Dr. Greg Barcus » Blindness

Diabetic Retinopathy And Blindness

admin — Tue, 18 Aug 2009 20:26:24 +0000

If you have diabetes, an annual eye examination is important for one simple reason: Diabetes can damage your vision. However, the damage sometimes can be postponed or prevented with proper treatment. The most
serious complication is diabetic retinopathy, one of the leading causes of visual disability and blindness in the
United States.

The problem lies in the blood vessels of the retina. Tiny areas in the vessel walls weaken and bulge out. These are called micro-aneurysms. The damaged vessels leak fluid into the surrounding retina, or may rupture and hemorrhage into the retina. As a result, the retina swells. If the swelling affects the central portion of your retina (the macula), your vision may be impaired.

Often, diabetic retinopothy has no warning signals. You may require treatment and be unaware of your problem. That is why regular examinations for diabetics are vital.

What Is Macular Degeneration

admin — Tue, 18 Aug 2009 16:39:46 +0000

Macular degeneration is the leading cause of blindness in America. It results from changes to the macula, a portion of the retina that is responsible for the clear, sharp vision, and is located at the back of the eye.
Most people with Macular degeneration have the dry form, for which there is no known treatment. The less common wet form may respond to laser procedures, if diagnosed and treated early.

Some common symptoms are a gradual loss of ability to see objects clearly, distorted vision, a gradual loss of color vision and a dark or empty area appearing in the center of vision.
If you experience any of these, contact your doctor of optometry immediately for a comprehensive examination.
Central vision that is lost to macular degeneration cannot be restored. However, low vision devices such as telescopic and microscopic lenses can be prescribed to make the most out of the remaining vision.
Recent research indicates that certain vitamins and minerals may help prevent or slow the progression of macular degeneration. Ask your doctor of optometry about these. After the age of 60, an annual, comprehensive eye examination is important to maintain eye health.

What Is Glaucoma?

admin — Tue, 18 Aug 2009 16:25:59 +0000

Glaucoma is a group of eye disorders leading to progressive damage to the optic nerve, and is characterized by loss of nerve tissue resulting in loss of vision. The optic nerve is a bundle of about 1 million individual nerve fibers and transmits the visual signals from the eye to the brain. The most common form of glaucoma, primary open-angle glaucoma, is associated with an increase in the fluid pressure inside the eye. This increase in pressure may cause progressive damage to the optic nerve and loss of nerve fibers. Vision loss may result. Advanced glaucoma
may even cause blindness. Not everyone with high eye pressure will develop glaucoma, and many people with normal eye pressure will develop glaucoma. When the pressure inside an eye is too high for that particular optic nerve, whatever that pressure measurement may be, glaucoma will develop.

Glaucoma is the second leading cause of blindness in the US. It most often occurs in people over age 40, although a congenital or infantile form of glaucoma exists. People with a family history of glaucoma, African Americans over the age of 40, and Hispanics over the age of 60 are at an increased risk of developing glaucoma. Other risk factors include thinner corneas, chronic eye inflammation, and using medications that increase the pressure in the eyes.

The most common form of glaucoma, primary open-angle glaucoma, develops slowly and usually without any symptoms. Many people do not become aware they have the condition until significant vision loss has occurred. It initially affects peripheral or side vision, but can advance to central vision loss. If left untreated, glaucoma can lead to significant loss of vision in both eyes, and may even lead to blindness.

Less common type of glaucoma, acute angle closure glaucoma, usually occurs abruptly due to a rapid increase of pressure in the eye. Its symptoms may include severe eye pain, nausea, redness in the eye, seeing colored rings around lights, and blurred vision. This condition is an ocular emergency, and medical attention should be sought immediately, as severe vision loss can occur quickly.
Glaucoma cannot currently be prevented, but if diagnosed and treated early it can usually be controlled.
Medication or surgery can slow or prevent further vision loss. However, vision already lost to glaucoma cannot be restored. That is why the American Optometric Association recommends an annual dilated eye examination for people at risk for glaucoma as a preventive eye care measure. Depending on your specific condition, you doctor may recommend more frequent examinations.,