How to treat open angle glaucoma, a brief description of the treatment for primary open angle glauco

If open-angle glaucoma is not severe, you can choose to use drugs or laser surgery**, but if it is severe, you need to perform it by surgical incision**, but after **, you must pay attention not to make the eyes tired, and pay attention to wearing sunglasses when going out.

1) Drug**If 1 2 drugs can be used locally to control intraocular pressure at a safe level, and the patient can cooperate** and have regular rechecks, the drug can be tried first**. If there are no contraindications, -receptor blockers may be preferred. If one drug does not control the pressure in the eye, another drug may be used.

If intraocular pressure is not controlled at a safe level with a single drug, a combination of drugs can be used, usually - receptor blockers or adrenal receptor agonists combined with mydriasis, and the interval between the two drug eye drops should be more than 5 minutes. Compression of the lacrimal sac area or closure of the eyelids for 1 2 minutes after the drop helps to maintain local drug concentrations and reduce systemic absorption. In primary open-angle glaucoma**, the term "safe intraocular pressure" or "target intraocular pressure" is often referred to, which refers to the level at which fundus and visual field changes no longer progress.

The safe IOP value varies from person to person, and the more severe the optic nerve damage, the worse the tolerance of the residual nerve fibers to IOP. In advanced cases, intraocular pressure is required to be lower than usual to prevent further deterioration of the condition. In addition to observing peak intraocular pressure, large fluctuations in intraocular pressure during the day and night are also risk factors for exacerbations.

Therefore, 24-hour tonometry is important for observation of intraocular pressure control.

2) Filtration surgeryTrabeculectomy is the most commonly used surgical procedure. In recent years, nonpenetrating trabeculectomy** has been recommended for primary open-angle glaucoma, which has fewer postoperative complications, but the long-term efficacy is still being observed. It is generally believed that the indication for surgery is the case of ineffective drug use, or inability to tolerate long-term drug use, or the condition for drug use**.

There are also those who advocate that once the diagnosis is clear and there are obvious changes in the optic disc and visual field, filtering surgery can be used as the first choice, and it is believed that early surgery is better than the effect of bracelet cavity selling after the failure of long-term drugs.

3) If the laser**, such as the canopy drug**, is not ideal, argon laser trabeculoplasty can be tried.

No matter what kind of disease occurs, it has a certain degree of harm; The same is true for open-angle glaucoma. The condition of open-angle glaucoma is complex and slow, and there are no obvious self-conscious symptoms, which is difficult to detect in time, and often cannot be detected until the condition is serious, which adds a certain degree of difficulty. So, what are the best ways to open angle glaucoma?

1. Laser**, when patients with open-angle glaucoma consider surgery**, you may wish to try laser**, which is an effective method for open-angle glaucoma. This is done by using a laser to irradiate the iris to create a small hole to relieve intraocular pressure. If acute or angle-closure glaucoma occurs, the cornea becomes blurred by edema caused by excessive intraocular pressure.

In this case, laser** may not be the best option and further surgery is required. Second, the drug**, this method is very effective for the early stage of glaucoma**; However, when the patient's visual function has been impaired, the drug** can only prevent further progression, and the damaged visual function generally cannot be completely restored. Anti-glaucoma eye drops are usually used to control open-angle glaucoma, and blockers are often the preferred ones, which can reduce aqueous humor production.

3. Surgery**, when the disease of open-angle glaucoma is severe, and the drug is ineffective, laser or surgery can be considered to increase the drainage of aqueous humor. How does open-angle glaucoma work**,**Method: Lowers intraocular pressure.

Optic nerve protective**. Commonly used surgeries: 1. Contact pupillary block surgery.

2. Surgery to relieve trabecular meshwork obstruction. 3. Surgery to establish an external drainage channel for aqueous humor. 4. Surgery to reduce the production of aqueous humor.

What are the best ways to open angle glaucoma? The above has been introduced in detail, I hope it will be helpful to patients. The development of open-angle glaucoma is very important, and it should be detected as early as possible in order to control the development of the disease and achieve better results.

In the early stages of open-angle glaucoma, there may be no symptoms except for increased intraocular pressure. As the disease progresses, peripheral visual field may decrease, mild headaches, and vague visual symptoms, such as halos around electric lights or poor dark adaptation. Eventually, the visual field is greatly reduced, resulting in a tubular field of view, and the patient is unable to see the surrounding objects when he or she looks straight ahead.

When developing to one.

After the severity is fixed, Fang feels a slight headache, eye pain, blurred vision and rainbow vision, etc., which disappear on their own after rest, so it is easy to mistake it for visual fatigue. Central vision can remain unchanged for a long time, but visual field can be defective very early.

Finally, due to the compression of long-term high intraocular pressure, the optic nerve gradually atrophies. The field of vision then narrows, disappears, and he becomes blind. There are no obvious signs in the outer eye throughout the course of the disease, and only in the late stage there is a slight dilation of the pupil and atrophy of the iris.

Because of this, open-angle glaucoma is not easy to detect early, and some patients have even lost sight in one eye and do not know when the disease will begin. This eye disease, which gradually leads to blindness without symptoms, is more dangerous. Glaucoma patients are recommended to drink Jiuwei Tongren Tea, which contains a variety of herbal eye protection ingredients such as cassia, mulberry leaves, chrysanthemum, kudzu, hawthorn, wolfberry, etc., which can effectively fight against light damage, resist lipid peroxidation damage, increase the ability of cells to scavenge oxygen free radicals, reduce color difference, and effectively regulate and improve myopia, amblyopia, presbyopia, glaucoma, floaters, etc.

The daily care of open-angle glaucoma must pay attention to the following points:

Stick to topical drops and, if necessary, surgery**.

Pay attention to eye hygiene.

Keep your spirits happy, and avoid being impatient and angry.

Control your water intake properly and don't drink a lot of water in a short period of time.

Regular examination, close observation of changes in the condition, general follow-up cycle of 3-6 months appropriate aerobic exercise such as walking, jogging, playing table tennis, etc.

There is currently no very good way to floater disease.

Swimming is fine, just don't be too strenuous and try to keep your eyes underwater for long periods of time.