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Glaucoma

What is glaucoma?

Glaucoma is a serious disease process in which the optic nerve becomes damaged, for the most part irreversibly.  Glaucoma is the term used when the nerve damage is typically related to the pressure inside the eye. There are several types of glaucoma.  The most common type of glaucoma is termed open angle glaucoma, afflicting nearly one million people and among the leaders of preventable blindness in the United States.  Although the cause is not perfectly clear, there are certain characteristics known to influence or be associated with glaucoma and can be evaluated by our physicians.

Do I have glaucoma?

Symptoms are generally not present at all in the early stages of open-angle glaucoma.  As the condition progresses, defects in one’s vision may be noted perhaps appearing as an overall constriction in the field of view. The diagnosis of glaucoma is essentially based on a thorough examination and ancillary testing.  Our thorough examination includes intraocular pressure measurement, determination of the drainage angle, visualization of the optic nerve as well as imaging with our HRT (specialized computer imaging of the nerve), and visual field testing.

What can be done about glaucoma?

Early diagnosis is very important.  The treatment of glaucoma involves appropriate discussion with the patient, judicious selection of medication, and ancillary testing, as well as possible intervention using laser surgery or more involved ocular surgery.  Signs of progression may require more aggressive modes of treatment.  Ophthalmic eye examinations are recommended every 2 to 4 years if you are age 39 or over; every 1 to 2 years if you are healthy and:

  • if you are age 50 or over
  • if a family member has glaucoma
  • if you are of African ancestry
  • if you have had a serious eye injury in the past
  • if you are taking steroid medication

 

Examples of Glaucoma in the eye

Normal Eye

Primary Open-Angle Glaucoma

Angle Closure Glaucoma