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Glaucoma, the “Silent Thief of Sight”: Why Kerala’s Ageing Population Needs Regular Screening

Glaucoma screening and eye examination for older adults in Kerala

Glaucoma rarely announces itself. There’s no pain, no redness and no blur in the early stages. It quietly damages the optic nerve, starting with your side vision, and by the time most people notice something is wrong, a large part of their vision may already be gone. That vision can’t be brought back.

Kerala has the highest share of senior citizens of any Indian state, and age is one of the biggest risk factors for glaucoma. That makes regular screening, and timely glaucoma treatment in Kochi and across Kerala, more important than ever.

What Is Glaucoma?

  • A group of eye diseases that damage the optic nerve, which carries images from the eye to the brain
  • Often, but not always, linked to high pressure inside the eye (intraocular pressure or IOP)
  • Damage is gradual and usually begins with side (peripheral) vision
  • Vision lost to glaucoma is permanent, but treatment can stop or slow further damage
  • It’s one of the leading causes of irreversible blindness worldwide

Why Kerala’s Ageing Population Is at Higher Risk

  • Kerala has a higher proportion of people above 60 than any other state in India
  • Glaucoma risk rises after 40 and climbs further after 60
  • Diabetes and high blood pressure, both common in Kerala, add to the risk
  • A large number of people with glaucoma in India don’t know they have it
  • Many older adults assume weakening vision is “just age” and skip eye checkups

 

 

Types of Glaucoma

Type

What Happens

Symptoms

Primary open-angle glaucomaThe eye’s drainage channel slowly becomes less efficient, and pressure rises graduallyNone early on; slow loss of side vision
Angle-closure glaucomaThe drainage angle is narrow or blocked; can be sudden (acute) or gradual (chronic)Acute: severe eye pain, headache, red eye, nausea, halos. Chronic: often none
Normal-tension glaucomaOptic nerve damage happens even though eye pressure is normalNone early on
Secondary glaucomaCaused by another condition, such as injury, steroid use, diabetes, inflammation or a mature cataractVaries with the cause
Childhood (congenital) glaucomaPresent at birth or in early childhoodEnlarged or cloudy eyes, watering, light sensitivity

Who Should Get Screened Regularly?

Risk Factor

Why It Matters

Age above 40Risk increases steadily with age
Family history of glaucomaClose relatives of patients have a much higher risk
Diabetes or high blood pressureCan affect blood flow to the optic nerve
High minus or high plus powerLinked to open-angle and angle-closure glaucoma respectively
Long-term steroid use (drops, inhalers or tablets)Can raise eye pressure
Past eye injury or surgeryCan damage the eye’s drainage system
High eye pressure or a thin corneaKnown warning markers on eye tests

How Glaucoma Is Detected: Key Screening Tests

Test

What It Checks

TonometryPressure inside the eye
GonioscopyWhether the drainage angle is open, narrow or closed
Optic nerve examSigns of nerve damage, such as “cupping”
OCT scanThickness of the nerve fibre layer, to catch early damage
Visual field test (perimetry)Any loss of side vision
PachymetryCorneal thickness, which helps interpret pressure readings

These tests are painless and can usually be completed in a single visit.

Glaucoma Treatment in Kochi: Your Options

Treatment

How It Works

When It’s Used

Eye dropsLower eye pressure by reducing fluid production or improving drainageFirst line of treatment for most patients
SLT laser (Selective Laser Trabeculoplasty)Improves fluid drainage in open-angle glaucomaAs an alternative or addition to eye drops
Laser peripheral iridotomyMakes a tiny opening in the iris to relieve angle closureNarrow-angle and angle-closure glaucoma
TrabeculectomyCreates a new drainage pathway for fluidWhen drops and laser aren’t enough
Glaucoma drainage devicesA small tube helps fluid drain out of the eyeComplex or advanced cases
MIGS (Minimally Invasive Glaucoma Surgery)Small-incision procedures, often combined with cataract surgeryMild to moderate glaucoma in selected patients

Every treatment has the same goal: protect the vision you still have by bringing eye pressure down to a safe level.

How Often Should You Get Screened?

 

Age / Risk Group

Suggested Screening Frequency

Under 40 with risk factorsAs advised by your eye doctor
40 to 60 yearsEvery 1–2 years
Above 60 yearsEvery year
Glaucoma suspects or high-risk patientsEvery 6–12 months, or as advised

Living With Glaucoma: Practical Tips

  • Use your eye drops at the same time every day, and never stop them without your doctor’s advice
  • If you use more than one drop, wait about 5 minutes between them
  • Keep every follow-up appointment, because glaucoma needs lifelong monitoring
  • Tell other doctors you have glaucoma, especially before any steroid is prescribed
  • Encourage parents, siblings and children to get screened
  • Stay active, but check with your doctor before doing head-down yoga poses

Why Choose The Eye Foundation for Glaucoma Treatment in Kochi

The Eye Foundation’s NABH-accredited hospital at Edappally brings complete glaucoma care under one roof:

  • Dedicated glaucoma specialists
  • Advanced diagnostics, including OCT and automated visual field testing
  • The full range of medical, laser and surgical treatment
  • Long-term monitoring and structured follow-up care

Book your glaucoma screening at The Eye Foundation, Edappally, Kochi today.

Frequently Asked Questions

1. Can glaucoma be cured?
Glaucoma can’t be cured, and lost vision can’t be restored. But with early diagnosis and regular treatment, most people keep useful vision for life.

2. Does glaucoma have any early symptoms?
Most types don’t. That’s why it’s called the “silent thief of sight”, and why regular screening after 40 matters so much.

3. Is glaucoma hereditary?
Family history is a major risk factor. If a parent or sibling has glaucoma, get your eyes checked regularly.

4. Where can I get glaucoma treatment in Kochi?
The Eye Foundation, Edappally offers complete glaucoma screening, diagnosis and glaucoma treatment in Kochi, from eye drops and laser to advanced surgery.

 

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