How to treat open angle tubular field of vision?
summary
Open angle glaucoma is a kind of binocular disease, that is, suffering from glaucoma, is a matter of two eyes "suffering together". Glaucoma, in daily life also more people talk about, most of them are older people suffering from. Glaucoma is very harmful. It can lead to optic nerve atrophy, visual field narrowing and vision loss. It is only a matter of time before it develops. How to treat the open angle tubular field of vision.
How to treat open angle tubular field of vision?
The first choice for primary open angle glaucoma is drug therapy β Receptor blockers, such as 0.5% timolol and 0.25% betesol, inhibited the formation of aqueous humor; If the control of IOP was not satisfied, pupil constrictor, such as 1% pilocarpine, was added to widen the space of trabecular meshwork and promote the discharge of aqueous humor; If the IOP can not be controlled or tolerated by single or combined use of two kinds of drugs, 1% epinephrine can be selected, which can also increase the discharge of aqueous humor. If drug treatment is ineffective or unsatisfactory, laser trabeculoplasty should be used, and drug treatment is often used after operation.
Through the above treatment, intraocular pressure control is still not ideal, can only choose surgical treatment, commonly used surgery is trabeculectomy or other filtering surgery. Patients with high intraocular pressure before operation can take acetazolamide, glycerin or 20% mannitol to reduce the intraocular pressure to normal as much as possible. 5-FU and other anti metabolic drugs were injected under conjunctiva after operation to reduce the scar formation of filtering pillow.
Once primary angle closure glaucoma is diagnosed, surgery is the first choice. Drug therapy is limited to preparation for surgery, poor intraocular pressure control or high risk of surgery. At present, because many hospitals can perform laser peripheral iris drilling, so that the vast majority of patients are free from radical surgery, but if not, it should be done as soon as possible.
matters needing attention
In diet, we should eat some easy to digest food, pay attention to food hygiene, avoid intestinal infectious diseases, and keep the stool unobstructed. Try not to eat or eat less stimulating food, stimulating food, will make the patient's blood pressure changes, which is easy to lead to open-angle glaucoma. Lotus seed, wheat slice, walnut meat, etc. have the effect of nourishing the heart and calming the nerves. Patients with open-angle glaucoma can eat more appropriately. Avoid smoking, alcohol and strong tea.