Glaucoma: Understanding, Causes, and Treatments | Specialty Vision

Glaucoma is known as 'the silent thief of sight' and can cause irreversible vision loss if not detected early. Find a top glaucoma specialist near you through practices listed with Specialty Vision to safeguard your vision.

Table of Contents

Glaucoma: Understanding the Silent Thief of Sight & What Is Glaucoma? & Types of Glaucoma & Primary Open-Angle Glaucoma & Angle-Closure Glaucoma & Normal-Tension Glaucoma & Pigmentary Glaucoma & Secondary Glaucoma

Glaucoma is a group of eye conditions that damage the optic nerve, often due to increased pressure inside the eye. This condition is known for its subtle onset, earning the nickname "the silent thief of sight" due to early symptoms being nearly undetectable. Our glaucoma specialist stresses that early detection and treatment are essential to preserve vision and maintain a high quality of life.

Glaucoma is an eye disease that generally develops when the fluid inside the eye, known as aqueous humor, cannot drain properly, resulting in increased intraocular pressure (IOP). Elevated IOP can gradually damage the optic nerve—the crucial connection between your eyes and your brain—and eventually lead to irreversible vision loss. Although there is currently no cure for glaucoma, early diagnosis and lowering of IOP can markedly slow the progression of the disease. Studies such as the Ocular Hypertension Treatment Study and the Early Manifest Glaucoma Trial have shown that lowering IOP can significantly reduce the risk of developing glaucoma and slow down its progression. By reducing IOP by even 20% or more, the risk of converting from ocular hypertension to primary open-angle glaucoma can be cut in half.

There are several forms of glaucoma, each with unique features that determine how the disease progresses and how it is managed. Our glaucoma specialist is dedicated to thoroughly evaluating each case to recommend the most suitable approach for treatment.

The most common type, where fluid drainage is too slow due to a partially blocked drainage angle, often progressing without noticeable symptoms until significant vision loss occurs.

Also known as narrow-angle glaucoma, this form happens when the iris is too close to the drainage angle, causing a rapid buildup of pressure. It may present as an acute medical emergency or as a chronic condition with gradual onset.

In this type, damage to the optic nerve occurs despite eye pressure being within what is considered a normal range. Factors such as reduced blood flow to the optic nerve are thought to contribute.

Occurs when pigment granules that normally adhere to the back of the iris become dispersed, potentially clogging the eye’s drainage system and raising IOP.

This variant develops as a consequence of another eye condition, injury, medication use, or systemic condition, leading to increased IOP and optic nerve damage.

Congenital Glaucoma & What Causes of Glaucoma? Risk Factors and Contributing Factors & Inadequate Aqueous Humor Drainage & Excess Aqueous Humor Production & Age-Related Changes & Genetic Predisposition & Ocular Trauma & Ocular Inflammation (Uveitis)

A rare, inherited condition affecting infants or young children where abnormal development of the drainage system leads to increased pressure and optic nerve damage.

While glaucoma can affect anyone, certain factors increase your susceptibility to developing the disease. Understanding these risk factors can help you and our glaucoma specialist monitor and manage your eye health more closely.

The primary culprit behind glaucoma is the damage to the optic nerve, often resulting from elevated intraocular pressure. This increased pressure can be due to an imbalance in the production and drainage of aqueous humor. When the fluid produced in the eye does not drain properly through the open channels, it accumulates, and the pressure rises, putting undue stress on the optic nerve.

Other underlying factors include anatomical variations in eye structure, genetic predispositions, and sometimes inflammatory or traumatic events that alter the normal drainage pathways. 

One of the main causes of glaucoma is a blockage or malfunction in the eye’s drainage system. When the fluid (aqueous humor) cannot drain properly, pressure builds up inside the eye, eventually causing damage to the optic nerve.

Although less common, overproduction of the eye’s fluid can also lead to increased eye pressure. The excess fluid overwhelms the drainage system, contributing to the development of glaucoma.

As we get older, the structures in our eye may weaken or change over time. This natural aging process can cause the drainage system to become less efficient, increasing the risk of developing glaucoma.

Family history plays an important role in glaucoma. Certain genetic traits can make a person more likely to develop glaucoma, even if they maintain regular eye care and a healthy lifestyle.

