William S Goldstein, MD Blog

Glaucoma Treatment Options

June 13, 2011 — by William Goldstein
Tags: Glaucoma Detection Glaucoma Treatment Glaucoma Michigan Glaucoma Glaucoma Detroit

The diagnosis of glaucoma becomes more common as we age, and about 1 out of every 3 patients over the age of 70 has diagnosis. But some studies show that up to 50% of glaucoma goes undiagnosed. And once diagnosed, treatment may be difficult or expensive for patients, leading to ineffective treatment, and potential loss of vision. The approach to treatment of glaucoma is a great example of an area of medicine which involves employing some of The Art of the Practice of Medicine. Medical therapy can be used, as well as laser treatment, and even surgical intervention.
o Many different drops available
o Some decrease production of fluid inside the eye
o Others increase drainage of fluid out of the eye
o Very effective
Laser therapy aka ALT (Argon Laser Trabeculoplasty)
o May be used as first-line therapy
o Very effective
o May be repeated later in life if needed
o Often decreases or eliminates the need for eye drops f

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Glaucoma, The Silent Killer

May 5, 2011 — by William Goldstein
Tags: Glaucoma Detection Glaucoma Michigan Glaucoma Glaucoma Detroit Diagnosis Glaucoma

Glaucoma is one of the leading causes of blindness in the United States in the elderly population, but it is a preventable cause! Unfortunately, it does not have any symptoms, so it is sometimes called the Silent Killer of Vision by eye doctors. It can only be discovered by an eye-care professional during a full eye examination. This is the reason that yearly eye exams are required for every patient above the age of 50.
So, how is glaucoma discovered during an eye examination? There are two findings that would raise a doctors suspicion. First, high pressure inside the eye, usually above 20 mm Hg, may be found. Even if the pressure is normal, glaucoma may be detected if the optic nerve inside the eye has an abnormal appearance.
Once an abnormality is found, testing needs to be done to determine if the patient has glaucoma or if they need to be followed for the future development of the disease. Visual field testing and optic nerve mapping with an OCT or HRT instrumen

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