Monday, March 17, 2014

Vision lost in glaucoma cannot be reversed

My mail sparked conversation on Glaucoma. With the following findings/ discussion/  I feel it is important for all primary eye specialists to look for early detection of Glaucoma. Health ministry and social orgs. must make it mandatory to look for Glaucoma even in routine check up and avoid permanent loss of vision. 
Alok Tholiya



Corres_2nd Floor

Mar 15 (2 days ago)


to me
Dear Sir

Thank you for your mail. Yes, as rightly pointed out, glaucoma cannot be cured but can be controlled with medicines or surgery. Vision lost in glaucoma cannot be reversed, the purpose of treatment is to preserve existing vision.
regards,

Dr. Manish Panday



From: "Corres_2nd Floor" <corres2@snmail.org>
To: "Dr.Dr Manish Panday" <drmpy@snmail.org>
Sent: Monday, March 10, 2014 9:56:40 AM
Subject: Fwd: steroid-induced Glaucoma stealing sight in young


Dear Sir
Forwarding this mail for your opinion please
P Rekha

From: "Dr.Tarun Sharma" <drts@snmail.org>
To: "corres2" <corres2@snmail.org>
Sent: Monday, March 10, 2014 9:24:10 AM
Subject: Fwd: steroid-induced Glaucoma stealing sight in young


any glaucome consultant opinion

Dr. Tarun Sharma, MD, FRCSEd, MBA
Director, Shri Bhagwan Mahavir Vitreoretinal Services
Sankara Nethralaya, Chennai, India
Please visit:
www.sankaranethralaya.org
www.omtrust.org
www.supportsankaranethralaya.org

From: "Alok Tholiya" <atholiya@gmail.com>
Sent: Monday, March 10, 2014 2:54:08 AM
Subject: steroid-induced Glaucoma stealing sight in young

NEW DELHI: A few weeks ago, 27-year-old Ajit (name changed) consulted an eye specialist because of poor vision. His examination showed that he had lost 70% of his sight in one eye and 10%-15% in another eye due to Glaucoma, a disease associated with old age. As he had no family history of glaucoma, it was hard to explain the cause for his illness till he informed doctors about the eye drop he had been using to treat an infection.

"It was a steroid-based eye drop. He had been prescribed the medicine long ago for allergic conjunctivitis. He, however, used it indiscriminately for all eye problems as the medicine was effective. He had a steroid-induced glaucoma, but by the time he came to us it was too late," says Dr Mahipal Sachdev, chairman and medical director, Centre for Sight Group of Eye Hospitals.

These days, doctors prescribe steroid-based medicines for a lot of conditions like asthma, skin allergies and post-surgery problems. Ophthalmologists say these medicines should be taken under supervision, and patients should undergo a glaucoma test two to three weeks after the course is over. "It is important to get eyesight tested in these cases as loss of vision in Glaucoma is gradual. Patients don't notice it as the peripheral vision is affected first," said Sachdev. Doctors see an increase in young patients.

In India, lack of awareness about the disease and its prevention are the main reasons for delayed diagnosis. Though people know about glaucoma or kala motia, as it is commonly referred to in large parts of India, eye doctors find that most cases come at a later stage when the damage is done. And this year's World Glaucoma Week's theme-Beat Invisible Glaucoma-is about early diagnosis. It starts from March 9.

Unlike cataract, the harm done by glaucoma is irreversible as it damages the optic nerve. "Nearly 20% of the patients are blind in one eye by the time they take help. We can prevent blindness in glaucoma patients. We now have the technology to treat the disease but it requires routine tests," said Dr Ramanjit Sihota, professor and head of the glaucoma centre at AIIMS.

"A simple test of field of vision, intraocular pressure test and gonioscopy- a method to find the type of glaucoma - is enough for the diagnosis. One should undergo the test once a year. In case of medical history, patients should take doctors' advice,'' said Dr Kenshuk Marwa, consultant, Rockland Hospital. Dr Parul Sharma, head of ophthalmology at Max Healthcare, said, "Most doctors routinely check for glaucoma in all patients. The eye pressure can be controlled by medicines."

With technical advances, doctors say it is much easier to manage the disease. Though the damaged portion can't be revived, further harm is prevented. "In extreme cases, we implant valves to create a drainage channel. We use laser to pull open the trabecular mesh in the drainage area. This reduces the pressure inside the eye,'' said Dr Harsh Kumar, former president of Glaucoma Society of India.

No comments:

Post a Comment