Glaucoma

The latest in eye care and advice

Optometrist Central Coast(12)

Monitoring & Management to Protect Your Vision


Glaucoma is often called the “silent thief of sight”, and for good reason. In its early stages, it usually has no symptoms. You can feel fine and see well, but behind the scenes, the optic nerve (which sends visual information from your eye to your brain) may be slowly deteriorating. Without early detection and treatment, this damage can lead to permanent vision loss.

What is Glaucoma?

Glaucoma isn’t a single condition, it’s a group of eye diseases that damage the optic nerve, often linked to higher-than-normal pressure inside the eye (intraocular pressure). However, not all cases are due to high pressure, some occur even when eye pressure is normal.
The damage from glaucoma is permanent and cannot be reversed. That’s why regular monitoring is so essential, early treatment can help slow or even stop further vision loss.

Types of Glaucoma We See Most Often

  • Primary Open-Angle Glaucoma: The most common type, developing slowly over many years without noticeable symptoms in the early stages.
  • Angle-Closure Glaucoma: Less common but more urgent, with sudden symptoms like severe eye pain, blurred vision, halos around lights, and nausea. This is a medical emergency.
  • Normal-Tension Glaucoma: Optic nerve damage despite “normal” eye pressure levels.
  • Secondary Glaucoma: Caused by other eye conditions, injuries, or medications such as steroids.

Who is Most at Risk?

You’re at higher risk if you:

  • Are over 40 (risk increases with age)
  • Have a family history of glaucoma.
  • Have high eye pressure.
  • Have diabetes, high blood pressure, or a history of eye injury.
  • Are of African, Asian, or Hispanic heritage.

Symptoms to Watch For

In most cases, there are no early warning signs, which is why routine eye exams are crucial.
As glaucoma progresses, you may notice:

  • Gradual loss of peripheral (side) vision
  • Tunnel vision in advanced stages
  • In acute cases: severe eye pain, headache, blurred vision, halos, and nausea

If you’re diagnosed with glaucoma, we’ll work closely with you and your ophthalmologist to ensure ongoing, coordinated care.

FAQs About Glaucoma

Q: How often should I be tested for glaucoma?
If you’re at normal risk, we recommend every two years from age 40. If you’re high risk, we’ll often test every 6–12 months.

Q: Can I prevent glaucoma?
Nerve damage from glaucoma cannot be reversed. Glaucoma can only be prevented with early detection and preventive treatment.  Regular check-ups are key.

Q: If I have glaucoma, will I go blind?
Untreated glaucoma can lead to blindness over time.  With early detection and proper management, most people maintain functional vision throughout their lives.

Q: Does glaucoma hurt?
Most types don’t cause pain. Acute angle-closure glaucoma can be painful and is a medical emergency.

Don’t wait until vision changes appear — by then, damage may already be done.

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