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New Zealand National Eye Bank Trust

Glaucoma

Why should I know about glaucoma?
Glaucoma is the number one preventable cause of blindness in New Zealand. Most of the time glaucoma is not associated with any pain or vision loss until the disease is very advanced. The only way for glaucoma to be diagnosed is by special tests done by an eye care professional, that is, an optometrist or ophthalmologist. Therefore, you should be tested for glaucoma as early detection and treatment will give you the best possibility of retaining your sight for your whole life.

I can see very well so surely I cannot have glaucoma?
Glaucoma often goes unrecognized until significant permanent damage and some loss of sight has occurred. Once damage from glaucoma occurs it is permanent. The sight lost cannot be restored. In the early stages, glaucoma has no symptoms and you may not realise it is present in your eyes. You may see very well and your eyes may be very comfortable yet glaucoma may be present.

What then can I do about glaucoma for myself?
You should take responsibility for your eyes and have regular eye checks. Early detection and appropriate treatment is in your best interests to retain your eyesight.

Is there a simple test for glaucoma?
No, there is not a simple test to rule out glaucoma. There are three main factors that together are needed to diagnose glaucoma. They are the pressure in the eye, the appearance of the optic nerve inside your eye and the presence of any defects in your side vision (peripheral vision). An eye care professional will know how far it is necessary to go to rule out glaucoma for you. That is why detection of glaucoma requires an eye examination rather then one simple screening test.

How often do I need to have an eye examination to rule out glaucoma?
How often you need an eye examination will depend on your age and whether you have any risk factors that increase the chance of you developing this disease. If you have no risk factors and are under 60 years of age an eye examination every 5 years is recommended. If you are over 60 yrs of age then every 3 years and if there are any risk factors more frequent examinations are required. Your eye care practitioner will advise you.

What then is glaucoma?
Glaucoma is a group of diseases of the eye that gradually steals sight without warning and usually without any symptoms. It causes damage to the nerve that connects your eye to your brain like the connecting the telephone to the exchange. If this is damaged, there is no communication and therefore no eyesight.

Normal Optic Nerve

Optic Nerve in Glaucoma


How likely is it that I may have glaucoma?
It is present in 2% of the population over 40 years of age and becomes more common with increasing age. Up to 10% of people over 70 years of age have glaucoma. Yet glaucoma can affect people of any age and can even be present at birth.

What are the risk factors that increase the chance of my having glaucoma?
The risk factors include increasing age, a family history, short-sightedness (myopia), trauma to the eye, and a wide range of other eye diseases.

What can be done to prevent me losing sight from glaucoma if I do have this disease?
Treatment of glaucoma may include one or more eye drops every day for the rest of your life, laser treatment or eye surgery. Regular eye examinations including tests of the side (peripheral) vision will be necessary. There is no place for eye exercises nor will a change in diet or the use of herbal medicines make any significant difference. People who have glaucoma require life-long treatment and monitoring. So it is important for them to understand their condition.

Who can help me if I have glaucoma?
The initial examination to exclude glaucoma is usually done by your eye care practitioner, either an eye specialist (ophthalmologist) or optometrist. If you have glaucoma you need to be under the care of an ophthalmologist who will monitor your eyes regularly and initiate appropriate treatment.

What is Glaucoma New Zealand?
Glaucoma New Zealand is a non-profit charitable trust set up in New Zealand to increase awareness of glaucoma in our community, to educate and advise people with glaucoma and to promote research into glaucoma in New Zealand.


Please click on the link to “Glaucoma NZ” for more information
www.glaucoma.org.nz