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Glaucoma

Glaucoma

Glaucoma Care at Northwest Eye Surgeons

Glaucoma is one of the leading causes of permanent blindness worldwide, affecting nearly 80 million people. It is estimated that about half of those with glaucoma are undiagnosed. At Northwest Eye Surgeons, we recognize that early detection and comprehensive treatment are essential to maintaining your vision.

Our experienced physicians utilize the latest diagnostic technologies and treatment options to help patients manage this condition and protect their eyesight.

What is Glaucoma?

Glaucoma is a disease that damages the optic nerve. The optic nerve carries visual information from your eye to your brain, and when it becomes damaged, permanent vision loss can occur. While often associated with increased eye pressure, glaucoma can occur even in the setting of normal pressure. 

What makes glaucoma particularly dangerous is that it typically develops without noticeable symptoms in the early stages, earning it the nickname “the silent thief of sight.” The eye continuously produces a clear fluid called aqueous humor, which usually flows through the eye and drains out at a steady rate to maintain healthy pressure. 

In patients with glaucoma, this drainage system becomes compromised, leading to fluid buildup and increased pressure that can damage the delicate optic nerve fibers. Left untreated, glaucoma can progress to complete blindness.

  • Having a family history of glaucoma
  • Having a history of eye trauma or injury
  • Having diabetes or high blood pressure
  • Being severely nearsighted or farsighted
  • Being over the age of 50
  • Long-term use of corticosteroids
  • Being of African, Asian, or Hispanic descent

What are the Symptoms of Glaucoma?

Most people with glaucoma experience no symptoms until the disease has progressed significantly. When symptoms do appear, they often indicate advanced glaucoma and may include loss of peripheral (side) vision, tunnel vision, or blind spots in your field of vision.

However, a form of the condition called angle-closure glaucoma can cause sudden, severe attacks with symptoms such as:

If you experience these symptoms, seek emergency care immediately, as acute angle-closure glaucoma attacks can cause rapid, irreversible vision loss.

How is Glaucoma Diagnosed?

At Northwest Eye Surgeons, we employ comprehensive diagnostic methods to detect glaucoma early and monitor its progression. Our thorough evaluation includes:

  • A detailed history
  • Tonometry
  • Pachymetry
  • Gonioscopy
  • Diagnostic testing including visual fields and OCT
  • Comprehensive dilated eye examination

For patients identified as “glaucoma suspects,” we provide regular monitoring with repeated diagnostic tests to track any changes that may indicate the onset of glaucoma.

How is Glaucoma Treated?

Northwest Eye Surgeons offers a comprehensive range of glaucoma treatments, from the latest minimally invasive procedures to traditional surgical options. Our treatment philosophy focuses on preserving your vision while minimizing the impact on your daily life.

Prescription Medications

Often the first line of treatment for glaucoma, prescription medications can reduce eye pressure by improving fluid outflow from the eye or decreasing aqueous humor production. Common glaucoma medications include:

Laser Treatments

Our advanced laser treatments provide effective, minimally invasive options for many glaucoma patients:

SLT involves using laser energy targeted at the eye’s drainage system, thereby improving fluid outflow and reducing pressure. SLT can be repeated if needed and often reduces or eliminates the need for daily eye drops.

The micropulse laser (MP3)  is a minimally invasive treatment that uses micropulse technology to lower eye pressure without making incisions or destroying tissue. 

The G-Probe device lowers eye pressure by using continuous-wave laser energy to selectively destroy ciliary processes through the sclera (the white part of the eye). This laser procedure is typically performed in poorly sighted eyes.

For patients with narrow-angle or angle-closure glaucoma, LPI creates a small opening in the iris to improve fluid drainage and prevent dangerous pressure spikes.

Minimally Invasive Glaucoma Surgery (MIGS)

Northwest Eye Surgeons specializes in the latest MIGS procedures, which offer effective pressure reduction with faster recovery times than traditional surgery:

We’re proud to offer iDose® TR, an innovative FDA-approved treatment that represents a breakthrough in glaucoma care. This tiny device is placed directly in your eye through an incision smaller than that used for cataract surgery, where it continuously releases prescription medication to lower eye pressure exactly where it’s needed most.

The iStent is a tiny titanium device that bypasses part of the eye’s drainage system, allowing fluid to flow more freely and reduce pressure.

Canaloplasty is a minimally invasive procedure that uses a microcatheter to open and enlarge the eye’s natural drainage canal, improving fluid outflow without creating new openings.

GATT is a sophisticated procedure that opens the eye’s drainage system from the inside, providing excellent pressure reduction.

The Xen Gel Stent is a soft, flexible tube that creates a new drainage pathway for eye fluid, offering effective pressure control with minimal tissue disruption.

This procedure uses a precise surgical instrument called a Kahook Dual Blade to remove blockages from the eye’s drainage system to improve fluid outflow.

Traditional Surgical Options

For advanced glaucoma cases, we offer traditional surgical approaches:

Trabeculectomy

This time-tested procedure creates a new drainage channel for eye fluid, effectively reducing pressure in cases where other treatments have been insufficient.

Aqueous Shunts/Tube Implants

Including Ahmed and Baerveldt devices, these implants provide controlled drainage for patients with complex or advanced glaucoma.

Glaucoma Doctors