Injuries or trauma to the eye can lead to inflammation, bleeding, or damage to the drainage pathways. Such trauma may trigger secondary glaucoma, where the elevated eye pressure is a result of these complications.

Inflammation within the eye, as seen in conditions like uveitis, can cause swelling and scarring that interferes with fluid drainage. Persistent inflammation is a known risk factor for developing glaucoma.

Steroid Use & Pigment Dispersion Syndrome & Pseudoexfoliation Syndrome & Congenital Abnormalities & Ethnicity & Medical Conditions & Corneal Thickness & Recognizing the Symptoms of Glaucoma

Long-term use of corticosteroid medications, whether applied as eye drops or taken orally, can lead to an increase in intraocular pressure. This steroid-induced response is a common cause of secondary glaucoma.

This condition occurs when pigment granules, which normally line the back of the iris, are released into the eye. The pigment can clog the drainage channels, resulting in increased pressure and the potential onset of glaucoma.

Pseudoexfoliation syndrome involves the buildup of a flaky, dandruff-like material on the structures within the eye. This material can block fluid outflow and is a significant risk factor for developing glaucoma.

Some infants and young children are born with structural issues in the drainage system that prevent proper fluid outflow. These congenital abnormalities can lead to early-onset glaucoma if not diagnosed and treated promptly.

People of African, Hispanic, Asian, or Native American descent may be more susceptible to certain glaucoma types.

Diseases such as diabetes, heart disease, and other systemic conditions can raise the risk.

Studies have shown that a thinner cornea is an independent risk factor—pachymetry measurements help assess this risk during an eye exam.

Glaucoma is often deceptive because many individuals may not notice symptoms until significant damage has occurred. Still, knowing the possible signs can prompt timely evaluation and treatment by our glaucoma specialist.

Contact our office today to schedule an appointment with our glaucoma specialists. We’re dedicated to preserving your vision through early detection and tailored treatments. Don’t wait until it’s too late – protect your eyes now!

Gradual Loss of Peripheral Vision & Tunnel Vision & Halos Around Lights & Blurred or Hazy Vision & Severe Pain and Headaches & Nausea and Redness & Diagnosis & Treatment  & Diagnosing Glaucoma: Tests and Technology

One of the earliest signs, where you may notice that your side vision is diminishing.

As the disease progresses, your vision may narrow, resembling tunnel vision where only a small central area remains clear.

Some patients report seeing rainbow-like rings around lights, particularly in low-light settings.

Overall clarity may diminish, resulting in an experience of general blurriness.

Especially common in acute angle-closure glaucoma; these symptoms demand immediate medical attention.

In severe cases, accompanied by blurred vision, these can indicate a sudden increase in eye pressure.

Regular eye examinations are the cornerstone of glaucoma detection because the disease typically presents without early warning signs. Our glaucoma specialist uses a variety of tests and imaging techniques to diagnose glaucoma early, ensuring that treatment can begin before irreversible damage occurs.

  • Tonometry: This test measures the intraocular pressure. A tonometer is used to check if your eye pressure is abnormally high—commonly above 21 mm Hg.
  • Visual Field Testing: Also known as perimetry, this method assesses the full horizontal and vertical range of what you can see, helping to detect any peripheral vision loss.
  • Optical Coherence Tomography (OCT): This imaging test uses light waves to create detailed cross-sectional images of your retina and optic nerve, allowing for early detection of nerve fiber loss.
  • Pachymetry: This test measures the thickness of the cornea, an important factor since a thinner cornea can increase the risk of developing glaucoma.
  • Gonioscopy: Using a specialized lens, this technique examines the angle between the iris and cornea. It helps differentiate between open-angle and angle-closure glaucoma by directly viewing the drainage pathway.
  • Dilated Eye Examination: By dilating your pupils, our glaucoma specialist can inspect the optic nerve and retina for any signs of damage or disease progression.

