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Recent Advances in the Diagnosis and Treatment of Glaucoma

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Recent developments in artificial intelligence can be used for the detection of glaucoma and monitoring disease progression. Continue reading to know more.

Medically reviewed by

Dr. Shikha Gupta

Published At March 28, 2023
Reviewed AtSeptember 19, 2023

Introduction:

Artificial intelligence (AI) is a term used to describe a group of digital machines or computers that can carry out activities with little to no human input. AI is used in many sectors, including marketing, tourism, and banking, and has more recently acquired an interest in the healthcare field. Recent development in artificial intelligence may help healthcare professionals by treating patients more efficiently and accurately. For example, artificial intelligence (AI) is now being used to help diagnose, track development, and treat ophthalmologic diseases, most notably glaucoma. Over the last two decades, there has been a significant increase in the number of artificial intelligence applications in ophthalmology, together with various imaging data.

What Is Glaucoma?

The term "glaucoma" is used to describe a variety of eye conditions that harm the optic nerve. The most typical type of optic nerve injury causes visual loss. The fluid typically accumulates in the front of the eye, which exerts excessive pressure, also known as intraocular pressure, on the optic nerve and gradually injures it. Sometimes, glaucoma develops in adults with normal ocular pressure. However, untreated or improperly managed glaucoma may cause blindness or permanent vision loss.

Who Is at Increased Risk of Developing Glaucoma?

People of all racial and gender backgrounds can get glaucoma, but the risk rises with advancing age. Compared to other races, African Americans and Latinos have a substantially higher incidence of glaucoma, which they also tend to experience earlier in life. The following individuals are at an increased risk of developing glaucoma:

  • Familial glaucoma history.

  • Several medical conditions, including high blood pressure, diabetes, and migraines.

  • Various forms of eye surgery or eye injuries.

  • Individuals over 50 years of age.

  • Uncontrolled diabetes.

  • High intraocular pressure.

  • Taking long-term corticosteroid drugs.

When Would a Glaucoma Test Be Needed?

The patients need a comprehensive eye exam that includes glaucoma tests if they experience any visual problems such as :

  • Blurry vision.

  • Eye pain.

  • Headache.

  • Eye redness.

  • Blind spots.

  • Watering of eyes.

What Are the Various Diagnostic Equipment Used to Diagnose and Detect Glaucoma?

The doctors can perform various glaucoma tests and glaucoma can be diagnosed by using various equipment such as:

  • Tonometer - A tonometer is a diagnostic equipment used by an optometrist or ophthalmologist to check eye pressure and this diagnostic test is called tonometry. The test aids in the diagnosis of glaucoma. The doctor places the specialized numbing medications in the eye before holding a pencil-shaped instrument delicately against the outside of the eyeball. Some doctors may do procedures with an air puff tonometer without using numbing eye drops. The tonometer measures the amount of aqueous humor (a fluid-filled in between the colored part iris and cornea, the back side of the eye) produced inside the eye and how quickly it drains into the tissue around the cornea.

  • Pachymeter - A pachymeter is a piece of equipment used in science to measure the cornea's thickness using a laser, light waves, or ultrasound. This procedure is called a pachymetry test. The tool is used to evaluate the eyes routinely before procedures and to detect, evaluate, and track the number of ocular disorders, such as glaucoma.

  • Perimeter - Eye doctors use visual field perimeter testing equipment to check patients for symptoms of vision loss, and the test is known as a perimetry test or visual field test. A patient sits and looks at a screen within the device during the non-invasive test. The patient is told to press a button on a remote control each time they notice a flash of light. In this way, the patient's peripheral vision can be examined, and detect the loss of peripheral vision, which is a sign of glaucoma.

  • Slit Lamp - The slit lamp, also known as biomicroscopy, is a collection of equipment that functions as a single unit. It has a light source that can be adjusted, a binocular microscope with a movable base, and a frame for the patient's head to rest on while the examination is conducted. The doctor can use the light in several ways. For example, they can enlarge it, make it brighter, and apply a color filter. This allows the doctor to concentrate on specific areas of the eyes and face. Slit lamp equipment can evaluate any abnormalities or problems inside the eye.

  • Genoscope - Genoscope is a diagnostic equipment used to check eye drainage angle, whether blocked or closed can lead to glaucoma detection. This test is called the gonioscopy test. This test can be done using a particular lens and slit lamp.

  • Optical Coherence Tomography - Many eye professionals can use specialized equipment called optical coherence tomography to capture the images of the retina and optic nerve. This may lead to the detection of glaucoma.

What Are the Risks of the Glaucoma Test?

Tests for glaucoma are risk-free and safe. After the test, the vision might be blurry or extremely sensitive, but it gradually improves throughout the day. Therefore, the results can be available immediately after the test.

What Are the Advantages of Ophthalmic Equipment?

Professionals can learn in-depth information about eye conditions and identify future problems according to the ophthalmic equipment. Ophthalmic tools also serve as assistants for doctors, aiding them in a variety of ways, such as :

  • Early Detection of Serious Health Issues - Serious problems can be avoided with early diagnosis of vision abnormalities and damage. For instance, modern ophthalmic technology helps identify several eye-related conditions, such as glaucoma, keratoconus, dry eye, and cataracts. In order to avoid serious consequences, doctors immediately offer treatment once the problems have been identified early.

  • Better Prescriptions - The use of artificial intelligence (AI) and other cutting-edge technologies in these devices enable doctors to select the best treatments for each patient. Doctors can recommend solutions and treatment modalities from which the patient can benefit the most with the use of more advanced ophthalmic equipment.

  • Accurate Diagnosis - Artificial intelligence-based technology is so accurate and precise. These devices may help doctors by reducing the chances of making a wrong diagnosis or missing an issue.

Conclusion:

The eyes might seem identical, but our eyes are distinct. The eyes can be differentiated in several ways besides color. Monitoring eye pressure can help to evaluate problems like glaucoma. Regular eye exams can help to detect glaucoma earlier, which might save a life. An optometrist can measure eye pressure and the optic nerve condition. A proficient piece of ophthalmic equipment is needed for early detection and diagnosis of significant eye problems, enabling doctors to provide more effective treatment options.

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Dr. Shikha Gupta
Dr. Shikha Gupta

Ophthalmology (Eye Care)

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glaucoma
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