PREMIER VISIONASSOCIATESFocus on GlaucomaWhat is Glaucoma? Glaucoma is an ophthalmic condition where the optic nerve isdamaged resulting in visual ficld damage. It is typically progressive permanent visual fieldloss. In the most common form of glaucoma °Primary open angle glaucoma, the visualfield will be constricted first in the periphery and then slowly moving centrally.Over time,this can result in "tunnel vision"where the peripheral field is greatly reduced. Because it istypically painless, most patients may not realize that they have signs of glaucoma.What are types of glaucoma? There are many types of glaucoma. The most commontype of glaucoma (primary open angle) results from increased intraocular pressure10P). Over time, this IOP increase will slowly damage the optic nerve and thereby visualheld. Some of the other types of glaucoma include pigmentary glaucoma, angle cdosureaucoma, normal tension glaucoma to name a fewHow is glaucoma monitored? While there are many risk factors for glaucoma,intraocular pressure (0P) isstill consideredthe most important risk factor.Theintraocularpressure is monitored and followed over time. In addition to IOP, testing modalities aid inassessment of the glaucoma progression. Some of these tools includeVisual field testOptic nerve OCT (optical coherence tomography)-see belowOptic nerve head examCan glaucoma be reversed? Glaucomatous field loss resulting from opticnerve damage is not reversible.How is glaucoma treated? A reduction of intraocular pressure from baseline IOP isthe desired treatment goal in Glaucoma. This reduction of IOP is accomplished by a fewdifferent ways. These include medicated eye drops, Laser treatments, and SurgeryHeidelberg Spectralis GMPE Advanced Glaucoma AnalysisWe are excited to introduce Heidelberg Spectralis GMPE, a powerful OCT technologyto detect and monitor glaucoma. This technology allows for the identification andsegmentation of individual layers, such as the ganglion cell layer in the macula regionand the recognition of anatomical landmarks such as Bruch membrane opening (BMO),through which the optic nerve passes. The identification of the BMO provides a moreconsistent measurement of the optic disc's size and rim area. This advanced technologywillprovide us with an advantageGaurav Singh M.D, Board Certified OphthalmologistDr. Gaurav Singh is experienced in the laser (Selective Laser Trabecul plasty) and surgicaltreatmentofglaucoma withspecialinterestinminimally invasiveglaucoma surgery(MIGS).These include micro-bypass I-Stent, KDB Goniotomy, and Endocyclophotocoagulation.In fact, Dr. Singh was the first provider in the Joliet area to perform the KDB Goniotomy.Dr. Singh also has experience in the latest small-incision cataract surgery includiLaser-assisted cataract surgery (LenSx). In addition, he has a wealth of experience withAdvanced Technology Lens (ATL) implantation including Toric and Multifocal lenses.Furthermore, Dr. Singh provides ophthalmic care for many diseases such as Diabetes,Macular degeneration, and Glaucoma.in glaucoma detection and progression.Premier Vision AssociatesProviding World-Class Eye Care"202 N. Hammes Ave(815) 744-2020Hrs: Monday-Friday 9-5www.Premier2020.com

Date: September 2, 2017

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PREMIER VISION ASSOCIATES Focus on Glaucoma What is Glaucoma? Glaucoma is an ophthalmic condition where the optic nerve is damaged resulting in visual ficld damage. It is typically progressive permanent visual field loss. In the most common form of glaucoma °Primary open angle glaucoma, the visual field will be constricted first in the periphery and then slowly moving centrally.Over time, this can result in "tunnel vision"where the peripheral field is greatly reduced. Because it is typically painless, most patients may not realize that they have signs of glaucoma. What are types of glaucoma? There are many types of glaucoma. The most common type of glaucoma (primary open angle) results from increased intraocular pressure 10P). Over time, this IOP increase will slowly damage the optic nerve and thereby visual held. Some of the other types of glaucoma include pigmentary glaucoma, angle cdosure aucoma, normal tension glaucoma to name a few How is glaucoma monitored? While there are many risk factors for glaucoma, intraocular pressure (0P) isstill consideredthe most important risk factor.Theintraocular pressure is monitored and followed over time. In addition to IOP, testing modalities aid in assessment of the glaucoma progression. Some of these tools include Visual field test Optic nerve OCT (optical coherence tomography)-see below Optic nerve head exam Can glaucoma be reversed? Glaucomatous field loss resulting from optic nerve damage is not reversible. How is glaucoma treated? A reduction of intraocular pressure from baseline IOP is the desired treatment goal in Glaucoma. This reduction of IOP is accomplished by a few different ways. These include medicated eye drops, Laser treatments, and Surgery Heidelberg Spectralis GMPE Advanced Glaucoma Analysis We are excited to introduce Heidelberg Spectralis GMPE, a powerful OCT technology to detect and monitor glaucoma. This technology allows for the identification and segmentation of individual layers, such as the ganglion cell layer in the macula region and the recognition of anatomical landmarks such as Bruch membrane opening (BMO), through which the optic nerve passes. The identification of the BMO provides a more consistent measurement of the optic disc's size and rim area. This advanced technology willprovide us with an advantage Gaurav Singh M.D, Board Certified Ophthalmologist Dr. Gaurav Singh is experienced in the laser (Selective Laser Trabecul plasty) and surgical treatmentofglaucoma withspecialinterestinminimally invasiveglaucoma surgery(MIGS). These include micro-bypass I-Stent, KDB Goniotomy, and Endocyclophotocoagulation. In fact, Dr. Singh was the first provider in the Joliet area to perform the KDB Goniotomy. Dr. Singh also has experience in the latest small-incision cataract surgery includi Laser-assisted cataract surgery (LenSx). In addition, he has a wealth of experience with Advanced Technology Lens (ATL) implantation including Toric and Multifocal lenses. Furthermore, Dr. Singh provides ophthalmic care for many diseases such as Diabetes, Macular degeneration, and Glaucoma. in glaucoma detection and progression. Premier Vision Associates Providing World-Class Eye Care" 202 N. Hammes Ave (815) 744-2020 Hrs: Monday-Friday 9-5 www.Premier2020.com

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