hello,

I would guess that as glaucoma causes a blurring in vision, wearing glasses will not help.. therefore if your vision is not improved with glasses, please do get your eyes checked by an opthalmologist preferably.

Below is an article that i think will be useful. Message has been truncated.
Source :  http://www.nei.nih.gov/health/glaucoma/glaucoma_facts.htm
Information for Patients

Glaucoma is a group of diseases that can lead to damage to the eye's optic nerve and result in blindness.

Open-angle glaucoma, the most common form of glaucoma, affects about 3 million Americans--half of whom don't know they have it. It has no symptoms at first. But over the years it can steal your sight. With early treatment, you can often protect your eyes against serious vision loss and blindness.

What is the optic nerve?

The optic nerve is a bundle of more than 1 million nerve fibers. It connects the retina, the light-sensitive layer of tissue at the back of the eye, with the brain (see diagram). A healthy optic nerve is necessary for good vision.

How does glaucoma damage the optic nerve?

In many people, increased pressure inside the eye causes glaucoma. In the front of the eye is a space called the anterior chamber. A clear fluid flows continuously in and out of this space and nourishes nearby tissues.

The fluid leaves the anterior chamber at the angle where the cornea and iris meet (see diagram). When the fluid reaches the angle, it flows through a spongy meshwork, like a drain, and leaves the eye.

Open-angle glaucoma gets its name because the angle that allows fluid to drain out of the anterior chamber is open. However, for unknown reasons, the fluid passes too slowly through the meshwork drain. As the fluid builds up, the pressure inside the eye rises. Unless the pressure at the front of the eye is controlled, it can damage the optic nerve and cause vision loss.

Who is at risk?

Although anyone can get glaucoma, some people are at higher risk than others. They include:

Blacks over age 40.
Everyone over age 60.
People with a family history of glaucoma.

What are the symptoms of glaucoma?

At first, open-angle glaucoma has no symptoms. Vision stays normal, and there is no pain. As glaucoma remains untreated, people may notice that although they see things clearly in front of them, they miss objects to the side and out of the corner of their eye.

Without treatment, people with glaucoma may find that they suddenly have no side vision. It may seem as though they are looking through a tunnel. Over time, the remaining forward vision may decrease until there is no vision left.

How is glaucoma detected?

Most people think that they have glaucoma if the pressure in their eye is increased. This is not always true. High pressure puts you at risk for glaucoma. It may not mean that you have the disease.

Whether or not you get glaucoma depends on the level of pressure that your optic nerve can tolerate without being damaged. This level is different for each person.

Although normal pressure is usually between 12-21 mm Hg, a person might have glaucoma even if the pressure is in this range. That is why an eye examination is very important.

To detect glaucoma, your eye care professional will do the following tests:

Visual acuity: This eye chart test measures how well you see at various distances.

Visual Field: This test measures your side (peripheral) vision. It helps your eye care professional find out if you have lost side vision, a sign of glaucoma.

Pupil dilation: This examination provides your eye care professional with a better view of the optic nerve to check for signs of damage. To do this, your eye care professional places drops into the eye to dilate (widen) the pupil. After the examination, your close-up vision may remain blurred for several hours.

Tonometry: This standard test determines the fluid pressure inside the eye. There are many types of tonometry. One type uses a purple light to measure pressure. Another type is the "air puff," test, which measures the resistance of the eye to a puff of air.

Can glaucoma be treated?

Yes. Although you will never be cured of glaucoma, treatment often can control it. This makes early diagnosis and treatment important to protect your sight. Most doctors use medications for newly diagnosed glaucoma; however, new research findings show that laser surgery is a safe and effective alternative.

Glaucoma treatments include:

Medicine: Medicines are the most common early treatment for glaucoma. They come in the form of eyedrops and pills. Some cause the eye to make less fluid. Others lower pressure by helping fluid drain from the eye.

