glaucoma

glaucoma (glôkōˈmə) [key], ocular disorder characterized by pressure within the eyeball caused by an excessive amount of aqueous humor (the fluid substance filling the eyeball). This causes pressure against the optic nerve and compression of the blood vessels of the eye—the resulting impairment of vision ranges from slight abnormalities to total blindness. Chronic open-angle glaucoma is the result of impeded drainage of aqueous humor. In acute angle-closure glaucoma, the anterior chamber of the eye is shallower and the iris may obstruct the meshwork at the entrance of the canal of Schlemm. Although glaucoma is a leading cause of blindness in the United States, with timely treatment blindness is almost always avoided.

Chronic glaucoma begins gradually over a period of months or years, usually in patients over the age of 40. There are no symptoms in the early stages, and the condition can be detected only by measurement of the intraocular pressure. Such an examination is recommended every three years for all persons over the age of 20. As the disease progresses, often the only symptom is a gradual loss of peripheral vision. Chronic glaucoma can usually be controlled with eye drops or pills that increase the outflow or decrease the production of aqueous humor; laser treatment is also effective in the early stages. If treatment is continued throughout life, useful vision will be preserved in most cases; untreated individuals will gradually become blind.

Acute closed-angle glaucoma, which accounts for only 10% of the incidence of the disease, begins abruptly with severe pain and blurred vision. It is a medical emergency that causes permanent blindness in two to five days if left untreated. Surgery is usually necessary.

The Columbia Electronic Encyclopedia, 6th ed. Copyright © 2012, Columbia University Press. All rights reserved.

More on glaucoma from Fact Monster:

  • Percy Lavon Julian - Percy Lavon Julian Born: 1899 Birthplace: Montgomery, Ala. Preparation of ...
  • diuretic - diuretic diuretic , drug used to increase urine formation and output. Diuretics are prescribed for ...
  • pilocarpine - pilocarpine pilocarpine , naturally occurring alkaloid obtained from plants of the genus Pilocarpus ...
  • epinephrine - epinephrine epinephrine , hormone important to the body's metabolism, also known as adrenaline. ...
  • neostigmine - neostigmine neostigmine , drug used to mimic the effects of stimulation of the parasympathetic ...

See more Encyclopedia articles on: Pathology