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Is Glaucoma Hereditary?

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Glaucoma is an eye condition that has affected millions worldwide. It is commonly nicknamed “the silent thief” of vision because it can steal sight before you know what’s happening. The most common form of glaucoma is called primary open-angle glaucoma, which is hereditary. For those with a family history of glaucoma, understanding its hereditary nature is crucial to staying on top of your eye health.

What is Glaucoma?

Glaucoma is a group of eye diseases that damage the optic nerve, which is vital for good vision. This damage is often caused by abnormally high pressure in the eye. While it’s most common in older adults, glaucoma can occur at any age. Unfortunately, the symptoms can remain unnoticed until significant damage has occurred.

There are several types of glaucoma, including:

  • Open-angle glaucoma is caused by fluid buildup caused by blockage of the eye’s drainage channels and can increase intraocular pressure (IOP). Generally, peripheral vision is the first thing impacted, followed by central vision.
  • Angle-closure glaucoma occurs when the space between the iris and cornea narrows, trapping fluid in the eye. When the pressure rises due to this fluid, angle-closure glaucoma occurs. It can progress gradually or appear suddenly, the latter of which is a medical emergency.
  • Secondary glaucoma occurs when intraocular pressure is caused by eye trauma, injury, or infection.

The impact of untreated glaucoma is severe, potentially leading to irreversible blindness. This makes understanding the disease and its risk factors paramount. It’s not just about preserving eyesight; it’s about maintaining quality of life.

Early detection is critical to managing glaucoma effectively. Regular eye exams can help detect the condition early, allowing timely intervention and management. Treatments range from prescription eyedrops to surgery, depending on the severity of the condition. The ultimate goal is to lower eye pressure and prevent further damage to the optic nerve.

Who is at High Risk of Getting Glaucoma?

While there is no cure for glaucoma, early treatment can help protect your vision. Knowing your risk factors can help you take these preventative steps. Although everyone is at risk for glaucoma, certain groups are at higher risk, including those who:

  • Have a family history of glaucoma
  • Have diabetes, high blood pressure, or heart disease
  • Have had a past eye injury or trauma
  • Are over the age of 60
  • Are of African, Asian, or Hispanic descent
  • Take certain medications

High intraocular pressure (IOP) is another risk factor. While not everyone with high IOP will develop glaucoma, it’s a significant indicator. That’s why having your eyes checked regularly is crucial, especially if you have other risk factors.

What Age Does Glaucoma Usually Start?

Glaucoma is often associated with aging, typically affecting those over 60. However, it can develop at any age, including infancy. The most common form, open-angle glaucoma, typically starts in middle age. It’s characterized by a gradual loss of vision, often going unnoticed until significant damage has occurred. As a rule of thumb, the risk increases with age.

Other forms, like angle-closure glaucoma, can occur suddenly and at any age. This type is a medical emergency requiring immediate treatment. Understanding the different types of glaucoma can help you recognize symptoms and seek timely care.

What are the Genetic Symptoms of Glaucoma?

Genetic symptoms of glaucoma can be subtle, often going unnoticed until the disease progresses. However, those with a genetic predisposition might experience increased eye pressure, visual field loss, or optic nerve damage sooner than others.

If you notice symptoms like blurred vision, halos around lights, or loss of peripheral vision, seek medical attention immediately. While these may not always indicate glaucoma, they warrant a comprehensive eye exam to rule out any serious conditions.

Which Parent Is Glaucoma Inherited From?

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Whether glaucoma is inherited from the mother or father is complex. Although it is often hereditary, it doesn’t follow simple Mendelian genetics, so you can’t pinpoint whether it’s more likely to come from one parent over the other.

Research shows that having a parent or sibling with glaucoma doubles your risk. This suggests a strong genetic component, although the exact genes can vary. Scientists are still studying the specific genetic mutations linked to glaucoma.

If you have a family history of glaucoma, it’s essential to inform your eye doctor. They may recommend more frequent screenings to catch any early signs. Remember, early detection is the best defense against the progression of glaucoma.

How Do I Know if Glaucoma Runs in My Family?

Understanding your family’s medical history is vital in determining if glaucoma runs in your family. Ask relatives if they have been diagnosed with glaucoma or if they’ve experienced symptoms related to the disease. This information can help you assess your risk.

If a family history is present, sharing this information with your healthcare provider is crucial. They may recommend genetic testing or more frequent screenings to monitor your eye health closely. Early detection and treatment are vital to managing glaucoma effectively and preserving vision.

Family Preventative Healthcare

Understanding glaucoma and its hereditary nature is essential, especially for those with a family history or health enthusiasts. By staying informed, getting regular check-ups, and sharing your medical history with your healthcare provider, you can take proactive steps to protect your vision. 

Bluebird Vision + Wellness knows that regular comprehensive eye exams are the best defense against eye diseases. We go above and beyond to ensure that you and your family look forward to a trip to our clinic. If you suspect glaucoma runs in your family or if you’re concerned about your risk, contact us today to schedule your next eye exam.

Dr. Cody Jones, O.D. at Bluebird Eye Care in Blackfoot, Idaho.

Written by Dr. Cody Jones

Dr. Jones is a fully licensed Doctor of Optometry (O.D.). He graduated from Pennsylvania College of Optometry in Philadelphia with academic and clinical honors—receiving both Doctor of Optometry and Bachelor of Science degrees. Upon his graduation, Dr. Jones served as an officer and doctor at the Naval Medical Center of San Diego, where he gained valuable experience. He was awarded the Navy and Marine Corps Achievement Medal during this service.

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