PREMIER VISIONASSOCIATESFocus on GlaucomaWhat is Glaucoma? Glaucoma is an ophthalmic condition where the optic nerve isdamaged resulting in visual field 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 timethis 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 glaucomaWhat are types of glaucoma? There are many types of glaucoma. The most commontype of glaucoma (primary open angle) results from increased intraocular pressure(OP). Over time, this IOP increase will slowly damage the optic nerve and thereby visualfield. Some of the other types of glaucoma include pigmentary glaucoma, angle dosureglaucoma, normal tension glaucoma to name a few.How is glaucoma monitored? While there are many risk factors for glaucoma,intraocular pressure (1OP)isstill consideredthemost important risk factor. The intraocularpressure is monitored and followed over time. In addition to 1OP, testing modalities aid inassessment of the glaucoma progression. Some of these tools includeVisual field testOptic nerve OCT (optical coherence tomography)-see belowOptic nerve head examGonioscopyCan 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 10P 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 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 moreconsistent measurement of the optic disc's size and rim area. This advanced technologywill provide us with an advantage in glaucoma detection and progression.Gaurav Singh M.D., Board Certified OphthalmologistDr.Gaurav Singh is experienced in the laser (Selective Laser Trabeculoplasty) and surgicaltreatment ofglaucomawithspecialinterestinminimally invasiveglaucomasurgery (MIGS).These include micro-bypass I-Stent, KDB Goniotomy, and Endocyclophotocoagulation.In fact, Dr. SinghDr. Singh also has experience in the latest small-incision cataract surgery includingLaser-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 DiabetesMacular degeneration, and Glaucoma.was the first provider in the Joliet area to perform the KDB GoniotomyPremier Vision AssociatesProviding World-Class Eye Care"202 N. Hammes Ave(815) 744-2020Hrs: Monday-Friday 9-5www.Premier2020.com PREMIER VISION ASSOCIATES Focus on Glaucoma What is Glaucoma? Glaucoma is an ophthalmic condition where the optic nerve is damaged resulting in visual field 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 (OP). Over time, this IOP increase will slowly damage the optic nerve and thereby visual field. Some of the other types of glaucoma include pigmentary glaucoma, angle dosure glaucoma, normal tension glaucoma to name a few. How is glaucoma monitored? While there are many risk factors for glaucoma, intraocular pressure (1OP)isstill consideredthemost important risk factor. The intraocular pressure is monitored and followed over time. In addition to 1OP, 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 Gonioscopy 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 10P 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 will provide us with an advantage in glaucoma detection and progression. Gaurav Singh M.D., Board Certified Ophthalmologist Dr.Gaurav Singh is experienced in the laser (Selective Laser Trabeculoplasty) and surgical treatment ofglaucomawithspecialinterestinminimally invasiveglaucomasurgery (MIGS). These include micro-bypass I-Stent, KDB Goniotomy, and Endocyclophotocoagulation. In fact, Dr. Singh Dr. Singh also has experience in the latest small-incision cataract surgery including 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. was the first provider in the Joliet area to perform the KDB Goniotomy 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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PREMIER VISION ASSOCIATES Focus on Glaucoma What is Glaucoma? Glaucoma is an ophthalmic condition where the optic nerve is damaged resulting in visual field 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 (OP). Over time, this IOP increase will slowly damage the optic nerve and thereby visual field. Some of the other types of glaucoma include pigmentary glaucoma, angle dosure glaucoma, normal tension glaucoma to name a few. How is glaucoma monitored? While there are many risk factors for glaucoma, intraocular pressure (1OP)isstill consideredthemost important risk factor. The intraocular pressure is monitored and followed over time. In addition to 1OP, 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 Gonioscopy 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 10P 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 will provide us with an advantage in glaucoma detection and progression. Gaurav Singh M.D., Board Certified Ophthalmologist Dr.Gaurav Singh is experienced in the laser (Selective Laser Trabeculoplasty) and surgical treatment ofglaucomawithspecialinterestinminimally invasiveglaucomasurgery (MIGS). These include micro-bypass I-Stent, KDB Goniotomy, and Endocyclophotocoagulation. In fact, Dr. Singh Dr. Singh also has experience in the latest small-incision cataract surgery including 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. was the first provider in the Joliet area to perform the KDB Goniotomy Premier Vision Associates Providing World-Class Eye Care" 202 N. Hammes Ave (815) 744-2020 Hrs: Monday-Friday 9-5 www.Premier2020.com PREMIER VISION ASSOCIATES Focus on Glaucoma What is Glaucoma? Glaucoma is an ophthalmic condition where the optic nerve is damaged resulting in visual field 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 (OP). Over time, this IOP increase will slowly damage the optic nerve and thereby visual field. Some of the other types of glaucoma include pigmentary glaucoma, angle dosure glaucoma, normal tension glaucoma to name a few. How is glaucoma monitored? While there are many risk factors for glaucoma, intraocular pressure (1OP)isstill consideredthemost important risk factor. The intraocular pressure is monitored and followed over time. In addition to 1OP, 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 Gonioscopy 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 10P 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 will provide us with an advantage in glaucoma detection and progression. Gaurav Singh M.D., Board Certified Ophthalmologist Dr.Gaurav Singh is experienced in the laser (Selective Laser Trabeculoplasty) and surgical treatment ofglaucomawithspecialinterestinminimally invasiveglaucomasurgery (MIGS). These include micro-bypass I-Stent, KDB Goniotomy, and Endocyclophotocoagulation. In fact, Dr. Singh Dr. Singh also has experience in the latest small-incision cataract surgery including 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. was the first provider in the Joliet area to perform the KDB Goniotomy 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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