Glaucoma Care

Home Glaucoma Care

STEPS TO YOUR 1ST GLAUCOMA VISIT:

  1. Schedule your appointment by calling us (907) 274-7825
  2. Provide us with all your information needed for MEDICAL insurance billing prior to visit!  We will need to verify all benefits PRIOR to your visit.
  3. Your visit will last about 90 minutes.  Please be prepare to spend this time with us as we are performing many tests .

What is glaucoma testing?

Our glaucoma tests:

Early detection, through regular and complete eye exams, is the key to protecting your vision from damage caused by glaucoma.

A complete eye exam includes six common tests to detect glaucoma:

Optical Coherence Tomography (OCT)

Optical Coherence Tomography (OCT) is a non-invasive diagnostic instrument used for imaging the retina. It is the technology for the future because it can enhance patient care. It has the ability to detect problems in the eye prior to any symptoms being present in the patient

Perimetry Visual Fields (VF)

Perimetry is a visual field test that produces your complete field of vision. This test will help a doctor determine whether your vision has been affected by glaucoma. During this test, you will be asked to look straight ahead and then indicate when a moving light passes your peripheral (or side) vision. This helps draw a “map” of your vision.

Do not be concerned if there is a delay in seeing the light as it moves in or around your blind spot. This is perfectly normal and does not necessarily mean that your field of vision is damaged. Try to relax and respond as accurately as possible during the test.

Your doctor may want you to repeat the test to see if the results are the same the next time you take it. After glaucoma has been diagnosed, visual field tests are usually done one to two times a year to check for any changes in your vision.

Pachymetry

Pachymetry is a simple, painless test to measure the thickness of your cornea — the clear window at the front of the eye. A probe called a pachymetery is gently placed on the front of the eye (the cornea) to measure its thickness. Pachymetry can help your diagnosis, because corneal thickness has the potential to influence eye pressure readings. With this measurement, your doctor can better understand your IOP reading and develop a treatment plan that is right for you. The procedure takes only about a minute to measure both eyes.

Tonometry

Tonometry measures the pressure within your eye. During tonometry, eye drops are used to numb the eye. Then a doctor or technician uses a device called a tonometer to measure the inner pressure of the eye. A small amount of pressure is applied to the eye by a tiny device or by a warm puff of air.

The range for normal pressure is 12-22 mm Hg (“mm Hg” refers to millimeters of mercury, a scale used to record eye pressure). Most glaucoma cases are diagnosed with pressure exceeding 20mm Hg. However, some people can have glaucoma at pressures between 12 -22mm Hg. Eye pressure is unique to each person.

Ophthalmoscopy/Retina Scan

This diagnostic procedure helps the doctor examine your optic nerve for glaucoma damage. Eye drops are used to dilate the pupil so that the doctor can see through your eye to examine the shape and color of the optic nerve.

The doctor will then use a small device with a light on the end to light and magnify the optic nerve. If your intraocular pressure (IOP) is not within the normal range or if the optic nerve looks unusual, your doctor may ask you to have one or two more glaucoma exams: perimetry and gonioscopy.

Visual electrophysiology (ERG)

Diopsys® Light Induced Visual-response (LIV)™ tests are painless, non-invasive, and provide your doctor with comprehensive information on the function of your vision.

Like an electrocardiogram (EKG) which tests heart function, LIV tests work by evaluating how the cells within your vision system are functioning. Eye disease disrupts that function as cells become unhealthy. By catching this dysfunction before the cells die, your doctor may be able to prescribe treatment to make the cells healthy again. Additionally, your doctor can use the tests to help determine if your treatment is working.

Gonioscopy

This diagnostic exam helps determine whether the angle where the iris meets the cornea is open and wide or narrow and closed. During the exam, eye drops are used to numb the eye. A hand-held contact lens is gently placed on the eye. This contact lens has a mirror that shows the doctor if the angle between the iris and cornea is closed and blocked (a possible sign of angle-closure or acute glaucoma) or wide and open (a possible sign of open-angle, chronic glaucoma).

Why Are There So Many Diagnostic Exams?

Glaucoma is a complex eye condition which can lead to permanent blindess when it is not detected, therefore it requires numerous specialty diagnositic eye tests to ensure we properly diagose before making any decisions about your treatment.

Opening Hours

Monday – Thursday 8:30 – 5:00
Friday 8:30 - 4:00
Saturday-Sunday Closed
Open During Lunch