Glaucoma Risks: Eye Health Tips and Insights - Ophthalmology

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The possibility of glaucoma?


Hello Doctor: I have the following three questions: 1.
My right eye has a prescription of -6.30 diopters.
Does this mean I have a significantly higher risk of developing glaucoma? I read online that it is ten times higher than those without myopia.
2.
If I develop glaucoma, what is the probability of eventual blindness? 3.
How can I take care of my eyes in daily life to reduce the risk of developing glaucoma? (such as stress, lack of sleep, prolonged screen time, not following the 20/20/20 rule, etc.) Thank you!

Li Xiao, 30~39 year old female. Ask Date: 2020/06/22

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Li:
1.
This is a statistical figure, and personal clinical examinations are still needed for confirmation.

2.
It is important to assess how well glaucoma is being controlled; damaged optic nerves do not recover.
Therefore, early detection is extremely valuable.
Adults over the age of 40 should have regular eye examinations once a year.
In addition to early detection, another important factor affecting prognosis is adherence to prescribed medication.
Glaucoma should be treated as a chronic condition; while it cannot be cured, it can be managed, similar to hypertension or diabetes.
Regardless of whether there are any discomforts, medication should be taken on schedule.
As long as you follow your doctor's instructions for medication and maintain regular follow-up treatment, there is a good chance of preserving sufficient vision for a lifetime.

3.
Preventive measures for glaucoma include regular measurement of intraocular pressure, examination of the optic nerve, and visual field testing to control the condition.
Maintaining a regular lifestyle, stabilizing your mood, and avoiding late nights and emotional stress are also important.
Drink water in moderation and avoid gulping.
Fully cooperate with your doctor's medication instructions and do not adjust the dosage on your own.
Engaging in gentle exercises such as walking, swimming, cycling, and jogging can help lower intraocular pressure, while avoiding activities that involve straining, such as weightlifting or inversions.

Taiwan e-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM; Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses are for reference only; it is necessary to seek medical attention at a healthcare facility when needed.
I hope to have the opportunity to serve you.

Dr.
Gao Pilin

Reply Date: 2020/06/22

More Info


Hello! Thank you for your questions regarding glaucoma risks and eye health. Let’s address each of your concerns in detail.

1. Risk of Glaucoma with High Myopia: You mentioned that your right eye has a prescription of -6.30 diopters (630 degrees). High myopia, particularly above -6.00 diopters, is indeed associated with a significantly increased risk of developing glaucoma. Research indicates that individuals with high myopia can have a risk of glaucoma that is up to ten times greater than those with normal vision. This is primarily due to structural changes in the eye, such as thinning of the optic nerve and changes in the eye's anatomy, which can predispose individuals to increased intraocular pressure (IOP) and optic nerve damage. Regular eye examinations, including assessments of your optic nerve and IOP, are crucial for early detection and management.

2. Probability of Blindness from Glaucoma: The probability of blindness due to glaucoma varies widely depending on several factors, including the type of glaucoma, the stage at which it is diagnosed, and how well it is managed. If left untreated, glaucoma can lead to significant vision loss and even blindness. Studies suggest that approximately 10% of individuals with glaucoma may experience severe vision loss over their lifetime. However, with early detection and appropriate treatment, the risk of blindness can be significantly reduced. It is essential to adhere to prescribed treatments and attend regular follow-up appointments with your eye care professional.

3. Lifestyle Tips to Reduce Glaucoma Risk: There are several lifestyle modifications you can adopt to help reduce your risk of developing glaucoma:
- Regular Eye Exams: Schedule comprehensive eye exams at least once a year, especially if you have risk factors like high myopia. These exams should include measurements of your IOP and assessments of your optic nerve.


- Manage Stress: Chronic stress can contribute to various health issues, including eye health. Engaging in stress-reducing activities such as yoga, meditation, or regular exercise can be beneficial.


- Adequate Sleep: Ensure you get enough sleep each night. Sleep deprivation can affect your overall health and may contribute to increased IOP.


- Screen Time Management: If you spend long hours in front of screens (computers, tablets, smartphones), follow the 20/20/20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. This helps reduce eye strain and fatigue.


- Healthy Diet: A diet rich in antioxidants, vitamins (especially A, C, and E), and omega-3 fatty acids can support eye health. Foods like leafy greens, fish, nuts, and fruits are excellent choices.


- Stay Hydrated: Drink plenty of water throughout the day to maintain optimal eye moisture and overall health.


- Avoid Smoking: Smoking is a risk factor for many eye diseases, including glaucoma. Quitting smoking can significantly improve your eye health.


- Protect Your Eyes: Wear sunglasses that block UV rays when outdoors to protect your eyes from sun damage.

In conclusion, while having high myopia does increase your risk for glaucoma, proactive management and lifestyle changes can significantly mitigate this risk. Regular check-ups with your eye care provider are essential for monitoring your eye health and ensuring any potential issues are addressed promptly. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider. Your eye health is crucial, and staying informed is a key part of maintaining it.

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