At Home Christian Jessen 2014 - 328
T
here are many conditions that
can affect vision and the health
of the eyes. The more common
and significant conditions
needing hospital care include cataracts,
glaucoma, age-related macular disease
and diabetic eye disease.
Cataracts are the most common cause of
reduced vision in the over 60s. A cataract is
a clouding of the human lens which can cause a
variety of symptoms including blurred vision and
glare. The only effective treatment is surgery.
The surgical procedure is known as
phacoemulsification; this is where the cataract is
removed by ultrasound through a small incision
(about 2mm) and replaced by an artificial lens
implant. With more than 300,000 cataract
operations performed annually, this procedure is
now one of the most common and successful
planned operations performed in the UK.
The lens implant normally used is the
standard monofocal lens (a lens that can only
focus on one distance). Other premium lenses
are now available that can focus on near and
distant objects (multifocal lens) and correct
astigmatism (toric lens). These are suitable for
some but not all patients and can significantly
reduce the need for glasses after surgery.
A recent advance in cataract surgery is the
increasing use of a laser (femtosecond laser),
allowing for greater accuracy and efficiency
in removal of the cataract.
Sight for sore eyes
Glaucoma affects about 2% of the population
over 40 and the chance of developing
glaucoma increases as you get older. In
this condition, elevated eye pressure causes
damage to the optic nerve at the back of
the eye. This leads to a gradual irreversible
loss of, initially, peripheral vision and in the
early stages, it has no symptoms. There is no
national screening programme in the UK and
most new cases are detected by optometrists
(opticians) during routine sight tests. Recent
national guidelines by the National Institute
for Health and Care Excellence (NICE) have
introduced clear criteria for these referrals
by optometrists and this will hopefully help
in the early detection of this disease.
There are several factors that increase
the risk of developing glaucoma including
family history, Afro-Caribbean heritage,
short-sightedness and diabetes. The aim of
treatment is to reduce eye pressure and this is
usually achieved with the regular daily use of
eye drops. However, some patients may also
require laser treatment or glaucoma drainage
surgery. Recent advances in these latter
areas of treatment are the use of a safe and
repeatable out patient laser treatment known
as selective laser trabeculoplasty and newer
small incision surgical techniques, known
as microinvasive glaucoma surgery (MIGS)
involving the use of stents and bypass valves
in order to reduce eye pressure.
Keep an
eye on it
As you get older, you should be getting your eyes tested for cataracts,
glaucoma, and age-related macular disease, more often
At Home Christian Jessen 2014
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