Glaucoma is the second leading cause of blindness worldwide which affects 60 million people globally and 2 million+ in the United States. Glaucoma disproportionately affects women, African Americans, Hispanics and Asians. As the population ages, more patients become glaucoma suspects or have glaucoma. Of increasing concern is that glaucoma can also be a “silent disease” (50% of patients don’t know they have glaucoma) and yet can have a strong impact on independence and activities of daily living.
We follow multiple aspects for patients who have been diagnosed with glaucoma or being followed as glaucoma suspects. Ophthalmic examinations for glaucoma include visual acuity, intraocular pressure, computerized optic nerve analysis, and formal visual visuals. We may follow the health of the optic nerve with repeat computerized analysis and photographs to better assess for small changes in the optic nerve. These technologies can measure critical layers of the optic nerve to 1/1000 of a millimeter.
Patients who have glaucoma or borderline intraocular pressures may benefit from ocular medications, laser therapy (Selective Laser Trabeculoplasty), or surgery in order to maintain intraocular pressure and protect the optic nerve and visual fields.
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