Treatment Options: Medications and Eye Drops & Laser Treatments for Glaucoma & Surgical Interventions & Managing Glaucoma on a Daily Basis & Key Tips  & The Importance of Regular Eye Exams & Staying Informed and Proactive in Glaucoma Care & Be Proactive About Protecting Your Vision

Topical medications are often the first line of defense against glaucoma. These eye drops are designed to either reduce the production of aqueous humor or increase its outflow from the eye, thereby lowering IOP. New classes of medications have emerged recently, along with established treatments that have been the backbone of glaucoma management for many years.

  • Beta Blockers: Medications such as Betimol, Timoptic, and Betoptic work by reducing the production of aqueous humor.
  • Carbonic Anhydrase Inhibitors: Agents like Azopt and Trusopt slow fluid production within the eye. They are sometimes used in combination with other medications.
  • Alpha-Adrenergic Agonists: Drugs such as Lopidine and Alphagan P not only lower fluid production but also help improve drainage.
  • Prostaglandin Analogs: Medications including Xalatan, Travatan Z, and Lumigan increase the outflow of fluid from the eye, making them some of the most effective options available.
  • Cholinergic Agents: Agents like Isopto Carpine work by increasing fluid drainage through pupil constriction.
  • Rho Kinase Inhibitors: Newer medications such as netarsudil are designed to improve outflow by acting on the trabecular meshwork, the eye’s drainage system.

For some patients, the daily administration of eye drops can be challenging. Recently, sustained-release drug delivery systems have been developed to alleviate these difficulties. For example, implants that slowly release medication directly into the eye have been showing promise in maintaining steady IOP levels, which may help overcome issues with compliance and side effects associated with traditional eye drops.

Laser therapy is another effective option for many patients, either as an alternative to or in combination with medications. These treatments use precise laser energy to help open the drainage pathways in the eye, facilitating improved outflow of the aqueous humor.

  • Selective Laser Trabeculoplasty (SLT): This procedure targets the drainage cells and is often recommended for open-angle glaucoma. Studies have even suggested that SLT might be considered as a first-line treatment due to its safety profile and effectiveness.
  • Argon Laser Trabeculoplasty (ALT): ALT also helps improve the drainage of aqueous humor, though it may be reserved for cases where medications have not sufficiently controlled the eye pressure.
  • Laser Peripheral Iridotomy: Typically used for angle-closure glaucoma, this laser procedure creates a small hole in the iris to allow fluid to flow more freely, thereby relieving the pressure build-up.

Both SLT and other laser interventions are performed in an office setting and tend to have quick recovery times, making them a convenient option for many patients.

When medications and laser treatments do not provide adequate pressure control, surgical options may be considered. Advances in surgery have led to less invasive and highly effective procedures that target fluid drainage directly.

  • Trabeculectomy: In this procedure, a tiny flap is created in the sclera (the white part of the eye) to facilitate fluid drainage into a small reservoir called a bleb. This helps to lower the eye pressure significantly.
  • Glaucoma Drainage Devices: Tubes or shunts are implanted to provide an alternative drainage route for the aqueous humor. These devices are often used in more advanced cases or when other surgeries have not been successful.
  • Minimally Invasive Glaucoma Surgery (MIGS): MIGS procedures are designed to reduce the risk of complications and allow for faster recovery. They include techniques such as trabecular bypass and shunt placement with only miniature incisions, making them attractive for patients with less severe glaucoma.
  • Cyclophotocoagulation: This laser procedure targets the ciliary body, reducing the production of aqueous humor and thereby lowering intraocular pressure.
  • Sustained-Release Drug Delivery: These innovative therapies deliver a constant dose of medication over weeks or even months, ensuring stable IOP levels with minimal disruption to everyday life. These methods not only support consistent management of glaucoma but also address common issues like noncompliance and irritation associated with traditional medications.

Our glaucoma specialist is meticulous about evaluating all contributing factors, from the severity of nerve damage to the patient’s overall health, before recommending a surgical approach. These procedures are performed in state-of-the-art surgical centers with careful post-operative monitoring.

Aside from medical and surgical treatments, daily management plays a crucial role in slowing the progression of glaucoma and protecting your vision. Our glaucoma specialist recommends integrating lifestyle changes along with your prescribed treatment plan to keep your eyes healthy.

