Jakarta, Suaramerdeka-jakarta.com – With almost no symptoms in its early stages, glaucoma has the potential to have a more fatal impact: blindness permanent. Increased intraocular pressure (IOP) is a major risk factor for glaucoma. However, apart from that, anatomical factors also play a role, especially in patients with chronic primary angle-closure glaucoma. Early detection, one of which is eye anatomy examination, is becoming increasingly crucial.
Meanwhile in Indonesia, data that was officially released shows that the prevalence of glaucoma is 0.46% or every 4 to 5 people per 1,000 population. More specifically, a study showed that in DKI Jakarta, the prevalence of primary angle-closure glaucoma (GPSTp) was 1.89%, while open-angle glaucoma (GPSTa) was 0.48%, and secondary glaucoma was 0.16%.
“Individuals with primary angle-closure glaucoma tend to have a shallower or narrower anterior chamber. Other anatomical factors, such as a short eyeball axis, a thickened lens, and a shortened distance between the lens and the posterior iris surface, contribute to this category of glaucoma. As a practitioner, I am moved to uncover the possibility of other factors in order to find an early diagnosis and new treatment for people with GPSTP. Therefore, this study was initiated to determine the correlation between corneal endothelial damage in primary angle-closure glaucoma, particularly in the chronic category,” said Dr. Iwan Soebijantoro, SpM(K), JEC Glaucoma Subspecialist Doctor
The research initiated by Dr. Iwan Soebijantoro, SpM(K) stated in his dissertation “Relationship of Superficial Anterior Chamber with Corneal Endothelial Morphological Changes in Chronic Primary Angle Closure Glaucoma”. The research took place from November 2018 to November 2019 involving 52 subjects. The rational, systematic and empirical presentation of research results in the Open Examination, Doctoral Program in Medical and Health Sciences, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, which took place virtually today, led Dr. Iwan Soebijantoro, SpM(K) won a Doctorate degree.
Specifically highlighting GPSTp, this type of glaucoma is further classified based on the nature of its attack. First, acute closed-angle primary glaucoma (GPSTpA) in which the person experiences a sudden blockage of the trabecular tissue that triggers a sudden surge in intraocular pressure. Second, chronic closed -angle primary glaucoma (GPSTpK) – the incumbent experiences outflow disorders through the superficial corner of the frontal chamber resulting in a slow increase in intraocular pressure.
Chronic primary angle closure glaucoma (GPSTp) occurs as a result of damage to the trabecular tissue which will have an impact on increasing intraocular pressure and glaucoma progression. Chronic GPSTp has been shown to cause changes in corneal endothelial cells, especially cell density. The anterior chamber in GPSTp patients also exacerbates corneal endothelial cell dysfunction. Changes in the morphology of the corneal endothelial cells are thought to occur in the trabecular tissue as well – considering that they are of the same embryology.
Accommodating the need for early detection of glaucoma, JEC as an eye care leader has a comprehensive and modern JEC Glaucoma Service for glaucoma patients, starting from the stages of education and consultation, diagnostics, as well as medical to surgical procedures. Not only supported by the latest technology, JEC Glaucoma Service is strengthened by 11 glaucoma specialists and qualified medical personnel.
In terms of service, JEC Glaucoma Service also allows examination procedures with a shorter journey time, but still prioritizes reliable and sustainable glaucoma treatment. JEC Glaucoma Service offers a complete selection of examination options, ranging from very high-accuracy eye pressure examination (Goldmann Applanation Tonometry), evaluation of the structure of the eye nerve (Optical Coherence Tomography), examination of the visual field (Humphrey Visual Field Perimetry), examination of the anterior chamber angle ( gonioscopy), to examination of the optic disc and retina of the eye (Fundus Photo).
For glaucoma patients who require further action, JEC Glaucoma Service provides alternative surgical services with implants and iStents (the newest surgical method with minimally invasive steps, using small titanium implants). In addition, for therapy, JEC Glaucoma Service provides special drugs that are only available at JEC.