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==History and Symptoms==
Early changes in vision due to open-angle glaucoma involves a loss of peripheral vision at first, while visual acuity (e.g., central vision) is maintained until later in the course of the disease. For this reason, open-angle glaucoma progresses relatively asymptomatically, and patients often do not present with symptoms or visual complaints until late in the course of the disease. Clinical suspicion should, therefore, be high in the following patients who have or have had:
[[Symptom]]s of glaucoma vary greatly, depending on the type of disease present.


''Open-angle glaucoma''
A previous ocular history such as history of eye pain or redness, headaches, uveitis, diabetic retinopathy, cataracts, vascular occlusions, or multicolored halos
* Most people have no [[symptom]]s until they begin to lose [[vision]]
Ocular surgery like photocoagulation or refractive procedures such as laser eye surgery)
* Gradual loss of [[Peripheral vision|peripheral (side) vision]] (also called [[tunnel vision]])
Head or ocular trauma
 
Take certain medications such as hypertensive medications that may influence IOP or systemic/topical steroids
''Angle-closure glaucoma''
Medical history of diabetes mellitus, migraine headaches, hypertension, vasospasm, cardiovascular disease
* [[Symptom]]s may come and go at first, or steadily become worse
Family history (e.g., first-degree relative with glaucoma, especially significant if this is a sibling) that would place them at a greater risk of developing open-angle glaucoma.
* Sudden, severe [[pain]] in one eye
* Decreased or cloudy [[vision]]
* [[Nausea]] and [[vomiting]]
* Rainbow-like halos around lights
* [[Red eye]]
* Eye feels [[swollen]]
 
''Low-tension or normal-tension glaucoma''
* Narrowed side vision in people with normal [[IOP|eye pressure]]
 
''Congenital glaucoma''
* [[Symptom]]s are usually noticed when the child is a few months old
* Cloudiness of the front of the eye
* Enlargement of one eye or both eyes
* [[Red eye]]
* Sensitivity to light
* Excessive [[Tears|Tearing]]
== References ==
== References ==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 12:57, 4 March 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Rohan Bir Singh, M.B.B.S.[2]

Early changes in vision due to open-angle glaucoma involves a loss of peripheral vision at first, while visual acuity (e.g., central vision) is maintained until later in the course of the disease. For this reason, open-angle glaucoma progresses relatively asymptomatically, and patients often do not present with symptoms or visual complaints until late in the course of the disease. Clinical suspicion should, therefore, be high in the following patients who have or have had:

A previous ocular history such as history of eye pain or redness, headaches, uveitis, diabetic retinopathy, cataracts, vascular occlusions, or multicolored halos Ocular surgery like photocoagulation or refractive procedures such as laser eye surgery) Head or ocular trauma Take certain medications such as hypertensive medications that may influence IOP or systemic/topical steroids Medical history of diabetes mellitus, migraine headaches, hypertension, vasospasm, cardiovascular disease Family history (e.g., first-degree relative with glaucoma, especially significant if this is a sibling) that would place them at a greater risk of developing open-angle glaucoma.

References

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