Chronic glaucoma simplex gradually blocks the tissue network at the anterior chamber between the iris and the cornea, which can last for years. The aqueous humour, which is created in the chamber between the iris and the lens, is not flowing normally from the eye through the tissue network, so the aqueous humour slowly and surely presses the rest of the eyeball even more (for a general explanation see glaucoma article). In most cases, both eyes are affected simultaneously. In chronic glaucoma simplex, fluid flow channels are blocked but, unlike acute glaucoma, access to them is not blocked.
The development of this disorder is so gradual that the only symptom that occurs at the initial stage is too weak to be revealed. This symptom is the loss of a small part of the external visual field in each eye, caused by the pressure in the occiput that damages the optic nerve fiber. Slowly, further parts of the outer field of vision are lost, and they grow and merge. Sooner or later you will notice that your visual field is no longer as wide as before.
If you neglect the illness, you can lose the entire outer vision field on both eyes; after that, the ability of each eye to see straight in front of it is reduced until, ultimately leading to full blindness.
Chronic glaucoma simplex is usually a hereditary illness, partly due to inherited predisposition factors, such as long-sightedness. The frequency increases from the middle ages onwards. If you have passed the age of 40 and have relatives who have (or have had) this disease, you must be especially cautious.
Since glaucoma causes irreversible loss of vision, it is best to treat the treatment as soon as possible. Do not wait until your eyesight gets worse before you ask for medical help.
What to do?
Since a man, who suffers from this type of glaucoma in the initial stage, is unaware of it, every adult is advised to have a regular eye examination at least once in two years. If you have a close relative who has chronic glaucoma simplex, you need to go to examination once a year. Besides that, you must ask your doctor if there is a hospital with a specialist department in your area where the initial signs of this disorder can be found.
If the physician in the ocular clinic or clinic suspects that you have glaucoma, you will receive a referral to the eye specialist for diagnosis. The specialist will look at the optic disc at the back of the retina, which is, in chronic glaucoma simplex, concave like a plate.
The treatment focuses on reducing the pressure in the eyeball. You will reecieve eye drops to open the tissue network at the anterior chamber or to reduce the creating of aqueous humour. Tablets or capsules are sometimes given for the same purpose.
Droplets are mostly to be taken for a lifetime, and you will have to go to the doctor for a lifetime. Taking medication will soon become a part of your daily life and, if you follow advices given to you by a doctor, your eyesight will not get any worse.
If the medication does not sufficiently reduce eye pressure, the specialist may recommend the surgical glaucoma drainage that we have already described as a type of acute glaucoma treatment.