Do I have Glaucoma?

What is Glaucoma?

Glaucoma is a serious eye disease where damage to the optic nerve causes vision loss that is not reversible.  It often happens when fluid builds up in your eye and may be related to eye pressure .  This extra fluid can damage your optic nerve and cause loss of vision.  You will often not notice vision loss from the earlier or even moderate stages.  There is usually no pain or other symptoms associated.

Glaucoma is one of the leading causes of preventable blindness.  The vision loss can often be prevented with early diagnosis and treatment.  There are often no symptoms in the earlier stages.  The vision loss is usually first in the periphery.  Later more advanced stages of glaucoma can cause total blindness.

Risk factors for this blinding disease include family history, age and race.

How is it Diagnosed?Do I Have Glaucoma?

Glaucoma is diagnosed with a comprehensive eye examination.  Dr. Stanley Grandon, Dr. Cindy Wang and I may suspect glaucoma if your intraocular pressure is elevated and/or if your optic nerve looks as though it may have damage.  Up to half of patients with glaucoma do not have an elevated intraocular pressure when examined.  If we have a high enough suspicion, extra tests such as a peripheral vision test (a visual field), a picture of the optic nerve and checking the thickness of your cornea (pachymetry) may be recommended.  Depending on the level of suspicion, we may decide to observe you or choose to initiate treatment.

What Happens if I Have Glaucoma?

Although this eye disease is not curable, it is often treatable by various methods.  Dr. Stanley Grandon, Dr. Cindy Wang and I often initially start treatment with eyedrops.  There are several eye drops available that work in different ways.  We will often start you on a once daily drop.  Sometimes, other drops are added as well.   We will monitor your intraocular pressure, optic nerve and visual field tests to ensure your disease is not progressing.  As of today, there are no dietary supplements that have shown to be effective for glaucoma.

Laser treatments are another method of treatment.  Laser is often performed in the office and can lower intraocular pressure.  Laser does not cure glaucoma.

If we are unable to manage your disease with drops and /or laser surgery in the operating room may be required .  If necessary, there are various types of surgical procedures.  No matter what treatment is iniated, it is important to maintain regular examinations to ensure it continues to be under control.

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan 48126

How Does LASIK surgery work?

What is LASIK?

How does LASIK surgery work?  LASIK stands for Laser Assisted In Situ Keratomileulis.  It is an eye surgery using the VISX laser to reshape the cornea.  The purpose of the eye surgery is to change the surface of the cornea allowing it to refocus light onto the retina so you can see clearly.  You may consider LASIK if you would like to be less dependent on glasses.

Can I Have Lasik?How does Lasik surgery work?

LASIK can treat certain amounts of nearsightedness (myopia), farsightedness (hyperopia) and astigmatism.  There is often a misconception that LASIK cannot treat astigmatism.  Dr. Stanley Grandon and I can perform a comprehensive LASIK evaluation to determine if you are a candidate for LASIK.  We need to make sure your eyes are healthy enough to have the surgery and that your glasses prescription is in the ranges that LASIK can be safely performed.  If you already require reading glasses, we can discuss options with you as well.

How Does Lasik Surgery Work?

The cornea is extremely powerful in focusing light.  It is responsible for 2/3 of the focusing power of the eye. Therefore reshaping the surface has tremendous effects on focusing without the need for glasses.

The laser removes microscopic amounts of tissue on the cornea so that the cornea focuses light onto the retina.  If you are nearsighted (myopic) the cornea will need to be made flatter.  If you are farsighted (hyperopic), the cornea will need to be made steeper, and if you have astigmatism the cornea will need to be made less irregular.

Lasik is a pain free outpatient procedure.  Dr. Stanley Grandon and I will focus the laser onto your eye and perform the procedure in about 5 minutes.  After the procedure, your eye will likely feel scratchy and the vision may be blurry for a few days.  You will need someone to drive you home and then you will be seen in our office the next day.

If you would like to schedule a LASIK evaluation, please call :3135828856

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan 48126