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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I booked an appointment here not knowing what to expect after reading about behavioral optometry. Upon meeting Dr Nick I felt at ease and he was extremely validating accommodating. I have adhd and anxiety and he made me feel comfortable and even went the further steps to fully explain in detail the processes and technologies he uses. This was such a positive experience for me and he and Raymond have been nothing short of understanding and accommodating with me. After the appointment Raymond was so extremely nice helping me choose frames and answering my questions. The ongoing support has also been amazing. I would recommend eyes by design to everyone but especially to neurodivergent people. Thankyou so much ☺️
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Thank you Raymond for amazing service. And Nickolas for perfect analysis on my damaged eye with all possible equipment available at your office. You returned me peace of mind. One week nearly passed. Eye is recovered in 95%. Nick Senkevitch
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I was really impressed with Dr Nick. He was so good with my 3 year old and explained things to me very clearly. I had a couple of questions once I got home and it was bother at all to call him and ask and get clear answers. I fee confident in the care I received for my child at Eyes by Design
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I had an incredible painful eye & Dr Nick was able to attend to me immediately as a walk in, assess the problem & commence treatment. I am so thankful for the help, advice & follow up care I have been given 🙏
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I can’t recommend Eyes by Design Kincumber highly enough! The service here is always outstanding, and Nick’s knowledge and attention to detail are second to none. Even after moving interstate three years ago, I still make the trip back because no one else gets it right like Nick does. The care taken to ensure glasses and contacts fit perfectly makes all the difference—you always walk away with the best possible comfort and vision. If you’re looking for glasses, contacts, or any optical needs, this is the only place I recommend. Truly exceptional service every time!
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Dr Nick is so welcoming, he makes you feel at ease from the moment you walk into the practice. There was no rush, no upsell, lots of knowledge and explaining without being overloaded. I was treated as a person not a number, all professionalism and kindness, even down to choosing frames. The team at Eyes By Design know their stuff and I wouldn’t hesitate recommending Dr Nick to anyone.
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Nick provides a very comprehensive eye exam and thorough eye health check with the most up to date equipment available. I would highly recommend you to visit him for your next eye test.
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