Understanding Glaucoma: The Silent Thief of Sight

Glaucoma earned its nickname — the silent thief of sight — for a reason. The most common form causes no pain and no early symptom; by the time patients notice missing peripheral vision, significant optic nerve damage has already occurred.

That's why screening is the entire game. A glaucoma evaluation includes eye pressure, optic nerve imaging (OCT), visual field testing, and a look at the drainage angle. If you have a family history, are of African or Hispanic ancestry, are over 60, or have ever been told your pressures run high, you should be screened annually.

Treatment has come a long way. Eye drops remain first-line for most patients. Selective laser trabeculoplasty (SLT) is a quick in-office option that often delays or reduces drop use. Surgical options exist for advanced disease and can be coordinated when needed.

The good news: with consistent care, the vast majority of glaucoma patients keep their useful vision for life.