Raised pressure damages the optic nerve from the outside in, so central vision stays sharp while the periphery quietly goes. Nothing hurts, and nothing warns you.
Contact tonometry, which is more accurate than the air puff. A normal reading does not rule glaucoma out, which is why it is one test of three.
Measures the nerve fibre layer in microns. Thinning shows up here roughly five years before it shows in a visual field.
What you can see without moving your eye. This is where the loss becomes measurable, and where we track whether treatment is holding.
If any of these apply, an annual exam is not optional. Damage already done cannot be recovered; treatment only protects what is left, which is why finding it early is the entire strategy.
One high reading is not a diagnosis. We repeat at a different time of day before anything else happens.
To the hospital eye service with our images and fields attached, so they start from our data rather than repeating it.
Usually a nightly drop, sometimes laser. Both aim at the same thing: lowering pressure enough to stop further loss.
We keep the fields and OCT between hospital visits, which usually means fewer trips across town for you.
