Dr. Anna Shi, a Glaucoma Specialist and Surgeon, was specifically recruited to join our practice to treat the growing number of glaucoma patients. Glaucoma is the leading cause of blindness and visual impairment in the US. It can affect patients of all ages. Many of who do not experience any symptoms and may not be aware that they have the disease. It actually refers to a group of diseases that cause damage to the optic nerve as a result of increased pressure within the eye, but can also be caused by a severe eye infection, injury, blocked blood vessels or inflammatory conditions of the eye.
There are two main types of glaucoma, open-angle and angle-closure. Open-angle glaucoma is the most common type and involves fluid in the eye not draining properly through the trabecular meshwork. Angle-closure glaucoma involves a sudden buildup of pressure in the eye and poor drainage because the angle between the iris and the cornea is too narrow.
Many patients do not experience any symptoms during the early stages of glaucoma, including no pain and no vision loss. This makes it difficult for many patients to know if they have the disease. But as it progresses, patients may experience a loss of peripheral or side vision, along with sudden eye pain, headache, blurred vision or the appearance of halos around lights.
How Dr. Anna Shi Can Diagnose, Manage and Treat Your Glaucoma
While some patients may experience symptoms from glaucoma as the disease progresses, others do not learn they have the condition until they undergo a routine eye exam. There are several different exams performed to diagnose it, including a visual field and visual acuity test. These tests measure peripheral vision and how well patients can see at various distances. Other tests may also be performed, such as tonometry to measure the pressure inside the eye and pachymetry to measure the thickness of the cornea.
Treatment for Glaucoma
Once diagnosed, treatment should begin as soon as possible to help minimize the risk of permanent vision loss. There is no cure for it, so treatment focuses on relieving symptoms and preventing further damage from occurring. Most cases of glaucoma can be treated with eye drops, laser or microsurgery. The best treatment for your individual case depends on the type and severity of the disease. This can be discussed with your Monterey Bay Eye Center eye doctor.
- Eye drops are used to reduce fluid production in the front of the eye or to help drain excess fluid. However, it can lead to redness, stinging, irritation or blurry vision. Patients should tell their eye doctor about any allergies they have to minimize the risk of side effects.
- Laser surgery aims to increase the outflow of fluid from the eye or eliminate fluid blockages through laser trabeculoplasty, iridotomy or cyclophotocoagulation.
- Microsurgery involves a surgical procedure called a trabeculectomy. This creates a new channel to drain fluid from the eye and reduce the pressure that causes glaucoma. Surgery is often performed after medication and laser procedures have failed.
While there are no surefire ways to prevent it from developing, regular screenings and early detection are the best forms of protection against the harmful damage that the disease can cause. While anyone can develop this disease, some people are at a higher risk for developing disease. These people may include those who:
- Are over the age of 60
- African Americans over the age of 40
- Have a family history of glaucoma
- Possess poor vision
- Have diabetes
Patients should have a comprehensive dilated eye exam at least once every two years, especially if they have a higher risk of developing glaucoma. Furthermore, older patients should be encouraged to be tested more frequently.
To learn more about glaucoma and how you can be tested for this serious condition, please call us today to schedule an appointment with one of our eye doctors. You can also contact us about any of our other services such as Diabetic Evaluation & Treatment or Laser Assisted Cataract Surgery.