At Zacks Eye Clinic in central London we routinely screen for glaucoma.
Glaucoma is the name given to a group of eye conditions that affect vision. Research suggests that a form of glaucoma affects about two out of every 100 people in the UK who are over 40. Because the risk of glaucoma increases as you get older, it’s important to have your eyes tested regularly.
There are four main types of glaucoma:
- open angle glaucoma (chronic glaucoma)
- acute angle closure glaucoma (acute glaucoma)
- secondary glaucoma
- developmental glaucoma (congenital glaucoma)
Open Angle Glaucoma (Chronic Glaucoma)
Open angle glaucoma is the most common type of glaucoma. It develops very slowly, so you may not realise it is happening. Open angle glaucoma occurs when the drainage tubes (trabecular meshwork) within the eye become slightly blocked, preventing eye fluid (aqueous humour) from draining properly.
When the fluid can’t drain properly, pressure builds up (intraocular pressure) which can cause damage to your optic nerves and the nerve fibres from your retina. The term ‘open angle’ refers to the angle of space between the iris (coloured part of the eye) and the sclera (the white outer covering of the eyeball). The fact it is an open angle means there is no physical obstruction blocking the drainage: it is the tubes that have a blockage.
Acute Angle Closure Glaucoma (Acute Glaucoma)
Acute angle closure glaucoma refers to a narrowing of the angle between your iris and sclera. The narrowing often happens quickly, causing a sudden and painful build-up of pressure in your eye. Acute angle closure glaucoma is rare.
A secondary glaucoma may occur as a result of an eye injury or another eye condition such as uveitis. Secondary glaucoma can be open angle or closed angle.
Developmental glaucoma is rare, but it can be serious. It’s usually present at birth, or develops shortly after birth. Developmental glaucoma is caused by an abnormality of the eyeball.