BELGIAN GLAUCOMA SOCIETY BGS le glaucome peut rendre aveugle Information for the ophthalmologist
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Information pour le patient
Moyens de détection et de surveillance

Définition du glaucome

Facteurs prédisposants
Comment fonctionne l'oeil ?
Pression intra-oculaire et glaucome
Peut-on éviter le glaucome ?
Moyens de détection et de surveillance
Traitements
Glaucome de l'enfant
Glaucome aigu
Glaucomes secondaires
   
How eye pressure is measured
 


Eye pressure is measured with a tonometer that is placed on the eye for a few seconds. Because eye drops are first applied to numb the eye, you do not feel the tonometer touching it. You do see a bright blue light approaching. The tonometer gently pushes a little bit against your eye. To what extent the tonometer can indent the eye depends on the eye pressure and that is how it is being measured.
Another type of tonometer applies pressure to the eye with a puff of air. The advantage of this method is that it is not necessary to numb the eye or to touch it, the disadvantage however being that measurements are somewhat less accurate.

Evaluation of the damage to the optic nerve
 


Your eye doctor can look inside your eye through the pupil. This is done to view the optic nerve. Sometimes a picture will be taken. Progressive cupping of the optic nerve, documented during consecutive exams, is a sign of (worsening of) glaucoma. Sometimes an eye drop has to be applied to open the pupil and allow full view of the optic nerve. In that case, vision is slightly blurred for about 2 hours, disabling you to drive a car.

Evaluation of visual field loss
 


The perimeter is used to check the damage to any area of vision. This test can detect visual field loss long before you are able to observe this yourself. The perimeter is a hemisphere against which small lights are being projected, one by one. You are asked to place your chin on a stand, sit still and look straight ahead to the center of the hemisphere. You have to press a button every time you see a light appear. It can take up to about 10 minutes to test one eye. Obviously your cooperation and attention is very needed. After the test, the computer processes the data and a map of your visual fields can be printed out.

How often are these tests repeated?
 


Depending on the gravity of the situation, these test are repeated one to four times a year so that treatment can be initiated or changed timely.

   
tonométrie
Tonometry
papille optique normale
Normal optic nerve papille optique glaucomateuse
Optic nerve cuppingpérimétrie
Perimetry
 
 
  What is glaucoma? | Who is at risk for glaucoma? | How the eye works
| How does glaucoma develop? | What can one do to avoid glaucoma? Tests for glaucoma | How glaucoma is treated | Congenital glaucoma | Acute glaucoma | Secondary glaucoma
 

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 Belgian Glaucoma Society
 Last revision : 25-07-2011

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