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Everything You Should Know About Ocular Hypertension

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  • Everything You Should Know About Ocular Hypertension


    Ocular hypertension is an eye-related condition where intraocular pressure(pressure inside the eyes) is higher than normal. The normal intraocular pressure ranges from 10-21 mm Hg. In the case of ocular hypertension, this pressure goes high above 21 mm Hg. For reducing intraocular pressure, doctors often prescribe careprost eye drops. Patients suffering from ocular hypertension are more susceptible to glaucoma.



    Cause Of Ocular Hypertension


    Your eye constantly produces a fluid known as aqueous humor which keeps your eyes moisturized. This fluid is usually flush out of the eyes through the drainage channels located between the iris and cornea of the eyes. But when these channels are blocked, the fluid doesn't leave the eyes and gets retained in the eyes. 


    This build-up fluid results in increased eye pressure known as intraocular pressure more than the normal pressure level resulting in ocular hypertension. However, most of the time doctors suggest careprost eye drops to the patient for reducing the intraocular pressure. Careprost contains bimatoprost and is a prostaglandin analog that reduces intraocular pressure by stimulating the outflow of the retained aqueous humor from inside the eyes.


    Apart from this certain eye disease, some specific medicines and injuries to the eyes may increase the intraocular pressure causing ocular hypertension.



    Symptoms Of Ocular Hypertension


    As such ocular hypertension has no symptoms, it can't be diagnosed by the patient itself. However, during diagnosis doctor can conclude it by observing the following things:


    • The pressure inside the eyes is more than 21 mm Hg which can be measured with the help of a tonometer.
    • There is no damage to the optic nerve. 
    • Visual field testing shows no evident sign of glaucoma.
    • To evaluate the other underlying cause, doctors often test whether the drainage channels are blocked or closed. This can be done with the help of gonioscopy.


    As such ocular hypertension is not a disease in itself instead it can be a warning sign for the patients that in the future they may get glaucoma. It is often considered a glaucoma suspect. Patients can control their glaucoma and reduce its progress with the help of careprost eye drop. Doctors often prescribe careprost to most of the patients.



    Visual Field Loss And Intraocular Hypertension


    Increased intraocular pressure may cause vision loss, however, it is not the same for everyone. But for preventing vision loss treating intraocular pressure is necessary. A random study is carried out in which around 16000 people with ocular hypertension are analyzed for primary open-angle glaucoma. The outcome of the study was quite strange. It showed that the visual field loss doesn't show any progress. It remains constant for 20 years of the study period.



    Facts Related To Ocular Hypertension


    • Studies suggest that around 3 to 6 million people in the US have ocular hypertension. Among those people, 4%-10% of people are above 40 years of age. Those people don't show any damage to vision or any sign of glaucoma. However, if you have glaucoma, you can get it controlled with the help of a careprost eye but only on a doctor's consultation.

    • A recent study related to ocular hypertension has shown that people with ocular hypertension have about a 10% risk of developing glaucoma within the next 5 years after the diagnosis. But these changes may be reduced to some extent by medications like careprost or surgery.

    • People are 10 to 15 more prone to ocular hypertension than glaucoma.

    • In around 3% of people suffering from ocular hypertension, retinal veins get blocked which may lead to vision loss. Therefore, it is highly recommended to keep intraocular pressure below 25 mm of Hg in ocular hypertension patients and old age people.

    • Another study concludes that African-Americans are 5 times more prone to have ocular hypertension than whites.

    • One study reported that women are more likely to get ocular hypertension than men. And men with ocular hypertension are more likely to get glaucoma in the future.

    • Intraocular hypertension increases with age. So if you are older than 40 years of age then you are more susceptible to both ocular hypertension and glaucoma. Intraocular hypertension can be reduced with the help of careprost by increasing the outflow of the retained liquid in the eyes.


    Treating Ocular Hypertension


    Firstly, your doctor will prescribe you medications for curing intraocular hypertension. Most doctors recommend eye drops like careprost to reduce intraocular pressure. Careprost often comes with some side effects like redness in the eyes, itchy eyes, swelling in the eyes, blurred vision and discharge from the eyes. Careprost can also cause long, thick, and dark eyelashes. Due to these reasons, most people find it unfit for use.


    In such cases, the doctor may prescribe you other medications like beta-blockers, alpha agonists or carbonic anhydrase inhibitors. These medicines decrease the production of the aqueous humor thereby reducing the intraocular pressure.



    Surgery


    Doctors don't go for surgery in the case of ocular hypertension as it includes risk which is even higher than that of getting glaucoma. However, if medications don't work for you, then the doctor may opt for laser surgery. But surgery is not needed often as careprost works really well in reducing intraocular pressure in the majority of the cases.

      September 13, 2021 10:53 PM MDT
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