Glaucoma Consultation Exam
Glaucoma is a group of diseases characterized by progressive damage to the optic nerve that can result in vision loss and blindness. The optic nerve is a bundle of more than 1 million nerve fibers that connects the retina to the brain. Glaucoma usually develops slowly and without any symptoms and that’s why glaucoma is often called the silent killer of the vision. However, with early detection and treatment glaucoma can be controlled, and serious vision loss can be prevented. A glaucoma consultation exam is more extensive than a comprehensive eye exam and will include:
Tonometry
Several measurements of pressure inside the eye.
Gonioscopy
Examination of the drainage system of the eye.
Pachymetry
Measurement of the central corneal thickness.
Visual Field Test
A computerized test to determine the presence and extent of peripheral vision loss, which is important for the staging of glaucoma.
Fundus Photography
Stereo photos of the optic nerve will be obtained at the initial visit to be used as a baseline to monitor for changes in the nerve over time.
Optical Coherence Tomography (OCT) and Heidelberg Retinal Tomography Imaging
These novel laser-based imaging technologies are a very useful tool for the diagnosis and monitoring of progression of glaucoma.
You should bring with you the list of all medications that you are currently taking. The initial examination and all testing usually take two visits lasting about one hour each. Results of the eye examination and tests will be discussed with you in detail, your risk profile will be determined, and a treatment plan tailored according to your individual situation.
Foreign body
Foreign bodies in the eye not only can cause pain and irritation, but may lead to infection and loss of vision. If there is suspicion of a foreign body in the eye, early removal is important.