Family Eyecare of Roswell Dr. Maurice E. Zadeh & Associates
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1425 Market Blvd. Ste 315
Roswell, GA 30076
PH 770-992-6789
FX 770-462-6789
Dr. Maurice E Zadeh was
honored as the 2007
Optometrist of the year by
the Georgia Optometric
Association.
For more details on this
award Click Here
Family Eyecare Of Roswell 1425 Market Blvd, Ste. 315, Roswell, GA - 30076 Phone. 770-992-6789 Fax. 770-640-6789
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What is Glaucoma?
Glaucoma is a disease that can lead to blindness or loss of vision. It is caused by damage
to the eye's optic nerve. If detected and treated early, permanent damage can be minimized
or even avoided. Once damages occurs, however, it cannot be reversed.
There are many types of glaucoma. The most common form is open angle glaucoma, also
called chronic glaucoma.

Open angle glaucoma is caused by high pressure in the eye, which damages the optical
nerve and impairs vision. Increased eye pressure does not always mean you will get
glaucoma, but it does increase your risk. Another type of glaucoma is low-tension or
normal tension glaucoma, which occurs when the optic nerve is damaged despite
seemingly normal pressure levels. Treatment is the same as open angle glaucoma.
Closed-angle glaucoma is also common, caused when the iris and lens essentially stick
together, preventing fluid flow from the eye.
Glaucoma can also occur as a result of an injury such as being hit in the eye by a baseball.
This is called secondary glaucoma.
Showing the area of the eye that the following two examples are representing.




Glaucoma is not a single disease but a group of conditions with various causes that
ultimately are associated with progressive damage to the optic nerve and subsequent loss
of visual function. Glaucoma has been called the "Sneak Thief of Sight" because
progressive damage to the optic nerve often results with no symptoms.
Glaucoma is the third most common cause of blindness in the United States with over
80,000 Americans blind from Glaucoma. It has been estimated that less than half the
patients who have glaucoma have actually been diagnosed as having glaucoma.
Diagnosis - There are three major factors which are considered in determining if a patient
has glaucoma.
Eye Pressure (Intraocular Pressure): Normally the eye produces fluid (aqueous humor)
which after bathing the internal structures of the eye, is drained from the eye.
- The normal eye maintains an internal pressure of between 12 and 22 mm of
Mercury. In patients with glaucoma, the intraocular pressure is often elevated as
a result of a decrease in the ability of the eye to adequately drain the intraocular
fluid.
- "Normal" intraocular pressure is, however, only a statistical average. Some
patients have elevated intraocular pressure and no glaucoma while other
patients may have normal intraocular pressure and have glaucoma.
- Intraocular pressure readings are often used as a screening method to identify
those patients who are increased risk of developing glaucoma. An intraocular
pressure test alone is a poor determinate as to whether a patient has glaucoma
or not.
Visual Fields: The second major factor considered in evaluating a patient for glaucoma is
the peripheral (side) visual field.
Glaucoma is a disease which does not affect the clearness of the central vision until it is
very advanced. The earliest changes experienced in glaucoma is a decrease in the
sensitivity of the visual field (peripheral vision).
Sophisticated techniques have been developed to very sensitively test the peripheral visual
field. Subtle changes in the visual field test may be an early sign of the development of
glaucoma.
Glaucoma is a disease which causes damage to
the optic nerve. Careful examination of the optic
nerve through a dilated pupil often reveals
characteristic changes in the appearance
of the optic nerve which are consistent with
glaucoma. The observation of these
characteristic changes in the structure of the
optic nerve are perhaps the most sensitive
indicator of glaucoma.

- Other Risk Factors. A number of other risk factors are considered in evaluating
patients who have otherwise borderline findings. Risk factors which contribute to the
potential development of glaucoma include race, age, family history of glaucoma,
and the presence of other eye diseases which may secondarily result in glaucoma
or elevated pressure.
Family Eyecare of Roswell is proud to announce that we now have new state of the art
equipment which is considered the gold standard in early detection of Glaucoma.
GDx™ – Precise RNFL analysis for glaucoma
case detection, diagnosis, and management
- Clinically proven: GDx analysis has been proven to accurately discriminate
between healthy and glaucomatous eyes1 and to be predictive of visual field
loss2.
- Provides unique early case detection: The GDx is the only glaucoma imaging
device with a separate Screening Mode to help you identify which patients
should receive a full glaucoma examination.
- Tracks change over time: The Advanced Serial Analysis feature helps you to
evaluate subtle RNFL changes so you can manage glaucoma with more
confidence.
- Simple: GDx examinations are easy for your patients and staff. Reports are clear
and intuitive.
- Portable: Move your GDx between offices with an optional hard or soft carrying
case.
- Fast: Typical exam time ranges from 1 to 3 minutes.
Treatment - A wide variety of treatments are available for reducing the intraocular pressure,
the only known effective treatment for glaucoma.
- Eye Drops. A wide range of medications are available in eye drop form which are
used to effectively reduce the intraocular pressure. Eye drops are often the first
line of defense used to reduce the intraocular pressure and are effective in
controlling glaucoma in the vast majority of patients.
- Pills. Certain oral medications can also be used to control intraocular pressure.
- Laser Treatments. Laser therapy can be applied to the eye and result in reduced
intraocular pressure.
- Surgery. Surgical procedures to create a new drainage channel in the eye allow
for excellent intraocular pressure control.
Additional Facts Regarding Glaucoma- Patients have no awareness of elevated intraocular
pressure and have no way of knowing if the optic nerve is being continuously damaged.
Once optic nerve damage has occurred, it can not be reversed with treatment. The key to
effective management of this condition is early identification and diagnosis of those
patients who are at risk.
Routine eye exams with monitoring of intraocular pressure and a dilated examination of
the optic nerve are the best methods to detect glaucoma. This is particularly important
in patients over the age of 60 and in those patients who have a family history of
glaucoma. Regular visits to your family optometrist will ensure a lifetime of healthy eyes
and good vision.
"Eyecare That Sets You Apart From The Rest"
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