Eye
Drops May Help Prevent Glaucoma
Excerpt
By Maggie Fox, Reuter's Health
WASHINGTON (Reuters) - Drops used to treat high pressure in the
eye can delay and may even prevent glaucoma, a leading cause of
blindness, US researchers said on Thursday.
Patients who got the drops were less than half as likely to develop
glaucoma as those who did not, the national team of researchers
found.
"There are millions of people in the United States and in other
countries who are at risk of developing glaucoma because they
have high pressure in their eyes," Dr. Michael Kass, head of the
Department of Ophthalmology at Washington University School of
Medicine in St. Louis, Missouri, said in a statement.
"This study provides the first good evidence that treating those
people may delay, or possibly even prevent, the blinding eye disease
glaucoma," Kass stated.
Ophthalmologists at 22 centers studied 1,636 people aged between
40 and 80 who had high pressure within their eyeballs. This condition
is caused by a build-up of fluid in the eye that can put pressure
on the optic nerve.
An estimated 3 million to 6 million people in the United States
alone have high eye pressure and more than 66 million worldwide
have glaucoma.
As the optic nerve is pressed, vision is gradually and almost
imperceptibly lost.
"Glaucoma is often referred to as the sneak thief of sight because
it often occurs with no pain or symptoms," Dr. Ronald Gross of
the Baylor College of Medicine in Houston, Texas, who worked on
the study, said in a statement.
"Many times patients don't notice a difference in peripheral
vision until the problem has progressed. Therefore, it is essential
to visit an ophthalmologist to detect the condition early," Gross
added.
BIG DROP IN RATE OF GLAUCOMA
The eye drops only decreased pressure in the patients' eyes
by 20%, but this translated into a big drop in the rate of glaucoma,
the researchers report in this week's issue of the journal Archives
of Ophthalmology.
"During the 5-year study period, we found that only 4.4% of
the study patients who received the eye drops developed glaucoma,"
Mae Gordon of the Washington University School of Medicine, said.
"By comparison, 9.5% of the study participants who did not get
pressure-lowering drops developed glaucoma."
The researchers found that older people and blacks were more
likely to develop glaucoma. In addition, factors such as higher
eye pressure, the anatomy of the optic nerve and thinness of the
cornea could help predict who would go on to develop glaucoma.
This should help eye doctors decide who to treat with eye drops,
said Dr. Paul Sieving, director of the National Eye Institute.
"Not all people with elevated eye pressure should be treated with
the eye drops. If you are at risk for glaucoma, see your eye care
professional to receive a comprehensive eye exam and find out
if eye drops might help," he said.
Kass agreed.
"Eye care professionals should not prescribe eye drops for all
people who have elevated eye pressure with no sign of glaucoma,"
he said. "Doctors should take into account several factors, including
the simple fact that 90% of participants in the observation group
did not develop glaucoma within the 5-year study period."
Reference
Source 89
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