What is commonly called “glaucoma” is actually a family of diseases. The common feature of this disease family is progressive atrophy (degeneration) of the nerve of the eye (the optic nerve), which initially leads to loss of peripheral (side) vision initially. Total vision loss can occur later in the course of the disease.

In the majority of cases, glaucoma is associated with higher intraocular pressures (pressure inside the eyeball), although sometimes glaucoma damage can occur with seemingly “normal” or even low eye pressures. Sadly, there are none to very few symptoms in the early stages of the disease and by the time patients notice a problem, significant vision loss has already taken place.

Practically speaking, efforts to treat glaucoma are focused on lowering the intraocular pressure. In broad terms, the treatment types available are medical (eye drops), laser procedures (Trabeculoplasty and Iridotomies) and surgical (Trabeculectomy, the new Minimally Invasive Glaucoma Surgeries [MIGS] and Visco-Canulostomies, among others). At Access Eye we offer treatments within each category. In more advanced cases, we can utilize a number of referral resources.

Many of our patients have been coming to us for management of their glaucoma over decades and the wealth of practical experience we have developed in this arena has enabled us to dedicate a large portion of our practice to treating this disease. Vision lost to glaucoma is, for the most part, vision lost forever. This makes early diagnosis and treatment the key to management of this disease.

– Dr. Arash Mansouri