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Glaucoma: Risk Factors


Who is at risk for glaucoma?

Your ophthalmologist considers many kinds of information to determine your risk for developing the disease.

 

The most important risk factors include:

  • age;

  • elevated eye pressure;

  • family history of glaucoma;

  • farsightedness or nearsightedness of high powers;

  • past eye injuries;

  • thinner central corneal thickness;

  • long term use of steroid medications;

  • systemic health problems, such as diabetes and migraine headaches.

Your ophthalmologist will weight all of these factors before deciding whether you need treatment for glaucoma, or whether you should be monitored closely as a glaucoma suspect. This means your risk of developing glaucoma is higher than normal, and you need to have regular examinations to detect the early signs of damage to the optic nerve.

 

How is glaucoma detected?

Regular eye examinations by your ophthalmologist is the best way to detect glaucoma. A glaucoma screening that checks only the pressure of the eye is not sufficient to determine if you have glaucoma. The only sure way to detect glaucoma is to have a complete eye examination.

 

During your glaucoma evaluation, your ophthalmologist will:

  • measure your intraocular pressure (tonometry);

  • inspect the drainage angle of your eye (gonioscopy);

  • evaluate whether or not there is any optic nerve damage (ophthalmoscopy);

  • test the peripheral vision of each eye (visual field testing or perimetry);

  • measure the thickness of the retinal nerve fibre layer (RNFL) (optical coherence tomography);

Some of these tests may not be necessary for everyone. These tests may need to be repeated on a regular basis to monitor any changes in your condition.

 

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