What is the cause of optic nerve atrophy in glaucoma?

Patient's question:

An elderly patient has been suffering from glaucoma with optic nerve atrophy for three years. Since spring 2016, they have developed fibrotic cataracts. Currently, their vision is very poor. The patient is in good health without conditions like high blood pressure, high blood sugar, or high cholesterol. They are currently using only two types of eye drops, and their intraocular pressure is not high, always maintained between 11-13 mmHg. They are concerned about this situation—can they undergo cataract surgery to improve their vision? Additionally, what is the cause of glaucoma with optic nerve atrophy?

Doctor's answer:

According to your description, it is first necessary to rule out cases where retinal lesions may be the cause. It is recommended that you visit a hospital to have an ophthalmological examination and let the doctor thoroughly examine the condition before considering how to address it through surgery. Optic atrophy can cause significant harm to children, so it is advised that parents take their child to a specialist for follow-up treatment and receive guidance from the doctor. In daily life, it is okay to give the child some juice, which can aid in digestion, provide vitamins, and prevent stomach issues. We hope the child can recover quickly!

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