Cataracts and Glaucoma

The two most common causes of blindness are cataracts and glaucoma. A cataract is a clouding of the lens. It occurs as the lens thickens with age, and it is a common complication of diabetes mellitus. It causes the vision to appear milky or as if one were looking from behind a waterfall.48 Cataracts may also stem from heavy smoking and exposure to the UV radiation of the sun. They can be treated by replacing the natural lens with a plastic one. The implanted lens improves vision almost immediately, but glasses still may be needed for near vision.

Glaucoma is a state of elevated pressure within the eye that occurs when the scleral venous sinus is obstructed and aqueous humor is not reabsorbed as fast as it is secreted. Pressure in the anterior and posterior chambers drives the lens back and puts pressure on the vitreous body. The vitreous body presses the retina against the choroid and compresses the blood vessels that nourish the retina. Without a good blood supply, retinal cells die and the optic nerve may atrophy, producing blindness. Symptoms often go unnoticed until the damage is irreversible. In late stages, they include dimness of vision,49 reduced visual field, and colored halos around artificial lights. Glaucoma can be halted with drugs or surgery, but lost vision cannot be restored. This disease can be detected at an early stage in the course of regular eye examinations. The field of vision is checked, the optic nerve is examined, and the intraocular pressure is measured with an instrument called a tonometer.

48cataract = waterfall 49glauco = grayness

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