Glaucoma

​​​Pathology

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The pathology of glaucoma involves damage to the optic nerve, which transmits visual information from the eye to the brain. This damage is primarily caused by elevated intraocular pressure, though other factors may also contribute. The increased pressure often results from an imbalance in the production and drainage of the aqueous humor, the fluid inside the eye. The two main types of glaucoma are:

• Primary Open-Angle Glaucoma (POAG): The most common form, characterized by a gradual clogging of the drainage canals, leading to increased eye pressure and optic nerve damage over time.

• Angle-Closure Glaucoma: This type occurs when the drainage angle of the eye becomes blocked, causing a rapid and severe increase in intraocular pressure. It is considered a medical emergency and requires immediate treatment to prevent significant vision loss.

• Low Tension Glaucoma or Normal Glaucoma: Similar as POAG, but the intraocular pressure (IOP) within normal range.

 

Symptoms

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Glaucoma can be subtle and may advance without noticeable symptoms until significant damage has occurred.  It is very difficult to detect because most of people with glaucoma has no pain and most have 20/20 visual acuity.  When left untreated, glaucoma can slowly steal your peripheral vision. 

 

Causes

 

Glaucoma is influenced by a combination of genetic, environmental, and physiological factors:

• Increased Intraocular Pressure: The most significant risk factor for glaucoma. It is typically due to an imbalance in the production and drainage of aqueous humor.

• Genetics: A family history of glaucoma increases the risk of developing the disease, indicating a hereditary component.

• Age: The risk of glaucoma increases with age, particularly in individuals over 60.

• Ethnicity: Certain groups, such as people of African or Asian descent, have a higher risk of developing glaucoma.

• Medical Conditions: Conditions such as thyroid, diabetes, hypertension, estrogen deficiencies, Alzheimer's disease, Retinal vein occlusion, and certain eye injuries can elevate the risk of glaucoma.

• Use of Steroid Medications: Prolonged use of corticosteroids can increase the risk of developing glaucoma.

• Reduce blood flow:  Not enough blood flow to the optic nerve causing damage.

• Smoking: increase the risk of damage your vision includes dry eyes, AMD, glaucoma, cataract, etc..

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Early diagnosis and treatment are essential for managing glaucoma and preventing vision loss.

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ACUPUNCTURE TREATMENT FOR GLAUCOMA​

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Treatment for glaucoma includes Micro Acupuncture 48, herbal medicine, and electronic stimulation.  It promotes blood flow to the retina and optic nerve to allow cells repair.  The treatments are not focus on reducing the eyes pressure, it mainly focus on saving the optic nerve.  Therefore, patients should continue to use the prescription eye drops to control pressure. 

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Treatment Protocol:

• Frequency: For best result, treatments should be scheduled at least twice a week. Frequency can be adjusted based on individual response.

• Session Duration: Each session typically lasts about 30-45 minutes.

• Needles: There will be on feet, hands, and around the eyebrows, not into the eyes. The acupuncturist may also use electro-acupuncture based on the individual’s needs.

Complementary Practices:

• Lifestyle Adjustments: Combine acupuncture with lifestyle changes such as a healthy diet, regular exercise, and stress management techniques. These can support overall eye health.

• Diet: Incorporate foods rich in antioxidants, vitamins, and minerals that support eye health, like leafy greens, fish, nuts, and fruits.

Monitoring and Integration:

• Regular Eye Exams: Continue regular visits to an ophthalmologist to monitor intraocular pressure and overall eye health.

• Consult Healthcare Providers: Work closely with both your acupuncturist and ophthalmologist to ensure that the complementary treatments do not interfere with conventional glaucoma management.

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Remember, it’s essential to approach acupuncture as a primary treatment for optic nerve cause by glaucoma. Always consult with your ophthalmologist and a licensed acupuncturist before starting any new treatment regimen to ensure it’s appropriate for your specific condition and overall health.