Glaucoma drugs may be taken several times a day. Most people have no problems. However, some medicines can cause headaches or have side effects which affect other parts of the body. Drops may cause stinging, burning, and redness in the eye. Ask your eye care professional to show you how to put the drops into your eye. In addition, tell your eye care professional about other medications you may be taking before you begin glaucoma treatment.

Laser surgery (also called laser trabeculoplasty): Laser surgery helps fluid drain out of the eye. Although your eye care professional may suggest laser surgery at any time, it is often done after trying treatment with medicines. In many cases, you will need to keep taking glaucoma drugs even after laser surgery.

Laser surgery is performed in an eye care professional's office or eye clinic. Before the surgery, your eye care professional will apply drops to numb the eye.

conventional surgery: The purpose of surgery is to make a new opening for the fluid to leave the eye. Although your eye care professional may suggest it at any time, this surgery is often done after medicine and laser surgery have failed to control your pressure.

Surgery is performed in a clinic or hospital. Before the surgery, your eye care professional gives you medicine to help you relax and then small injections around the eye to make it numb.

You must put drops in the eye for several weeks after the operation to fight infection and swelling. (The drops will be different than the eyedrops you were using before surgery.) You will also need to make frequent visits to your eye care professional. This is very important, especially in the first few weeks after surgery.

In some patients, surgery is about 80 to 90 percent effective at lowering pressure. However, if the new drainage opening closes, a second operation may be needed. Conventional surgery works best if you have not had previous eye surgery, such as a cataract operation.

Keep in mind that while glaucoma surgery may save remaining vision, it does not improve sight. In fact, your vision may not be as good as it was before surgery.

Like any operation, glaucoma surgery can cause side effects. These include cataract, problems with the cornea, inflammation or infection inside the eye, and swelling of blood vessels behind the eye. However, if you do have any of these problems, effective treatments are available.


What research is being done?

The National Eye Institute (NEI) is the Federal government's lead agency for vision research. The NEI is supporting many research studies both in the laboratory and with patients. This research should provide better ways in the future to detect, treat, and prevent vision loss in people with glaucoma.

For instance, researchers recently found a gene that causes a form of glaucoma that starts at a young age. This is the first glaucoma gene ever located. This finding could help us learn more about how glaucoma damages the eye.

The NEI is also supporting clinical studies that will tell us more about who is likely to get glaucoma, when to treat people with increased pressure, and which treatment to use first.

What can you do to protect your vision?

If you are being treated for glaucoma, be sure to take your glaucoma medicine every day and see your eye care professional regularly.

You can also help protect the vision of family members and friends who may be at high risk for glaucoma--Blacks over age 40 and everyone over age 60. Encourage them to have an eye examination through dilated pupils every two years.
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Post time 18-7-2003 04:36 PM | Show all posts
my mother ada glaukoma. kene pegi hospital every month utk check pressure dlm bebola mata. ubat lak kene letak setiap jam yg telah ditetapkan. penjagaan dan pengambilan ubat utk pesakit glaukoma ni rumit jugak, sebab kene pastikan eye drop yg doktor bagi tu takleh letak lebih, takleh letak kurang.
dari segi penglihatan my mom memang dah kabur sangat. jalan kene pimpin especially bila keadaan yg agak gelap da suram. kadang2 rasa nak nangis lak bile memikirkan naperla my mom kene sakit tu. dahla dulu, my arwah bapak penah kene katarak(sbb diabetes). pastu now my mom lak ada glaukoma. betul2 dugaan........ nasib baik my mom sihat dari sakit2 lain. cuma mata kabur tu membataskan pergerakan dia.
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Post time 19-7-2003 12:14 AM | Show all posts
macam langsir...... yg menutup penglihatan....
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mambra cadabra This user has been deleted
 Author| Post time 21-7-2003 02:13 PM | Show all posts
Originally posted by sayangidaku at 2003-7-18 04:36 PM:
my mother ada glaukoma. kene pegi hospital every month utk check pressure dlm bebola mata. ubat lak kene letak setiap jam yg telah ditetapkan. penjagaan dan pengambilan ubat utk pesakit glaukoma ni ...


