BMJ  2004;328:97-99 (10 January), doi:10.1136/bmj.328.7431.97

Clinical review

ABC of Eyes

Glaucoma—1: Diagnosis

P T Khaw, P Shah, A R Elkington

The first 150 words of the full text of this article appear below.

Introduction

The glaucomas are a range of disorders with a characteristic type of optic nerve damage. The glaucomas are the second commonest cause of blindness in the world, and the commonest cause of irreversible blindness. The most effective way of preventing this damage is to lower the intraocular pressure.

Normally, the ciliary body secretes aqueous, which flows into the posterior chamber and through the pupil into the anterior chamber. It leaves the eye through the trabecular meshwork, flowing into Schlemm's canal and into episcleral veins. The flow and drainage can be obstructed in several ways.

Normal aqueous drainage and possible sites of obstruction

Symptoms and signs

The intraocular pressure is determined by the balance between aqueous production inside the eye and aqueous drainage out of the eye through the trabecular meshwork. Each normal eye makes about 2 µl of aqueous a minute—that is, about 70 l during the course of a lifetime. Normal intraocular . . . [Full text of this article]

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Primary open angle glaucoma

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Acute angle closure glaucoma

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Other types of glaucoma

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