Glaucoma causes progressive optic nerve damage, most often related to elevated intraocular pressure, though some patients experience damage even with pressure levels within normal range. Peripheral vision loss usually occurs first and may go unnoticed until advanced stages.
At Dr. Jyotis Hospital in Mohali, glaucoma management centres on achieving a target eye pressure based on the extent of optic nerve damage. Medical therapy with pressure-lowering eye drops is commonly initiated, with treatment intensity adjusted according to nerve health and response.
When medications fail to achieve adequate pressure control or are poorly tolerated, laser trabeculoplasty may be used to improve aqueous outflow. Surgical options are considered when both medical and laser therapies are insufficient, with procedure selection guided by angle anatomy and disease severity.
Monitoring combines optic nerve imaging and visual field testing, as structural and functional damage may progress at different rates. This dual assessment helps refine treatment decisions over time.
If optic nerve changes or pressure abnormalities have been identified, targeted glaucoma treatment can help slow disease progression and preserve functional vision.
