Different choices of spectacles

Regular Eye Tests For Brits to Detect Advise Experts

Brits are putting their eye health at risk by not having an annual eye test. 43 per cent of Brits would not fix an eyesight problem straight away and 41 per cent.

Early signs of serious eye conditions such as glaucoma can be detected in this way, which improves the chance of successful treatment.

Throughout National Glaucoma Awareness Week 2014 Optegra is calling on people to have an eye MOT.  An eye test crucially monitors the health of the eye, and can detect signs of glaucoma, including increased pressure which can be a risk factor.

If left untreated glaucoma can lead to damage to vision and ultimately blindness.  In fact, it is the leading cause of preventable blindness in the UK.

Brendan Moriarty , glaucoma expert and Consultant Ophthalmic Surgeon at Optegra, said: “Glaucoma is often referred to as the ‘silent thief’ of vision because it is gradual and there are often no symptoms until advanced.  Early detection of glaucoma is therefore absolutely vital to prevent unnecessary damage to vision or even blindness.”

“It really is as simple as having a bi-annual eye test, or more often if there is high risk of glaucoma, to spot the early warning signs.  I find it incredible that so many people fail to have regular eye tests, particularly when you consider what is at stake. The earlier we spot glaucoma, the more we can do to treat it.”
What is Glaucoma
Glaucoma is a group of eye conditions in which the optic nerve becomes damaged, usually due to a rise in intraocular pressure. If left untreated this damage, (neuropathy), can affect vision and ultimately cause blindness. It is a progressive disease where one eye is usually affected before the other. Treatment can prevent further damage to vision if diagnosis is early enough. The rise in intra-ocular pressure is usually due to blockage of the eye’s drainage in “open-angle glaucoma”, or an inability of the intra-ocular fluid to reach the drainage angle in “closed angle glaucoma”.

Primary open-angle glaucoma is the most common type, affecting two per cent of 40 year olds and increasing to 10 per cent of 80 year olds.  This is a chronic, or slow, condition in which the intra-ocular fluid can get to the drainage angle but the angle becomes blocked, usually as a result of ageing changes.

Other types of glaucoma include:

Congenital glaucoma – a rare but serious developmental abnormality of the eye.
Secondary glaucoma – several possible causes including inflammation, trauma, surgery and syndromes such as pigment dispersion and pseudo-exfoliation.
Primary angle-closure glaucoma (PACG) – Intra-ocular fluid cannot reach the drainage angle because of an anatomical variation in the anterior chamber angle. East Asian and small, hyperopic eyes are more at risk, and women are three times more likely to get PACG.

The symptoms
In most cases, glaucoma has no symptoms in the early stages, which means that significant sight loss can occur if it is not detected and treated.

Early detection through regular eye tests is vital as damage to vision caused by glaucoma cannot be recovered.
Increased risk
According to the International Glaucoma Association, while anyone can develop glaucoma, people at a higher risk include those:

with a family history of glaucoma
over the age of 40
with high intraocular pressure, or pressure inside the eye
of African-Caribbean origin
who are very short sighted
who have diabetes
who have thin corneas
who have “vasospastic disorders”  such as migraine and  Raynauds syndrome
Who have cardiovascular disease are at higher risk.

Depending on the type and severity of the glaucoma, treatment includes eye drops, glaucoma laser eye surgery or conventional glaucoma surgery.  For each, the aim will be the same: to reduce the intraocular pressure causing the glaucoma and preserve the vision in your eye as safely and painlessly as possible.

Primary open angle glaucoma, the most common type, is usually treated by using ocular hypotensive drops (drops which reduce intra-ocular fluid production or increase its drainage from the eye). A 30% reduction in ocular pressure is aimed for.   Treatment is usually on both eyes and lifelong.

If the target pressure is not achieved, surgery or laser treatment may be required.