Glaucoma

Nearly three million Americans are living with glaucoma, but a staggering half of them don't even know it. This condition is often called the 'silent thief of sight' because it can progress without any obvious symptoms until significant, irreversible vision loss has already occurred. The truth is that, for many, there is no early warning sign. The early warning signs are often there for decades, but overlooked or follow up mis-explained.

The reasons are many. Often, exams in a retail setting aren’t very detailed. The optometrists are often under pressure to do many exams very quickly and without dilation. The purpose is to write as many prescriptions as possible to their corporate landlords.

Without dilation and without lots of experience looking at non-normal optic nerves, the most frequent early signs of glaucoma are easily missed.

Other reasons can be 1) using inexperienced staff, 2) using crude, inaccurate pressure checking devices, or 3) non-calibration of eye pressure measuring devices.

At The Eye Clinic of Florida, we are dedicated to providing care that goes beyond a standard check-up. We combine our team's deep experience with the most advanced diagnostic and treatment technologies available.

Our job is to keep you out of trouble. 

Our approach is centered on personalized care, ensuring every patient receives a plan tailored to their specific needs and not just what their insurance company wants them to consider. We focus on innovative, effective treatment to make your experience more convenient, comfortable, and cost-effective.

Don’t wait for your vision to be compromised.  Don't wait until it's too late – schedule your comprehensive eye exam today.

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Understanding these early warning signs could be the key to preserving your vision for years to come.

What Is Glaucoma?

Glaucoma is not a single disease but a group of eye conditions that cause damage to the optic nerve. This nerve is vital for vision, acting as a cable that transmits information from your eye to your brain. In most cases, this damage is caused by an increase in pressure inside the eye, known as intraocular pressure (IOP).

When the fluid in your eye doesn't drain properly, it builds up and raises the IOP. Over time, this pressure damages the delicate fibers of the optic nerve. The result is a gradual loss of vision, which often starts with your peripheral (side) vision.

The most common types of glaucoma include:

  • Open-angle glaucoma: This is the most prevalent form, where the eye's drainage canals become less efficient over time. The increase in pressure is slow and painless, which is why it often goes undetected.
  • Angle-closure glaucoma: This type is less common and can occur suddenly. It happens when the drainage angle becomes blocked, causing a rapid and painful spike in eye pressure. This is a medical emergency.
  • Normal-tension glaucoma: In this form, optic nerve damage occurs even though the eye pressure is within the normal range. The exact cause is not fully understood, but it highlights the need for comprehensive exams that look beyond just eye pressure.

6 Critical Warning Signs of Glaucoma

Because glaucoma often develops slowly, its early signs can be easy to dismiss. Being aware of these subtle changes can prompt you to seek an evaluation before significant damage is done.

1. Gradual Loss of Peripheral Vision

The very first sign for many people is a slow, painless loss of side vision. The vision loss can be different between the two eyes. With both eyes open, you may not notice early loss.

Glaucoma is often described as a loss of peripheral vision. That’s a bit misleading. The loss is rarely out by the outside vision, but more just off center or even on the nose side of each eye (where the other eye may not have an issue seeing)

You might start bumping into things more often or fail to notice objects at the edge of your field of view. This often happens so gradually that your brain compensates, making it difficult to notice until the condition is more advanced.

2. Increased Eye Pressure Symptoms

While high eye pressure itself is often unnoticeable, some individuals experience subtle symptoms. These can include a dull, persistent ache in or behind the eyes, or frequent headaches that don't have another clear cause. Feeling a sense of pressure in your eyes is a strong reason to get them checked.

3. Blurred or Hazy Vision

If you notice that your vision seems cloudy or hazy, and it doesn't clear up when you blink, it could be a sign of developing glaucoma. This symptom can be mistaken for cataracts or simply a change in prescription, but it should never be ignored.

4. Seeing Halos Around Lights

Seeing rainbow-colored rings or halos around lights, especially at night, can be a symptom of a sudden increase in eye pressure. This is a common sign associated with acute angle-closure glaucoma and often warrants immediate medical attention.

5. Sudden, Severe Eye Pain

A sudden, intense pain in one eye is a major red flag. This symptom, often described as excruciating, is a hallmark of an acute angle-closure glaucoma attack. It is frequently accompanied by nausea and vomiting and should be treated as a medical emergency to prevent rapid vision loss.

6. Red Eyes and Nausea

Persistent redness in the eye, especially when combined with nausea or vomiting, can also signal an acute glaucoma attack. These symptoms are your body's alarm system, indicating a serious problem that requires an immediate professional evaluation.

