What are the symptoms of glaucoma?

Written by Hu Shu Fang
Ophthalmology
Updated on September 20, 2024
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Glaucoma refers to a group of eye diseases characterized by increased eye pressure, leading to optic nerve atrophy and vision loss. The symptoms of glaucoma are mainly caused by increased eye pressure, resulting in eye pain. In cases of acute angle-closure glaucoma, symptoms include eye pain along with nausea, vomiting, photophobia, and tearing, which can easily be mistaken for neurological diseases. Chronic glaucoma symptoms, such as headache, nausea, and vomiting, are less pronounced, and eye discomfort is also more concealed during attacks, making early detection difficult. Therefore, it is important for glaucoma patients to undergo early examination and diagnosis, and to receive appropriate treatment in order to protect the optic nerve and prevent severe vision loss.

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Written by Hu Shu Fang
Ophthalmology
57sec home-news-image

What are the symptoms of glaucoma?

Glaucoma refers to a group of eye diseases characterized by increased eye pressure, leading to optic nerve atrophy and vision loss. The symptoms of glaucoma are mainly caused by increased eye pressure, resulting in eye pain. In cases of acute angle-closure glaucoma, symptoms include eye pain along with nausea, vomiting, photophobia, and tearing, which can easily be mistaken for neurological diseases. Chronic glaucoma symptoms, such as headache, nausea, and vomiting, are less pronounced, and eye discomfort is also more concealed during attacks, making early detection difficult. Therefore, it is important for glaucoma patients to undergo early examination and diagnosis, and to receive appropriate treatment in order to protect the optic nerve and prevent severe vision loss.

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Written by Li Zhen Dong
Ophthalmology
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How to deal with vomiting in glaucoma?

Nausea and vomiting caused by glaucoma should be actively treated with pressure reduction. Antihypertensive eye drops include Timolol eye drops, Brinzolamide eye drops, and Pilocarpine eye drops. If the effect is not satisfactory, oral administration can also be considered. Common oral medications include Acetazolamide, and systemic use of Mannitol. If necessary, anterior chamber paracentesis can be performed. This series of active treatments can completely control intraocular pressure and relieve symptoms. Eye symptoms mainly include redness, swelling, pain, foreign body sensation, burning sensation, vision decline, headache, nausea, and vomiting. (Please follow the doctor's orders when using medication.)

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Written by Li Zhen Dong
Ophthalmology
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Is vitreous opacity a precursor to glaucoma?

Vitreous opacities are not a precursor to glaucoma. Vitreous opacities can be divided into physiological and pathological types. Physiological vitreous opacities generally do not affect vision, and one may see variously shaped black shadows in front of the eyes. Pathological vitreous opacities can impact vision and should be further examined by an ophthalmologist. The precursors of glaucoma include eye pressure, eye pain, photophobia, tearing, relief after rest, and a decrease in vision, along with halos seen around lights. If these symptoms occur, active treatment should be sought. Glaucoma can be classified into primary, secondary, congenital, and mixed types.

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Written by Peng Xi Feng
Ophthalmology
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What are the symptoms of glaucoma precursor?

The prodromal phase of glaucoma is characterized by transient or recurrent attacks, often occurring multiple times, typically in the evenings. During an attack, patients suddenly experience blurred vision and halos around lights, possibly accompanied by pain in the forehead on the affected side or a sour swelling at the root of the nose on the same side. These symptoms are short-lived and can resolve or disappear after rest. If examined immediately, increased intraocular pressure can be detected, often above 40 mmHg, with slight conjunctival congestion or no congestion. There is mild foggy edema in the corneal epithelium. The anterior chamber is extremely shallow, but the aqueous humor is clear, with a wide closure of the chamber angle, slightly dilated pupils, and sluggish light reflexes. After a minor attack subsides, aside from the characteristic shallow anterior chamber, there generally is no permanent tissue damage.

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Written by Gan Jun
Endocrinology
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What should I do if diabetic complications cause blindness from glaucoma?

For neovascular glaucoma caused by diabetes, anti-neovascular drugs can be injected into the vitreous cavity to cause the regression of new blood vessels, thereby achieving the goal of reducing intraocular pressure. If not treated promptly, it can cause permanent closure or adhesion of the angle, and surgery is required for treatment. If the lens swells causing secondary glaucoma, it will lead to the closure of the angle. Surgery is needed to remove the cloudy, swollen lens to achieve a reduction in intraocular pressure. Diabetes is prone to various complications, and it is crucial to pay attention to diet and exercise in the presence of diabetes; meanwhile, it is essential to control medication to maintain blood sugar within the ideal fluctuation range.