Bad attack of glaucoma

Description:

The bad attack of glaucoma is a dangerous state which can end with sight loss if the patient does not receive medical assistance in time.

Symptoms of the Bad attack of glaucoma:

There is a bad attack of glaucoma most often in the second half of night between the third and fourth hour. By the time of a prosypaniye of the patient already developed attack picture develops:

    * appear eye pain
    * headache
    * iridescent circles before eyes
    * fog before eyes
    * dizziness.
All this can be followed by nausea, vomiting. Sometimes there are even pains in heart, or abdominal pains. Sometimes the bad general state – headaches, heartaches, delay of a cordial rhythm, abdominal pain, disturbs the patient more than eye pains and a vision disorder that can lead to wrong purpose of treatment. Vomiting can sometimes be unrestrained, heartaches strong, on the electrocardiogram changes are found, and before diagnosis of a bad attack of glaucoma there passes a lot of time.
At survey reddening of an eye because of expanded vessels and the complicated blood outflow is found. Eyelids and a conjunctiva can be edematous. Because of hypostasis the cornea becomes muddy, takes a form of "istykanny". At palpation of eyes dense, sometimes speak, about the stone density of an eye. Most often the bad attack of glaucoma arises at closed-angle glaucoma.
As the reason of the block of outflow of intraocular liquid serves the shift of a crystalline lens and iris forward. The iris of the eye can practically prilezhat to a cornea. The anterior chamber of an eye becomes very small. The pupil is expanded and, usually, does not react to light and can have grayish or greenish coloring. At the time of a bad attack of glaucoma intraocular pressure can reach 50 mm of mercury. (at norm it is not higher than 22 mm of mercury.).

Reasons of the Bad attack of glaucoma:

Proximate causes of emergence of a bad attack are definitely not known. But its emergence can be promoted by an emotional overload, a stress, long stay in the dark room, an instillation of the drops expanding a pupil, etc.

Treatment of the Bad attack of glaucoma:

Help at a bad attack of glaucoma has to be given immediately. In an eye dig in Pilocarpinum or Timololum. In the first hour the instillation is made by each 10 minutes. Diacarbum is inside appointed. Introduction of hypertonic salt solution of sodium chloride is intravenously possible.

For reduction of inflow of blood to eyes and removal of liquid from a vitreous hot foot baths within an hour, mustard plasters to gastrocnemius muscles, salt laxatives are appointed. The patient needs to be hospitalized in ophthalmologic department of a hospital. If per day the attack is not stopped, intraocular pressure does not manage to be reduced, surgical treatment is carried out.

Patients with closed-angle glaucoma have to know about possibility at them a bad attack of glaucoma. They should not use a lot of liquid in one step, be long time in situation with the inclined head, uncontrolledly accept any medicines. It is necessary to have constantly at itself drops, tablets of Diacarbum and at the first signs of increase in intraocular pressure independently to take measures for its decrease.