Glaucoma

Since visual field defects occur gradually and at different locations in both eyes, glaucoma often remains unnoticed for many years. Elevated intraocular pressure is only perceptible as eye pain or headache at very high levels. However, even slightly or moderately elevated intraocular pressure values can damage the optic nerve head over an extended period.

Measuring intraocular pressure as a screening examination is recommended once a year from the age of 40. However, since glaucoma can also occur even when intraocular pressure is normal, an examination of the optic nerve is also required. If any abnormalities are found, a visual field examination and an OCT examination are then performed.

The most important measure is lowering the intraocular pressure to low levels. To achieve this, eye drops are initially prescribed, which you must use regularly and permanently, often for life. If sufficient pressure reduction cannot be achieved with eye drops, laser treatment (LTP/SLT) or surgery is required.
Furthermore, adequate blood flow to the optic nerve must be ensured. An examination by your general practitioner or internist to check the cervical vessels and blood pressure is recommended.