wah..
teruk gak ek
sorry bout ur mum
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mambra cadabra This user has been deleted
 Author| Post time 21-7-2003 02:14 PM | Show all posts
Originally posted by white01whale at 2003-7-19 12:14 AM:
macam langsir...... yg menutup penglihatan....


ko penah kene ke misi?
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Post time 21-7-2003 05:35 PM | Show all posts
ubat yg doktor bagi tu haya bertujuan untuk mengekalkan pressure dalam mata.
ubat takderla boleh mencerahkan balik penglihatan tu, just untuk pastikan ianya tidak jadi lebih teruk, itu saja.
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Post time 5-10-2006 12:20 PM | Show all posts
Originally posted by sayangidaku at 18-7-2003 16:36
my mother ada glaukoma. kene pegi hospital every month utk check pressure dlm bebola mata. ubat lak kene letak setiap jam yg telah ditetapkan. penjagaan dan pengambilan ubat utk pesakit glaukoma ni ...


my mum pun camtu gak...memang cian tgk dia bila dia teraba2 @ mencari2 barang2 yg dia x nampak. yg lemahnya my mum ni ingatan nya kurang so dia buh ubat ikut suka dia dn kekadang x buh langsung kalu dia x ingat. pergi ceck kt kerajaan memang lambat. kena buat appointment dulu pastu 3-4bulan kemudian baru jumpa Doktor. Leceh betul. ubat pulak xleh nk beli kt farmasi sbb ubat 2 hanya di hospital tertentu jer.
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Post time 5-10-2006 03:34 PM | Show all posts
my dad baru2 nie pun baru dpt tau.. the drops mmg penting.. so, yg kena ingat kan dia ialah we all.. coz memory pun x brapa tajam.. dr kata mayb ada effect from removing his brain tumour, which causes d pressure.. my dad jumpa dr kat tun hussein onn..
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Post time 15-11-2011 11:33 AM | Show all posts
up kan thread nih....

saper2 yg pernah bawak parent buat rawatan glaucoma... boleh x suggest klinik/hospital mana yg ok?

setahu iols.... kaedah berkesan.. surgery shj....
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Post time 15-11-2011 12:05 PM | Show all posts
up kan thread nih....

saper2 yg pernah bawak parent buat rawatan glaucoma... boleh x suggest klin ...
afja Post at 15-11-2011 11:33



   

yess.. surgery jer.. ubat pong nanti datang balik..
mak i penah buat.. 3K.. sebelah mate.. nanti tahun depan buat lagik sebelah
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Post time 15-11-2011 12:15 PM | Show all posts
Reply 11# ajis_kg


bg no contact....

ok ke dak dr yg buat tu?

setakat neh mata mak uols... cemana penglihatannya?
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Post time 15-11-2011 12:30 PM | Show all posts
Reply  ajis_kg


bg no contact....

ok ke dak dr yg buat tu?

setakat neh mata mak uols... c ...
afja Post at 15-11-2011 12:15



   

mak i kan.. cakap kan.. mate die kan.. turang bundurang.. no more spek mate! mate! tapi sebelah ajer ler.. sebelah lagi jer agak2 kabur sedikit..

u nak buat ape no. contact tu? u sanggup nak pi jajah klinik negeri terengganu dibawah penyu itu..

kat selangor belakang umah u kat puchong itew kan melambak klinik pakar mate bai..



p.s : sape nak buat! ur ratu MIL? or ur papa?
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Post time 15-11-2011 12:36 PM | Show all posts
Reply 13# ajis_kg


mata kawe pong rabon neh
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Post time 15-11-2011 12:41 PM | Show all posts
Reply 14# afja


   

oic.. sian kat u.. pegilah klinik depan tesco tuh ade.. klinik pakar mate!
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