  • Maintain a Healthy Diet: A balanced diet rich in antioxidants and nutrients supports overall eye health. Foods with vitamins A, C, and E as well as omega-3 fatty acids can be beneficial.
  • Exercise Regularly: Moderate exercise may help improve blood flow and maintain optimal eye pressure, reducing the stress on your optic nerve.
  • Adhere to Your Medication Schedule: Consistency in taking eye drops or other medications is vital. Our glaucoma specialist emphasizes the importance of using all prescribed treatments exactly as directed.
  • Schedule Regular Eye Exams: Frequent evaluations ensure that any changes in your eye health are detected early, allowing for timely adjustments to your treatment plan.
  • Manage Other Health Conditions: Since conditions like diabetes and hypertension can exacerbate glaucoma, it is important to keep these under control with the help of your healthcare provider.
  • Protect Your Eyes: Wearing sunglasses in bright sunlight and using appropriate protective eyewear during activities can help reduce strain and possible injury to your eyes.

Our glaucoma specialist will work with you to develop a comprehensive, everyday management plan that not only addresses your glaucoma but also supports your overall ocular health and well-being.

Since glaucoma often develops with few or no symptoms in its early stages, routine eye exams are the critical measure for early detection. Regular screenings can identify subtle changes in intraocular pressure and early optic nerve damage, allowing our glaucoma specialist to implement treatment protocols before significant vision loss occurs. Even if you believe your vision is normal, these scheduled check-ups are essential in catching glaucoma early, preserving your sight, and maintaining your quality of life.

According to recent studies, early treatment can slow the progression of glaucoma dramatically. In fact, research has shown that a reduction of IOP by just 1 mm Hg can lead to a considerable decrease in disease progression. This means that for every small improvement in eye pressure, you’re taking an important step in protecting your vision for years to come.

Knowledge is power when it comes to managing glaucoma. Understanding how the disease develops and progresses enables you to recognize the importance of each test and treatment recommendation provided by our glaucoma specialist. With ongoing advancements in diagnostic techniques and innovative therapies, there is every reason to remain optimistic about managing glaucoma effectively. Our glaucoma specialist is committed to providing you with the most up-to-date treatment options and personalized care based on your specific risk factors and health profile.

It’s important to remember that while the damage from glaucoma is irreversible, timely intervention can stop or significantly slow further deterioration. By maintaining a close relationship with your eye care team and keeping up with all recommended exams and treatments, you are actively participating in preserving your vision and ensuring a better quality of life.

Glaucoma is a serious, progressive eye disease that can damage your vision silently. Our glaucoma specialist emphasizes early detection, personalized treatments, and regular evaluations to preserve sight. The ultimate goal remains the same: to maintain healthy intraocular pressure, prevent damage to the optic nerve, and, most importantly, protect your precious gift of sight. We encourage you to engage actively in your treatment plan and contact our office for a consultation if you have any concerns.

Glaucoma: Understanding, Causes, and Treatments | Specialty Vision

Contact our office today to schedule an appointment with our glaucoma specialists. We’re dedicated to preserving your vision through early detection and tailored treatments. Don’t wait until it’s too late – protect your eyes now!

Common Questions

Glaucoma primarily results from increased intraocular pressure that damages the optic nerve. However, it can also occur when eye pressure is within normal ranges due to other factors.
The most common type is primary open-angle glaucoma, but other types include angle-closure glaucoma, normal-tension glaucoma, pigmentary glaucoma, and secondary glaucoma.
Initial symptoms are often subtle, but you may experience gradual peripheral vision loss or tunnel vision as the condition progresses.
Early diagnosis typically relies on regular eye exams that include tests like tonometry and visual field testing to measure intraocular pressure and check vision ranges.
While there's no cure for glaucoma, it can be managed effectively with medications, laser treatments, and surgery designed to lower intraocular pressure and protect vision.
Regular eye exams are essential for early detection and can greatly improve the chance of preserving vision, even in those at higher risk for glaucoma.
Amplify EyeCare cartoon

Glaucoma: Understanding, Causes, and Treatments | Specialty Vision

Learn about glaucoma, its causes, symptoms, and treatment options to preserve your eye health. Regular check-ups are key to prevention.

Logo Specialty Vision Stacked Fullcolor1

Find a Doctor

starchevron-downarrow-up