At Richard and Armstrong Optometry, we are experts in diagnosing and managing glaucoma, even in its earliest stages. Our commitment to maintaining the latest diagnostic equipment means that we can spot tell-tale signs of glaucoma before your vision is severely affected.
Like several prolific eye diseases, such as age-related macular degeneration or cataracts, glaucoma usually presents without any visible symptoms in the early stages. The disease starts by subtly targeting your peripheral vision, and many sufferers do not notice their limited eyesight until they are virtually tunnel blind.
Combined with a lack of pain, it’s virtually impossible to know whether or not you are developing the disease. That is, it’s impossible for you to figure it out on your own.
The biggest indicator of glaucoma is usually elevated intraocular (inner eye) pressure, however there are a variety of tests we will use to irrefutably diagnose the condition.
We use a non-invasive process called tonometry to measure your inner eye pressure. You’ll feel a small amount of pressure on the eye, or a brief puff of air, and no other discomfort.
There are various types of glaucoma, often depending on the angle at which the iris meets the cornea. If you have the disease, it should be either unusually wide and open, or unusually narrow. A custom contact lens is placed over the eye and acts as a mirror, allowing the optometrist to see whether it is an obtuse or acute angle.
This test – which examines the state of your optic nerve – uses controlled light and magnification to search for local damage. We may use dilation eye drops to increase the amount of visibility at the rear of the eye.
We measure the thickness of your cornea as this can influence our readings of intraocular pressure. It’s a very short, useful test which helps verify our diagnosis.
Since glaucoma attacks our peripheral vision, it’s important to assess the full range of your eyesight. With perimetry, we essentially infer a “map” of your visual field and see how advanced the disease has become.
There is no cure for glaucoma, so generally the best results are when a patient is diagnosed early (thanks to their annual eye exams…) and takes appropriate measures to limit the progression of the disease. In some cases progression can halt completely for years, though it varies from patient to patient.
Our main course of action involves lowering the intraocular pressure. This decreases the load on the optic nerve and generally stabilizes the condition. Depending on your specific case, we may prescribe eye drops, pills or laser surgery as treatment. We will also have you in regularly for check-ups to ensure that the conditioning is, at the least, progressing very slowly.
We are located near the corner of W Smith Valley Rd and US 31, east of the Greenwood High School and post office.