{"id":17947,"date":"2021-10-20T09:04:01","date_gmt":"2021-10-20T09:04:01","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=17947"},"modified":"2021-10-20T09:04:01","modified_gmt":"2021-10-20T09:04:01","slug":"pigmentary-glaucoma-faqs","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/glaucoma-guide\/pigmentary-glaucoma-faqs\/","title":{"rendered":"Pigmentary Glaucoma: FAQs"},"content":{"rendered":"<h2><b>Pigmentary glaucoma impacts the lives of over 1 in 33 adults.<\/b><\/h2>\n<p>Here are some commonly asked questions about pigmentary glaucoma that clarify what it is, what causes it, and how it can be prevented and treated.<\/p>\n<h2><b>What is pigmentary glaucoma?<\/b><\/h2>\n<p><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/glaucoma-guide\/\">Glaucoma<\/a> is an eye disease that causes permanent damage to the optic nerve &#8211; eventually resulting in \u2018Tunnel Vision\u2019.<\/p>\n<p>Pigmentary glaucoma is a type of secondary <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/glaucoma-guide\/glaucoma-faqs\/what-is-open-angle-glaucoma\/\">open-angle glaucoma<\/a> characterized by pigment falling from the iris and blocking the drainage angle of the eye.<\/p>\n<p><b>The blockage of the drainage channel causes <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-exams\/why-is-eye-pressure-important\/\">eye pressure<\/a> to increase, resulting in glaucoma.<\/b><\/p>\n<p>Increased pigmentation is found in the trabecular meshwork and on the back of the <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-health\/how-does-the-eye-work\/ocular-anatomy-the-front-of-the-eye\/\">cornea<\/a>.<\/p>\n<h2><b>How is pigmentary glaucoma diagnosed?<\/b><\/h2>\n<p>An eye doctor will usually diagnose pigmentary glaucoma following a slit lamp and retinal examination and measuring the intraocular pressure (IOP).<\/p>\n<p>This condition is also confirmed after undergoing conventional glaucoma tests, which include gonioscopy, automated perimetry, pachymetry, and OCT.<\/p>\n<h2><b>What causes pigmentary glaucoma?<\/b><\/h2>\n<p>Pigmentary glaucoma may be caused by:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Concave iris contour<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Release of pigment granules<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Disruption of iris pigment epithelial cells<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Rubbing of the posterior iris surface against the anterior lens zonules<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Increased IOP temporarily overwhelms the trabecular meshwork, resulting in reduced outflow<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Chronic elevated IOP and secondary glaucoma resulting from pathological alterations in the trabecular meshwork over time<\/li>\n<\/ul>\n<p><strong>SEE RELATED:<\/strong> <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/glaucoma-guide\/glaucoma\/\">What is Glaucoma?<\/a><\/p>\n<p><b><a href=\"https:\/\/www.optometrists.org\/practice-search\/\">Contact an eye doctor near you<\/a> to learn more about pigmentary glaucoma.<\/b><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>Does exercise make pigmentary glaucoma worse?<\/b><\/h2>\n<p>Exercise has been shown to promote an increase in <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/glaucoma-guide\/pigment-dispersion-syndrome-and-glaucoma\/\">pigment dispersion<\/a>, which increases trabecular mesh work obstruction and raises IOP.<\/p>\n<h2><b>What are symptoms of pigmentary glaucoma?<\/b><\/h2>\n<p>Symptoms will depend on what stage of pigmentary glaucoma you have.<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Early \u2013\u00a0 No obvious signs<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Later \u2013 Peripheral vision loss<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Advanced \u2013 Central vision loss<\/li>\n<\/ul>\n<p>Increased intraocular pressure (IOP) caused by strenuous exercise or dark exposure causes halos and impaired vision.<\/p>\n<h2><b>How can I prevent pigmentary glaucoma?<\/b><\/h2>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Avoid jarring and vigorous exercise<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">If there are indicators of pigment dispersion syndrome, have your eyes examined on a regular basis<\/li>\n<\/ol>\n<h3><b>What are the risk factors for pigmentary glaucoma?<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-pediatric-eye-conditions\/what-is-myopia\/\">Myopia<\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Flat corneas<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Family history<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Males and in your 30\u2019s<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Concave iris and posterior iris insertion<\/li>\n<\/ul>\n<h2><b>How is pigmentary glaucoma treated?<\/b><\/h2>\n<p>Eye pressure can be lowered with <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/glaucoma-guide\/how-is-glaucoma-treated\/glaucoma-how-do-eye-drops-work\/\">eye drops,<\/a> drugs, laser or <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/glaucoma-guide\/minimally-invasive-glaucoma-surgery\/\">glaucoma surgery<\/a>.<\/p>\n<p><b>Unfortunately, reducing or eliminating iris pigment release is challenging. As a result, the focus is on lowering eye pressure<\/b>.<\/p>\n<p>Medication to lower eye pressure causes a decrease in fluid entering the eye or an increase in fluid draining out of the eye. Surgical options range from outpatient laser treatment to incisional surgery in the operating room, depending on the severity of the condition.<\/p>\n<p><strong>LEARN MORE:<\/strong> <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/\">Guide to Eye Conditions<\/a><\/p>\n<p><b><a href=\"https:\/\/www.optometrists.org\/practice-search\/\">Schedule an appointment with an eye doctor near you<\/a> to discuss treatment options for your pigmentary glaucoma.<\/b><\/p>\n<p><i>Untreated glaucoma results in \u2018Tunnel Vision\u2019 as this eye disease causes permanent damage to the optic nerve.<\/i><\/p>\n<p><i>If you have a family member with glaucoma, tell your eye doctor and follow their advice to avoid the consequences and loss of vision.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pigmentary glaucoma impacts the lives of over 1 in 33 adults. Here are some commonly asked questions about pigmentary glaucoma that clarify what it is,<\/p>\n","protected":false},"author":1206,"featured_media":17948,"parent":12339,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-17947","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Pigmentary Glaucoma: FAQs - Optometrists.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/glaucoma-guide\/pigmentary-glaucoma-faqs\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pigmentary Glaucoma: FAQs - Optometrists.org\" \/>\n<meta property=\"og:description\" content=\"Pigmentary glaucoma impacts the lives of over 1 in 33 adults. 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