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What is Glaucoma?

Glaucoma is the leading cause of blindness and visual impairment in the US, and can affect patients of all ages, many of whom do not experience any symptoms and may not be aware that they have the disease. Glaucoma actually refers to a group of diseases that cause damage to the optic nerve as a result of increased pressure within the eye, but can also be caused by a severe eye infection, injury, blocked blood vessels or inflammatory conditions of the eye.

Types of Glaucoma

There are two main types of glaucoma, open-angle and angle-closure. Open-angle glaucoma is the most common type of glaucoma and involves fluid in the eye not draining properly through the trabecular meshwork.

Angle-closure glaucoma involves a sudden buildup of pressure in the eye and poor drainage because the angle between the iris and the cornea is too narrow.

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Glaucoma Symptoms

Many patients do not experience any symptoms during the early stages of glaucoma, including no pain and no vision loss. This makes it difficult for many patients to know if they have the disease.

But as glaucoma progresses, patients may experience a loss of peripheral or side vision, along with sudden eye pain, headache, blurred vision or the appearance of halos around lights.

Diagnosing Glaucoma

While some patients may experience symptoms from glaucoma as the disease progresses, others do not learn they have the condition until they undergo a routine eye exam. There are several different exams performed to diagnose glaucoma, including a visual field and visual acuity test. These tests measure peripheral vision and how well patients can see at various distances. Other tests may also be performed, such as tonometry to measure the pressure inside the eye and pachymetry to measure the thickness of the cornea.

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I came to this office the staff was amazing! The office was clean! Well modern design gave you a good feel! Also the doctor explained everything correctly where I was able to un...

I came to this office the staff was amazing! The office was clean! Well modern design gave you a good feel! Also the doctor explained everything correctly where I was able to understand!! I would recommend this place to anyone. They also serve coffee & tea and water of course while you wait which was great in my EYES!

— K.C.

I had Blepharoplasty with Dr. Julia Giyaur, she is professional and highly knowledgeable. I did not feel any pain and made me feel comfortable during procedures. She is very kin...

I had Blepharoplasty with Dr. Julia Giyaur, she is professional and highly knowledgeable. I did not feel any pain and made me feel comfortable during procedures. She is very kind, caring and follow up with me to make sure recovery well. I am really pleased with the procedures which she had done for me with her skills in achieving natural looking results. The entire team at NY Laser Vision is professional, friendly with clean facilities.
I highly recommend Dr. Julia Giyaur for Blepharoplasty.

— T.K.

Dr. Zagurskaya was very knowledgeable, attentive, and kind. She has great people skills and really knows her stuff. The office is high-tech and spotless and the technicians were...

Dr. Zagurskaya was very knowledgeable, attentive, and kind. She has great people skills and really knows her stuff. The office is high-tech and spotless and the technicians were great as well. Came in for two routine eye exams and will definitely return next year.

Thank you New York Laser Vision team.

— G.Z.

Perfect as always!!! The staff every one is super cooperative! Love their cute coffee set up! Also Dr. Z she’s amazing foreva!
Every time feels like a home coming here ♥️so p...

Perfect as always!!! The staff every one is super cooperative! Love their cute coffee set up! Also Dr. Z she’s amazing foreva!
Every time feels like a home coming here ♥️so professional everybody!
Love them!!!

— A.A.

I can’t say enough good things about Dr. Giyaur and the office. Dr. Giyaur listened to my concerns, explained everything clearly, and made me feel comfortable. The doctor is ver...

I can’t say enough good things about Dr. Giyaur and the office. Dr. Giyaur listened to my concerns, explained everything clearly, and made me feel comfortable. The doctor is very knowledgeable and kind. The staff is friendly and welcoming. I highly recommend them for eye care.

— J.Y.

I had a wonderful experience at this eye clinic. The doctors are very professional, kind, and attentive. The girls at the front desk are also incredibly sweet and helpful — they...

I had a wonderful experience at this eye clinic. The doctors are very professional, kind, and attentive. The girls at the front desk are also incredibly sweet and helpful — they make you feel welcome from the moment you walk in.
Highly recommend this clinic to anyone looking for excellent care and a warm atmosphere!

— D.K.

Dr. Rachel Mindin is the one, I’m so lucky to have her as my eye Doctor. Staff is amazing, I love and value you all!

— I.

Very professional and welcoming practice. Glad we found them!

— K.V.

This is not the first time I have come to this medical office. Every time I go there I enjoy it!!! Service at the highest level! You are treated like a valued customer. Doctor ,...

This is not the first time I have come to this medical office. Every time I go there I enjoy it!!! Service at the highest level! You are treated like a valued customer. Doctor , Front Desk girl, doctor's assistant, Thank you very much!!! Treatment was prescribed, glasses were selected according to my vision. And special thanks for the free coffee and sweets ☺️🌺😍🥰

— L.

Really nice clinic and super polite staff. I needed an urgent eye check, we called and they got us in within an hour. The place is clean and really comfortable

— M.D.

The staff was courteous efficient the office is clean including the bathroom the doctor that treated me was very friendly and polite . Thank you for making my visit a success my...

The staff was courteous efficient the office is clean including the bathroom the doctor that treated me was very friendly and polite . Thank you for making my visit a success my eyes are healing very quickly 🙏🏽❤️

— L.H.

How is Glaucoma Treated?

Once glaucoma has been diagnosed, treatment should begin as soon as possible to help minimize the risk of permanent vision loss. There is no cure for glaucoma, so treatment focuses on relieving symptoms and preventing further damage from occurring. Most cases of glaucoma can be treated with eye drops, laser surgery or microsurgery. The best treatment for your individual case depends on the type and severity of the disease, and can be discussed with your doctor.

Eye drops are used to reduce fluid production in the front of the eye or to help drain excess fluid, but can lead to redness, stinging, irritation or blurry vision. Patients should tell their doctor about any allergies they have to minimize the risk of side effects.

Laser surgery for glaucoma aims to increase the outflow of fluid from the eye or eliminate fluid blockages through laser trabeculoplasty, iridotomy or cyclophotocoagulation.

Microsurgery involves a surgical procedure called a trabeculectomy, which creates a new channel to drain fluid from the eye and reduce the pressure that causes glaucoma. Surgery is often performed after medication and laser procedures have failed.

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How is Glaucoma Prevented?

While there are no surefire ways to prevent glaucoma from developing, regular screenings and early detection are the best forms of protection against the harmful damage that the disease can cause. While anyone can develop glaucoma, some people are at a higher risk for developing disease.

These people may include those who:

  • Have a family history of glaucoma
  • Have poor vision
  • Have diabetes
  • Are over the age of 60
  • African Americans over the age of 40

Patients should have a comprehensive dilated eye exam at least once every two years, especially if they have a higher risk of developing glaucoma. Older patients may be encouraged to be tested more frequently.

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