The silent thief of sight: Early detection can prevent blindness from Glaucoma

75 YEAR-OLD MA HAD LOST VISION IN THE RIGHT EYE BEFORE HE WAS DIAGNOSED WITH GLAUCOMA. HE HAD TRABECULECTOMY IN THE LEFT EYE 12 YEARS AGO AND THIS HAS PRESERVED HIS VISION IN THAT EYE. SKILFUL TRABECULECTOMY IS ONE OF THE SURGICAL TREATMENTS OF CHOICE IN GLAUCOMA. A PATENT DRAINAGE BLEB IS SEEN HERE. CATARACT FORMATION IS A LIKELY LONG-TERM EFFECT.
PHOTO CREDIT: FATIMA KYARI
STEREOSCOPIC EXAMINATION OF THE OPTIC NERVE IS KEY TO THE DIAGNOSIS OF GLAUCOMA. THE OPTIC DISC WILL BE SEEN AS “CUPPED” IN GLAUCOMA.
PHOTO CREDITS: GABRIEL ENTEKUME
  1. Medical treatment — a life-long use of eye drops, the most effective being prostaglandin analogues (e.g. latanoprost) and beta-blockers (e.g. timolol).
  2. Surgical — the commonest being trabeculectomy, which creates a channel for drainage of aqueous to reduce the pressure within the eye.
  3. Laser treatment — works by either reducing the production of aqueous or by increasing the drainage channel of aqueous to lower the pressure within the eye.
DIODE LASER MICROPULSE TRABECULOPLASTY IS A FORM OF LASER TREATMENT FOR GLAUCOMA. PHOTO CREDITS: ADUNOLA OGUNRO

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Nigeria Health Watch

Nigeria Health Watch

We use informed advocacy and communication to influence health policy and seek better health and access to healthcare in Nigeria. nigeriahealthwatch.com