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: Treating Glaucoma Patients From Syracuse, New York

Glaucoma is a group of progressive eye diseases affecting millions of people worldwide. Learn about what causes this disease, how it is treated, new research and medical technologies, and preventative care. Our Low Vision Doctor, , helps patients from Syracuse and the state of New York with Glaucoma regain visual activity so they can go back to doing the things they love to do and live independently.

What Is Glaucoma?

Glaucoma is a group of eye diseases that cause progressive destruction of the optic nerve caused by a buildup of pressure in the eye. This pressure, called intraocular pressure (IOP) can damage the optic nerve if it is too high for the eye. The optic nerve is an important part of the visual system because it transmits nerve signals from the retina to the brain. The brain processes these nerve signals into images, allowing you to understand what you see. When the optic nerve is damaged, this path of messages to the brain is disrupted, making it difficult to process the images or objects in your line of vision. This difficulty leads to vision loss.

Glaucoma is the primary cause of preventable vision loss and blindness in adults in the United States and Canada. It is the second leading cause of blindness globally (reference: Quigley and Broman “Number of people with glaucoma worldwide in 2010 and 2020”, 2006).

The most common type of glaucoma is called Primary Open Angle Glaucoma (POAG). A key indicator for POAG is high intraocular pressure (IOP). Healthy IOP is required to maintain the structure of the eye and to nourish the cornea, but when the IOP is too high it can damage the optic nerve. When glaucoma is detected early enough, it can usually be managed sufficiently to prevent more acute advanced vision loss and blindness. Unfortunately, signs of more obvious vision loss tend to appear only after the disease has deteriorated and has given glaucoma the term, “The Sneak Thief of Sight.” Whatever vision is lost is permanent.

How Do We Test For Glaucoma?

Dr. Richard Malara has invested in the latest technology for Glaucoma diagnosis and treatment.

  • Optical Coherence Tomography (OCT) gives the doctor an objective, 3 Dimensional view of the layers of the retina most affected by Glaucoma.
  • Visual Field Testing helps to determine the patient’s subjective ability to see all the way out to the periphery.
  • Corneal Pachymetry measures the thickness of the cornea without touching the patient’s eye.
  • Optomap® Ultra-Wide Retinal Imaging tracks any visible changes in the optic nerve.
  • Intraocular Pressure testing shows the patient’s relative risk for Glaucoma and the effectiveness of treatment.
  • Gonioscopy and Van Herrick Anterior Angle measurement looks at the opening that intraocular fluid flows through the eye.

How Is Glaucoma Treated?

  • Glaucoma Management Drops taken daily for years
  • Surgical Treatment if necessary
  • Careful monitoring and regular testing with your eye doctor

What Are The Symptoms Of Glaucoma?

Glaucoma usually begins to develop without any noticeable symptoms. At the beginning stages of “open angle” glaucoma (the most common form of the disease), vision doesn’t change much and the person doesn’t experience any uncomfortable symptoms or pain. You may experience a gradual loss of peripheral (side) vision and eventually, your central vision.

Congenital glaucoma is a form of glaucoma that is inherited from parents. Babies are born with a visual defect that causes the normal fluid drainage from the eye to slow down. It is usually diagnosed by the time the child turns a year old. Typical symptoms of this form of glaucoma include frequent tearing, sensitivity to light, large or protruding eyes, or cloudy eyes.

In more severe cases, such as angle-closure glaucoma, symptoms may appear suddenly. Acute glaucoma causes severe pain and must be treated as an emergency. Also, Headaches, blurry or foggy vision, seeing halos around lights, and sometimes nausea can happen quickly. If this happens, seek medical attention immediately.

These are signs of sudden increased intraocular pressure, and the longer is goes untreated, the greater the likelihood of permanent vision loss, even within just a few hours.

How To Cope With Glaucoma

However mild or severe your case of glaucoma is, know that you are not alone. We can help manage the disease as well as help you continue to do the things you enjoy. Early detection is key to stopping or slowing the disease progression and saving your vision.

Since symptoms often don’t present themselves until the disease has progressed, regular eye exams which include a glaucoma screening are crucial. Once diagnosed with glaucoma, our goals are to regulate the pressure buildup in the eye, slow down the condition from developing further, and help you continue doing the types of things you enjoy.

Man thinking, in shadow, alone

While glaucoma can make it difficult to read, drive, cook, watch TV, drive, and recognize faces, difficult is not impossible. Coping with glaucoma means using a combination of treatments, medications, and low vision aids to get back to doing what you love.

What is a "Glaucoma Suspect"?

A person that is considered a Glaucoma Suspect has certain risk factors for Glaucoma, but does not need treatment at this time. Some risk factors are:

  • High Intraocular Pressures (IOP)
  • Family History of Glaucoma
  • Optic Nerve Cupping
  • Visual Field Changes
  • Corneal Thickness
  • Age and Ethnicity
Man thinking, in shadow, alone
Woman, worried, looking in mirror

What Are The Causes Of Glaucoma?

Glaucoma is caused by a buildup of pressure, called intraocular pressure (IOP). High amounts of IOP damages the optic nerve, resulting in a gradual loss of vision. If left untreated, this disease can eventually lead to total blindness. This type of vision loss is irreversible.

That’s why it’s so important to schedule regular eye exams which include a glaucoma test. The sooner the disease is diagnosed, the sooner you can receive treatment.

Serving Patients From:

Syracuse | Lakeland | Fayetteville | Liverpool | and the state of New York

  • Glaucoma refers to a category of eye disorders often associated with a dangerous buildup of internal eye pressure (intraocular pressure or IOP), which can damage the eye's optic nerve – the structure that transmits visual information from the eye to the brain.
  • Intraocular pressures are tested at nearly every visit.  Other tests include, but are not limited to, OCT imaging, Visual Field Testing, Retinal Photography, Pachymetry, and Gonioscopy.

Call Fayetteville (315) 756-6067
Call Liverpool (315) 953-0605