Menopausal migraine, beware of glaucoma

　　Cataract and glaucoma are the first and second most common blind eye diseases in my country respectively. However, cataract can restore sight after surgery, while blindness caused by glaucoma is permanent and irreversible. Statistics have found that the average time for glaucoma patients in my country from onset of illness to treatment is about 7 days, and the time is longer in remote rural areas.

Primary glaucoma is often misdiagnosed because of other symptoms, such as because Migraine arrive nerve See the internal medicine department. Go to the gastroenterology department because of nausea and vomiting. Sometimes, such misdiagnosis can be disastrous - for example, using atropine to relieve spasms due to nausea and vomiting can rapidly aggravate the progression of glaucoma and lead to blindness.

Glaucoma, commonly known as "blindness with open eyes", is a type of blindness caused by the sudden narrowing or closing of the angle of the chamber in the eye, which prevents the aqueous humor from being discharged in time, causing the aqueous humor to swell and the intraocular pressure to rise sharply. disease , so named because the patient's pupils are often bluish-green. Its incidence varies by region, race, gender and age, and is more common in Asia, especially in my country. ； There are the most yellow people, followed by black people, and the least white people. ；female Common, male to female ratio is 1:3； It mostly occurs in people over 40 years old, and is most common in those between 50 and 70 years old.

The occurrence of glaucoma is not only related to anatomical structure, but also related to emotions. Women who are sentimental, bad-tempered, suspicious and paranoid are more susceptible to the disease, also known as glaucoma personality. Recently we encountered such a case - 57-year-old Aunt Zhang started to suffer from right migraine 4 years ago. During the attack, she could feel her blood vessels pulsing. Eye There are also some distended pain . Aunt Zhang was originally short-tempered and short-tempered. After getting sick, her temper became even worse. She often got angry over trivial matters. Her family members were careful not to make her angry. About half a month ago, Aunt Zhang suffered from another migraine. This time, not only was the pain intense and long-lasting, but she also had obvious blurred vision. In local villages and towns, Hospital The treatment had no effect. Aunt Zhang, who was in unbearable pain, went out to see a doctor for the first time on the advice of the doctor and the persuasion of her family. The examination found that Aunt Zhang's right eye was as hard as a stone, and her intraocular pressure was as high as 70mmHg (more than three times higher than normal). She was diagnosed as "primary angle-closure glaucoma" and was immediately given dehydration and decompression treatment. Fortunately, after the intraocular pressure dropped to 30mmHg, fundus examination revealed that the optic nerve had not been damaged.

When glaucoma is detected early, it can be treated with laser drilling, which is less invasive and more effective. However, if the optic nerve atrophies, vision will be permanently lost. Therefore, raising public awareness and vigilance about glaucoma is of great significance in preventing blindness. Acute angle-closure glaucoma strikes violently. During the attack, the eyes are obviously congested, accompanied by severe eye swelling and headache, sharp loss of vision, and eyeballs as hard as stones. It is also accompanied by symptoms such as nausea and vomiting, elevated blood pressure, and low fever. It is often misdiagnosed as gastroenteritis, encephalitis, and neurological headaches due to severe systemic symptoms. Acute angle-closure glaucoma is an emergency ophthalmology emergency and must be treated appropriately and promptly, otherwise complete blindness may occur within 24-48 hours. Glaucoma has a certain hereditary nature. If there is a glaucoma patient in the family, and other relatives over 40 years old have symptoms such as migraines and eye swelling and pain, they should be highly vigilant about the occurrence of glaucoma.