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Glaucoma

Glaucoma is the leading causes of blindness in the world. The condition damages the optic nerve and has few or no symptoms.

The most frustrating part for our patients at Low Vision Of New York is the loss of independence and normalcy to do common daily tasks in their lives. Tasks such as driving especially at night or in glare; reading, cooking, playing cards; walking safely or even reading the menu at their favorite restaurant, are no longer possible.

What Is Glaucoma?

There are two types of glaucoma

One is open-angle glaucoma that occurs when the eye’s drainage canals clog over time causing a rise in the inner eye pressure as the correct amount of fluid is not drained out. Here, at the entrance, the drainage canals are clear and should be working normally. It's at the inside of the drainage canals that the clogging occurs, causing vision problems.

The other type of glaucoma is the angle-closure/acute glaucoma where the eye pressure goes up suddenly. It occurs when the drainage canals get blocked or covered.

In either case, when the pressure in the inner eye rises to extreme levels, the pressure may ultimately cause damage to the optic nerve at the back of the eye. As the disease progresses the field of view narrows. The condition is painless and thus, many patients rarely recognize they have it until much of their vision is gone. Unfortunately, in this case, treatments only prevent further loss of vision as opposed to bringing back vision. 

Diagnosis And Evaluation Of Low Vision In Glaucoma

When our Low Vision Optometrists performs an eye exam for Glaucoma, he will be looking for a loss of peripheral vision and loss in visual acuity.

Our low vision optometrist has had years of experience and expertise specializing in cases of low vision. Thus, he has encountered many patients dealing with Glaucoma and amassed experience in the best way for helping them regain their life normalcy and independence.

A comprehensive diagnosis and evaluation at Low Vision Of New York involve:

  • The history where a screening of the patient’s quality of life, functional complaints and ability to perform hobbies and tasks is done.

  • Tests for visual acuity using high contrast charts and bright lighting

  • Evaluation of near acuities with respect to the patient’s complaints concerning reading

  • Establish the remaining field available for rehabilitation

  • Determine patient’s contrast sensitivity for selecting objects in daily visual tasks

  • Observation of the patient’s performance in visual tasks such as writing or walking

Solutions For Persons With Low Vision Due To Glaucoma

Glaucoma may be treated with special eye drops, medications or even surgery, however, there is no cure and vision loss from Glaucoma is usually irreversible. The goal of the Ophthalmologist for a Glaucoma patient is to reduce the risk of further vision loss, and to that end, it is crucial that a Glaucoma patient follows takes their medications as prescribed.

Fortunately for you, our Low Vision Optometrist has a selection of visual aids that can help with using the remaining vision and improving quality of life and independence for those with glaucoma. The goal of our low vision services is to maximize the patient’s ability to function optimally with the remaining vision. We offer our patients a wide variety of options such as low vision rehabilitation and low vision aids.

Low Vision Rehabilitation

Low Vision rehabilitative services are provided to patients with Glaucoma who are both partially sighted or legally blind. Rehabilitation typically covers mobility training, adaptive skills, psychological counseling, low vision instruction and training on daily skills. Our low vision optometrist will provide training for using different low vision aids such as low vision telescopes, and may recommend other avenues of low vision rehabilitation training on a case by case basis. Training on low vision devices, lighting, and other aspects of regaining mobility is conducted with respect to the individual needs of every patient. Thus, every rehabilitation program will be unique to the patient.

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Low Vision Aids

We have a wide selection of low vision aids that can help our patients regain their normalcy and independence in their lives. They include

Near Vision Aids

Including specialty reading glasses, hand-held & stand magnifiers, Escoops, and microscopes. They help glaucoma patients perform up close tasks such as reading, writing or looking at near objects such as maps and pictures.

Distance Vision Aids

Hand-held/monocular for a quick view of distant objects such as road signs are widely available but are limited in application due to the need for holding it steady for long periods of time. Mounted telescopes for hands-free use offer a significant benefit to handhelds for extended time periods tasks. A popular example is the bioptic telescopes which are mounted on your regular pair of glasses for an easy alternation of normal view to magnified.

Assistive Technologies

Include electronic aids such as CCTV systems which provide magnification better than the aids mentioned above. There are the less portable and portable types. They allow the glaucoma patient to adjust the brightness, contrast, and size of a magnified image to match their visual needs. The individual can have white writing on a black background for a lower glare.

Computer monitors come in varying sizes to fit the magnifying needs of the user and certain software such as ZoomText allow for magnification, contrast, and color changes to fit your needs.

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