Why Early Detection is Your Best Defense

The single most important fact about glaucoma is that any vision lost to it cannot be regained. However, with early detection and proper treatment, we can effectively manage the condition and prevent or significantly slow further vision loss. This is why regular, comprehensive eye exams are not just a recommendation—they are essential for your long-term eye health.

At The Eye Clinic of Florida, our specialists are extremely well-trained. We utilize state-of-the-art diagnostic technologies to get a complete picture of your eye health. Our screening process includes:

  • Measuring your intraocular pressure.
  • Visually inspecting your eye's drainage angle.
  • Evaluating your optic nerve for any signs of damage.
  • Testing your peripheral vision with visual field testing.

We recommend annual exams for all adults over 40, and more frequently for those with risk factors like a family history of glaucoma, diabetes, or high blood pressure.

Advanced Glaucoma Treatments in Tampa, FL

If glaucoma is detected, our priority is to create a personalized treatment plan that protects your vision. Dr. Ahad Mahootchi and our team are committed to offering the latest and most effective treatments available. Your plan will be tailored to the type and severity of your glaucoma, as well as your overall health and lifestyle.

Our treatment options include:

  • Prescription Eye Drops: Medicated eye drops are a common first-line treatment to lower eye pressure by reducing fluid production or improving drainage.
  • Advanced Laser Treatments: We use precision laser technology to perform procedures that improve the outflow of fluid from the eye, effectively lowering pressure.
  • Minimally Invasive Glaucoma Surgery (MIGS): These newer procedures offer a safer, less invasive alternative to traditional surgery for many patients, often with a quicker recovery. We think it’s a grave mistake not to combine glaucoma procedures at the same time as cataract surgery. It’s often the best opportunity to lower the pressure without drops for several years. Not all cataract surgeons do MIGS. Some insurance companies try to make MIGS difficult to do ( often by saying 30-year-old procedures are experimental or other nonsense like that. 
  • Major glaucoma surgery (Trabeculectomy and Tubes): For severe glaucoma cases where other treatments are insufficient, Dr. Mahootchi performs advanced surgical options like Trabeculectomy and tube shunt surgeries. These procedures are designed to effectively lower intraocular pressure by creating new drainage pathways or implanting devices to facilitate fluid outflow. With his expertise, patients can expect precise care aimed at protecting their vision.

Glaucoma Treatment Options with Dr. Mahootchi in Tampa, FL

At The Eye Clinic of Florida, Dr. Mahootchi offers the latest, most effective treatments to lower eye pressure and protect your vision. Your treatment plan will be customized based on the type and severity of your glaucoma and your individual health factors. Dr. Mahootchi specializes in:

  • Minimally Invasive Glaucoma Surgery (MIGS): Dr. Mahootchi is skilled in the newest MIGS procedures, offering a safer, less invasive option for suitable patients. At one point, we led the nation in the number of Xen Gel Stent implants. 
  • Prescription eye drops: He can prescribe the right medication to reduce fluid production or improve drainage. We avoid medicines with red eye and droopy eyelid side effects. Most patients on drops are treated with only one drop. We rarely need to use more than 2 drops. 
  • Advanced laser treatments: As a specialist in laser surgery, Dr. Mahootchi can perform procedures to improve fluid outflow with precision.
  • Surgical procedures: For advanced cases, he offers expert surgical solutions.

Protect Your Vision Today

Recognizing these warning signs early can mean the difference between maintaining your sight and facing permanent vision loss. The Eye Clinic of Florida's expert team uses advanced diagnostic technologies to detect glaucoma in its earliest stages.

Schedule your comprehensive glaucoma screening with The Eye Clinic of Florida today. Our experienced ophthalmologist, Dr. Ahad Mahootchi, will evaluate your eye pressure, examine your optic nerves, and create a personalized plan to protect your vision.

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Frequently Asked Questions (FAQs)

What is glaucoma?

Glaucoma is a group of eye conditions that damage the optic nerve, often due to high eye pressure. If left untreated, it can lead to permanent vision loss.

Who is at risk of developing glaucoma?

While anyone can develop glaucoma, risk factors include age (over 60), family history of glaucoma, high intraocular pressure, and certain medical conditions like diabetes or high blood pressure.

How is glaucoma diagnosed?

Glaucoma is diagnosed through comprehensive eye exams that include measuring eye pressure, examining the optic nerves, and testing peripheral vision.

Can glaucoma be cured?

There is currently no cure for glaucoma, but it can be managed with treatments such as eye drops, laser therapy, or surgery to reduce eye pressure and slow the progression of the disease. It is rare for a person to go blind if caught early enough. 

How often should I get screened for glaucoma?

It is recommended to have regular eye exams every 1-2 years, especially if you are over 40 or have risk factors for glaucoma. Your ophthalmologist will advise you on the appropriate frequency based on your individual needs.