La inceput, vederea este buna dar compresia pe nervul optic determina ingustarea campului vizual (ariei de vedere). Tinand insa cont de faptul ca pacientul vede normal cu ochiul celalalt inca neatins de glaucom, nu are cum sa isi dea seama ca a aparut o modificare de camp vizual. Glaucomul cronic simplu nu da dureri, lacrimare, inrosire, nimic. De aceea este considerat ucigasul din umbra al vederii, fiind una din cele mai grave boli din oftalmologie, cu o mare rata de orbire pe glob nediagnosticat si tratat la timp. Singura modalitate de a-l descoperi la timp este controlul de rutina. Multi pacienti ajung la medic cand deja au pierdut vederea sau mare parte din. Glaucomul cronic nu se vindeca.

cel mai frecvent dupa varsta de 40 de ani dar uneori si inainte. Nu are simptome specifice, nimic nu determina pacientul sa mearga la medicul oftalmolog. Pierderea vederii are loc din cauza faptului ca presiunea mare din ochi apasa pe nervul optic si il distruge progresiv (apare atrofia optica glaucomatoasa, ireversibila ca orice atrofie optica).

Oricum, intr-o familie in care exista un beeldschermwerkplek membru cu glaucom primitiv, gena se mosteneste si oricare descendent poate face boala. Din acest motiv, toti membrii unei familii in care unul este (a fost) diagnosticat cu glaucom cronic trebuie sa fie examinati dupa varsta de 40 de ani si chiar mai devreme. Este foarte important ca un pacient cu glaucom sa fie diagnosticat in timp util pentru a se putea mentine vederea. Din pacate, cel mai frecvent tip de glaucom si anume glaucomul cronic simplu este, asimptomatic. Pacientul nu are in fazele incipiente si chiar mai avansate nici un fel de simptome care l-ar putea determina sa se adreseze vreunui medic oftalmolog. Durerile de cap sau de ochi nu arata glaucom. Ceea ce se modifica la inceput este campul vizual, care se ingusteaza (vezi foto insa cum acest fenomen nu se intampla identic in acelasi timp la ambii ochi, ochiul mai bun compenseaza si pacientii nu se gandesc sa isi acopere cate un ochi pentru. Pacientul astfel nu isi da seama ca are un camp vizual ingustat (care la un moment dat ajuge tubular, ca un tub, pacientul vazand doar in fata, nu si in laterale). Din pacate, vederea dispare ultima si acest lucru este ireversibil. Vederea pierduta prin glaucom cronic simplu nu se mai poate recupera niciodata, cu nici un fel de tratament medical sau chirurgical.

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Glaucomul (apa neagra, cum este numit in popor) reprezinta tensiune intraoculara peste valorile normale. Acestea se incadreaza intre 16 si 21 mmHG. La sfarsitul articolului aveti poze cu simularea vederii unui astfel de pacient. Glaucomul creamed adultului poate fi : Primitiv, adica aparut pe un ochi sanatos (exceptand viciile de refractie hipermetropia este un factor favorizant). Secundar aparut in urma unei alte boli oculare (inflamatie, traumatism, tumora, hemoragii intraoculare de diferite cauze). Glaucomul primitiv are o componenta genetica importanta. Se transmite in proportie mare descendentilor si este intotdeauna bilateral (la ambii ochi, dar exista un decalaj evolutiv apare intai la un ochi apoi la al doilea ). Exista familii in care un parinte are glaucom si toti copiii il mostenesc. In alte familii, o parte din descendenti (copii, nepoti etc) pot mosteni.

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