Glaucoma

A group of eye diseases that damage the optic nerve, often without symptoms until vision loss is permanent.

Overview

Glaucoma is the second-leading cause of blindness worldwide. It is a group of conditions that gradually damage the optic nerve — usually because of elevated intraocular pressure — and once vision is lost, it cannot be recovered. The good news: glaucoma is highly treatable when caught early, and most patients who keep up with regular eye exams never develop significant vision loss.

Symptoms

  • •No symptoms at all in early stages (most common)
  • •Gradual loss of peripheral (side) vision
  • •Tunnel vision in advanced stages
  • •Severe eye pain, nausea, or sudden vision loss (acute angle-closure — emergency)

Causes & Risk Factors

  • •Age over 40 — risk increases with each decade
  • •Family history of glaucoma
  • •African, Hispanic, or Asian descent (higher prevalence)
  • •High intraocular pressure
  • •Diabetes, high blood pressure, or sleep apnea
  • •Long-term steroid medication use
  • •Previous serious eye injury

How It's Diagnosed

We screen for glaucoma at every comprehensive eye exam — eye-pressure measurement, optic-nerve evaluation, and (when indicated) retinal imaging. If risk factors are identified, additional testing such as visual fields and OCT scans may be ordered.

Treatment Options

  • 1Prescription eye drops to lower eye pressure (most common first-line treatment)
  • 2Laser procedures (SLT) to improve fluid drainage
  • 3Surgical procedures for advanced or treatment-resistant cases
  • 4Co-management with a glaucoma specialist for complex cases

When to See an Eye Doctor

Adults over 40 should be screened at least every two years; annually if any risk factors apply. Sudden severe eye pain, halos around lights, or sudden vision loss requires same-day evaluation.

Related Service

Glaucoma is detected and monitored through our Glaucoma Screening service.

Learn About Glaucoma

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