What is the basic fault in narrow angle glaucoma?

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Why does this disease occur? What is wrong with the eye?

There is a filter at the junction of the cornea and the iris. It is forms a sieve which is called the trabecular meshwork. There is a system at this place that drains the material from the eye to the blood vessels. For various reasons, the cornea and the iris become so close to each other that the material does not reach the trabecular meshwork, so the drainage is blocked. The fluid accumulates inside the eye. This leads to rise in the pressure within the eye.

  • The structure of the anterior chamber is abnormal in some patients, especially in younger patients. As a result of which the aqueous drainage system does not work properly, as a result the pressure in the eye rises. This raised intraocular pressure causes damage to the optic nerve.
  • In many patients, the iris and the cornea come so close to each other that the aqueous cannot reach the sieve and accumulates within the eye. As a result, the pressure in the eye increases, which damages the optic nerve.
  • In many patients, persistent inflammation develops membranes which covers the holes in the sieve, and thus closes the holes. As a result, the pressure in the eye increases, which damages the optic nerve.
  • In many patients the cornea and iris become attached to each other and adhesions develop leading to permanent closure of the angle and hence permanent blockage of whole or some parts of the angle. As a result, the pressure in the eye increases, which damages the optic nerve.

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