Glaucoma - Take the Eye-Q Test - Are You At Risk?


Glaucoma is one of the leading causes of vision loss in the United States.  Fifty million people are at risk for vision loss from this eye disease.  Are you one of them?  Do you know what the risk factors are and how to reduce yours?

Q.  Glaucoma is more common in Blacks than Whites.
A.  True. In a study funded by the National Eye Institute, researchers at The John Hopkins University reported that glaucoma is 4-5 times more likely to occur in Blacks than Whites.  Additionally, glaucoma is 4 times more likely to cause blindness in Blacks than in Whites.

Q.  Glaucoma tends to run in families.
A.  True.  Although glaucoma tends to run in families and is a strong risk factor, a hereditary basis has not been established.  If someone in your immediate family has glaucoma, you should have you eyes examined through dilated pupils every two years.  Also at risk are elderly people (over 60 years old) with high blood pressure, diabetes, heart disease, sleep apnea, and those with very high nearsighted or farsighted prescriptions.

Q.  A person can have glaucoma and not know it.

A.  True.  The early stages of open-angle glaucoma, the most common form, usually have no warning signs.  It is estimated that 50% of Americans with glaucoma are not aware that they have it.  As the disease progresses, a person with glaucoma may notice their side vision gradually decreasing, but this is usually not until significant vision loss has occurred.
"It's a very slow eating away of your vision."

Q.  Eye pain is often a symptom of glaucoma.
A.   False.  People with glaucoma usually experience no pain from the disease.

Q.  Glaucoma can be controlled.
A.   True.  Although glaucoma cannot be cured, it usually can be controlled by eye drops, conventional surgery, or laser surgery.  Sometimes eye care professionals will recommend a combination of surgery and medication.  Studies have shown that over a 5 year period, medications and surgery show approximately the same outcome.

Q.  Glaucoma is caused by an increase in eye pressure.
A.   True.  In glaucoma, for reasons still not fully understood, fluid drains too slowly out of the eye (see diagram below).  As the fluid builds up, the pressure inside the eye rises.  Unless this pressure is controlled, it may cause damage to the optic nerve and other parts of the eye, and loss of vision.

Q.  Vision lost from glaucoma can be restored.
A.   False.  Vision loss from glaucoma is permanent.  However, with early detection and treatment, the progression of visual loss can be slowed, or halted, and the risk of blindness can be reduced by up to 90%.

Q.  A complete glaucoma exam consists only of measuring eye pressure.
A.   False.  A measurement of eye pressure by tonometry, although a very important part of a comprehensive exam, is by itself, not sufficient for the detection of glaucoma.  Glaucoma is detected most often during an examination through dilated pupils.  This means drops are put into the eyes during the exam to enlarge the pupils, which allows the doctor to see more of the inside of the eye.  When indicated, a visual field test will be performed.

Q.  People at risk for glaucoma should have an eye examination through dilated pupils.
A.   True.  An eye examination through dilated pupils is the best way to diagnose glaucoma.  Individuals with an increased risk should have their eyes examined through dilated pupils every year by an eye care professional.