Question
What are the standards for diagnosing glaucoma? After completing a detailed examination, my right eye has a high intraocular pressure, and the UBM examination results show that the anterior chamber depth of my right eye is 2.33 millimeters, and 2.38 millimeters for the left eye. Both eyes have flat irides, roots adhering to the ciliary body, and prominent scleral spurs. The ciliary body is positioned more forward, and the visual field examination shows that the nasal sensitivity of the right eye is slightly lower with three adjacent points. Are these results sufficient for a diagnosis of glaucoma, and can you provide treatment suggestions?
Answer
Traditional Chinese medicine believes that glaucoma is caused by wind, fire, phlegm, depression, and imbalances of yin and yang, leading to disharmony in Qi and blood, blockage of meridians, and obstruction of the Xuanfu (the eye) within the eyes, resulting in poor execution of Qi, blood, and body fluid. Typically, symptoms appear suddenly. In treatment, in addition to eliminating the cause and treating the root, attention should also be paid to constricting pupils, opening the Xuanfu, removing blood stasis, stabilizing symptoms, and protecting vision. Here are two treatment methods: 1. Take 100 grams of sheep liver, 15 grams of Valley Herb (Gouqijing), and 15 grams of white chrysanthemum; boil the soup and consume the sheep liver. It has the effects of nourishing the liver and improving eyesight, dispelling wind and clearing heat. 2. Take 15 grams of Ophiopogon root, 9 grams of cow’s knee (Achyranthes bidentata), 15 grams of Chinese wolfberry (Lycium barbarum), and 9 grams of Cassia seed; boil the soup to remove dregs and add an appropriate amount of honey for oral administration. Take one dose daily for several doses.