Headache, nausea, vigilance of glaucoma surprise attack

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Glaucoma is a group of lesions characterized by optic nerve atrophy and visual field defect. Chronic angle-closure glaucoma is difficult to detect in the early stage. Many patients only occasionally have atypical symptoms such as dry and tired eyes and a feeling of soreness. Patients with acute angle-closure glaucoma have an acute attack. She often went to the wrong department because of headache and vomiting, which was mistaken for digestive or nervous system diseases. Aunt Li had acute angle-closure glaucoma. Correct understanding of glaucoma, early diagnosis and treatment, but when acute angle-closure glaucoma attack, long-term great pressure will oppress the fragile optic nerve, angle-closure glaucoma sudden reduction of intraocular pressure is the key when feeling sudden eye pain and nausea. When there is a serious decline in vision, emergency doctors will use a variety of local eye drops, systemic infusion and oral intraocular pressure lowering drugs, if the intraocular pressure can not be effectively controlled after medication. You need to be hospitalized for glaucoma surgery as soon as possible.

Aunt Li, who is in her 50s this year, is in a bit of a hurry at night. she suddenly feels pain in her right eye, can't see clearly, and feels a little nauseous. Her family hurriedly sent her to the emergency room, and only after checking the intraocular pressure did she know that it was an "acute attack of glaucoma." Under the timely treatment of ophthalmologists, Aunt Li's condition was gradually relieved. Glaucoma is very good at camouflage when it is raided. Today, let's expose its true face.

Have a stomach and see fatigue? Have been deceived by it.

Glaucoma is a group of lesions characterized by optic nerve atrophy and visual field defect, and pathological high intraocular pressure is the main risk factor. It is one of the major eye diseases that cause blindness in human beings. Can be divided into open-angle glaucoma and angle-closure glaucoma. Angle-closure glaucoma is divided into acute angle-closure glaucoma and chronic angle-closure glaucoma.

Chronic angle-closure glaucoma is difficult to detect in the early stage. Many patients only occasionally appear atypical manifestations such as dry eye fatigue and sore sensation, which can easily be mistaken for visual fatigue. As a result, it is often discovered when the disease develops to an advanced stage and the range of vision narrows to the center.

During the acute attack of acute angle-closure glaucoma, patients with acute angle-closure glaucoma often go to the wrong department because headache and vomiting are mistaken for digestive or nervous system diseases, thus delaying the best rescue time. Aunt Li has acute angle-closure glaucoma. Therefore, correct understanding of glaucoma, early diagnosis and treatment can greatly reduce the loss of vision and improve the quality of life of patients.

Under normal circumstances, the water produced in the eye will flow through the drainage pipe of the anterior chamber, but when acute angle-closure glaucoma occurs, the anterior chamber becomes very shallow, the drainage pipe will be blocked, and the aqueous humor cannot flow out. On the other hand, new aqueous humor is constantly generated, and more and more water accumulates in the eyes, and the pressure is increasing, which will cause an acute increase in intraocular pressure, which will not only cause systemic symptoms of headache and nausea, but also oppress the fragile optic nerve under great pressure for a long time, resulting in optic nerve atrophy and irreversible visual field damage.

Sudden reduction of intraocular pressure in angle-closure glaucoma is the key.

When feeling sudden eye pain, nausea, accompanied by a serious decline in vision, be sure to go to the ophthalmology department for a detailed examination of the eyes and measure the intraocular pressure.

Once diagnosed, emergency doctors will use a variety of local eye drops, systemic infusion and oral intraocular pressure lowering drugs to reduce the production of aqueous humor and promote the discharge of aqueous humor, so that the elevated intraocular pressure can be rapidly reduced, so as to reduce further damage to the optic nerve and protect visual function.

If the intraocular pressure can not be effectively controlled after medication, it is necessary to be admitted to hospital for glaucoma surgery as soon as possible, and the doctor will make an appropriate operation plan according to the patient's condition.

Playing with your cell phone in the dark is easy to cause glaucoma.

Once acute angle-closure glaucoma occurs, the symptoms are difficult to control. Patients not only suffer from pain, but also damage the optic nerve and visual field, resulting in an irreversible decline in vision. Therefore, the early prevention of acute angle-closure glaucoma is very important. In terms of our daily habits, we need to pay attention to the following points:

Pay attention to the state of mind, maintain a stable mood, and avoid violent emotional changes such as mental tension, excessive anger and excitement.

Don't read or play with your phone for a long time in the dark environment where the lights are turned off.

Maintain good sleep, avoid excessive eye use, and pay attention to the combination of work and rest.

Hyperopic eyes are easy to be targeted by glaucoma if they are blinded early.

If you are hyperopic, presbyopia occurs very early, indicating that you may have the characteristics of short eye axis and small eyeballs, and the incidence of glaucoma will be much higher than that of ordinary people. at this time, it is recommended to go to the hospital's ophthalmology clinic for regular examination. Doctors can use professional examination results to determine whether you have a potential threat of glaucoma. If there are possible risk factors, the doctor will promptly give the iris YAG laser and other ways to prevent its attack.

The iris YAG laser is safe and simple, it can open a small door between the front room and the back room, the aqueous humor can pass freely, and the drainage pipe which is easy to be blocked because the anterior chamber is too small and shallow can be drained unimpeded, so it can avoid sudden attacks at any time.

In addition, lens replacement in cataract surgery can relatively open the narrow chamber angle, dredge the water pipe and promote the outflow of aqueous humor. Therefore, if patients are complicated with cataract, cataract surgery as soon as possible has become one of the main ways to prevent and treat angle-closure glaucoma. / Xu Jing and Liu Shuang (Beijing Jishuitan Hospital)

Headache, nausea, vigilance of glaucoma surprise attack

Source: Beijing Youth Daily

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