How do you evaluate Glaucoma?

Calibrated good quality equipment and meticulous work up is vital in decision making for glaucoma management. The following tests are routinely done for screening and follow up of glaucoma cases:

Eye pressure – checked by non-contact tonometer and applanation tonometry (can vary diurnally. Hence multiple readings are    recorded

Gonioscopy    – to evaluate angles of eye is narrow and obstructing the flow aqueous through the angles.

Central Cornea Thickness – measured using pachymeter. Thin cornea has more chance of developing damage due to glaucoma

Fundus photography ​- (for disc evaluation) Red free photography with magnification to see the minute details of the optic disc and analysis of nerve fibre layers.

Central fields – using Humphey’s visual field analyser to find out restriction of side vision and central vision Imaging of the optic nerve and nerve fibre vision layer using cirrus HD OCT.

The cirrus HD-OCT – offers the ultimate benefit for people living with glaucoma. Glaucoma is detected 8 years before clinically evident. So early care can be monitored for slightest changes and modified response for treatment implemented