Glaucoma an eye disorder that leads to irreversible blindness. With 12 million known and over 90% undiagnosed cases, India may house world’s largest number of Glaucoma patients.
India can easily be the world’s capital of glaucoma, a group of eye disorders that leads to irreversible blindness, with the disease affecting 12 million people, and remaining undiagnosed in over 90% of the cases. Increasing population of senior citizens, diabetics and people with refractive errors, the known potential risk factors, are set to make glaucoma a rapidly emerging non-communicable ocular disease in the country, which already houses 20% of the world’s blind.
No known measures to prevent glaucoma
There are no known measures to prevent glaucoma. The only way to prevent blindness from glaucoma, which shows no symptoms in the early stage, is early diagnosis and treatment that could halt the progression of this silent thief of sight. Nearly 40 million people in India, including 1.6 million children, are blind or visually impaired. Next to cataracts, and untreated refractive errors, glaucoma is the third leading cause of blindness in India. However, glaucoma is more complex and dangerous as the sight loss caused by it is progressive and, unlike cataract, is irreversible.
Glaucoma is both under-diagnosed and under-treated
Glaucoma is both under-diagnosed and under-treated. It occurs when the pressure inside the eye (Intraocular pressure) increases. The pressure is normal so long as the rate of production of aqueous humor, the clear liquid inside the front part of eyes, matches the rate of its drainage. However, when the channels carrying this fluid get blocked, the pressure inside the eye increases. This increased pressure damages the optic nerve, which passes the visual messages to the brain.
There are two major types of glaucoma: open angle glaucoma, and close angle glaucoma. Open angle glaucoma is the most common form of glaucoma. It accounts for at least 90% of all glaucoma cases. It progresses very slowly and the patient may not feel any loss of vision until it affects the central vision. This results in permanent damage if the patient does not get an eye check-up.
Dr. Bindiya Hapani
Senior Consultant Ophthalmologist
Dr Agarwal’s Eye Hospital, Koramangala.