How many years have passed since the car accident, and you can go blind?

Aug 25, 2025

How many years have passed since the car accident, and you can go blind?
photo courtesy of Kim Ophthalmology Hospital



According to the Health Insurance Review and Assessment Service, the number of patients treated for glaucoma as of 2024 was 1,216,421, an increase of about 25% compared to 2019. Glaucoma is a disease in which the optic nerve is damaged, which narrows the field of vision and can eventually lead to blindness. Generally, it is caused by chronic causes such as increased intraocular pressure or impaired blood flow to the optic nerve, but there is also traumatic glaucoma, which is caused by damage to the internal structure of the eyeball due to external shocks, which requires attention.

Glaucoma, which occurs in association with other eye diseases or systemic diseases, is called secondary glaucoma and can be caused by various causes such as eye trauma, inflammation, and steroid drug use. In particular, traumatic glaucoma can easily occur as an unexpected accident in daily life, such as hitting eyes on furniture corners, getting injured while enjoying sports games outdoors, or getting a shock to the eye when an airbag explodes in a traffic accident.

There is a liquid called 'waterproof' that keeps the intraocular pressure constant in our eyes. When the eye or its surroundings are impacted, the lens and iris tissue are pushed back, and damage can occur to the fibrous column in the anterior angle where waterproofing is discharged. As a result, if waterproof discharge is not smooth, glaucoma can occur as intraocular pressure rises. In most cases, eye pressure rises sharply due to anterior bleeding due to shock, resulting in acute glaucoma, but even after bleeding is absorbed, if waterproof discharge is impaired due to damage to the fibrous column, eye pressure gradually rises and glaucoma progresses. Traumatic glaucoma sometimes occurs months or years after trauma, and there are few self-awareness symptoms, so if you don't receive regular ophthalmic checkups, you often don't know until the disease progresses to some extent.




Fine bleeding in front of the eyes may cause a temporary increase in intraocular pressure, and even if there is no direct damage to the eyes, the rise in intraocular pressure itself can negatively affect eye health, so it is recommended to visit an ophthalmologist to be diagnosed with accurate eye conditions if trauma occurs around the face, especially around the eyeball. In addition, if the waterproof discharge path is temporarily blocked due to trauma, a new waterproof discharge path can be created through surgery, but it is difficult to recover the optic nerve damage that has already occurred.

Treatment includes waterproof spill device insertion, fibrotic resection, and microinvasive glaucoma surgery. Fibrotic resection is a traditional glaucoma surgery that lowers intraocular pressure by creating a new waterproof discharge path under the conjunctiva. Waterproof spillage implantation and microinvasive glaucoma surgery are also methods of inserting a tube that discharges waterproof under the conjunctival space to control intraocular pressure, and appropriate surgical methods are selected according to the degree of disease progression or eye condition.

Secondary glaucoma can be caused not only by trauma but also by a number of causes, including tumors, bleeding, surgery, hyper-aged glaucoma, and developmental abnormalities accompanied by congenital abnormalities. In addition, if you are over 40 years old or have high myopia or have chronic diseases such as diabetes and high blood pressure, the possibility of developing glaucoma is relatively high, so it is very important to check your eye health through regular check-ups.




Jeong Jong-jin, a specialist at the Glaucoma Center at Kim Ophthalmology Hospital, said "In times of outdoor activities, it is recommended to pay attention to trauma to the eyes and areas around the eyes, and if you have bruised, it is recommended to visit an ophthalmologist to check your eye condition."It is recommended to manage glaucoma from the beginning through regular checkups because there are many factors that affect glaucoma other than trauma."," he said.



This article was translated by Naver AI translator.