THE KASSIM SELAMAT SAGA: UNDERSTANDING THE COMPLEXITY BETWEEN GLAUCOMA, GRIEF AND DEPRESSION

Abstract

Grief, a universal psychological response, is traditionally associated with bereavement but is often overlooked in the context of life-altering diagnoses such as advanced glaucoma. This type of grief can overlap with depressive disorders, complicating treatment efforts. Managing depression in glaucoma patients presents unique challenges, as commonly prescribed antidepressants like selective serotonin reuptake inhibitors (SSRIs) can increase intraocular pressure and potentially worsen glaucoma. This case report explores the complex relationship between glaucoma, grief, and depression, focusing on diagnostic challenges, treatment options, and management outcomes. A case study of a 60-year-old woman with advanced glaucoma illustrates this complexity. Following her diagnosis, she experienced significant grief, disrupting her participation in a blind rehabilitation program. Subsequent psychiatric evaluation revealed major depressive disorder. Treatment included a novel antidepressant, psychotherapy, and grief counselling. Over six months, antidepressant was tolerated without adverse effects or increased intraocular pressure. Her mood improved significantly, and she resumed the rehabilitation program. This case highlights the importance of assessing depressive symptoms in patients in grief who suffered with chronic condition such as glaucoma. Early psychiatric intervention can enhance the outcome of both mental and physical health. Integrating psychological work into the management of glaucoma is essential for patient care, emphasizing the need for a multidisciplinary holistic approach to address the intertwined physical and emotional challenges of such diagnoses.