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    December 14, 2019
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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 itis typically progressive, permanent visualfield loss. In the most common form of glaucoma (Primary open angle glaucoma), the visual field will be constricted first in the peripheryand 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 (iOP). 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 dlosure glaucoma, normal tension glaucoma to name a few. How is glaucoma monitored? While there are many risk factors for glaucoma, intraocular pressure (IOP)isstillconsidered themost 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 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 1OP 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 treatmentofglaucomawithspecialinterestinminimally invasiveglaucomasurgery (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 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. 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 itis typically progressive, permanent visualfield loss. In the most common form of glaucoma (Primary open angle glaucoma), the visual field will be constricted first in the peripheryand 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 (iOP). 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 dlosure glaucoma, normal tension glaucoma to name a few. How is glaucoma monitored? While there are many risk factors for glaucoma, intraocular pressure (IOP)isstillconsidered themost 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 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 1OP 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 treatmentofglaucomawithspecialinterestinminimally invasiveglaucomasurgery (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 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. Premier Vision Associates "Providing World-Class Eye Care" 202 N. Hammes Ave (815) 744-2020 Hrs: Monday-Friday 9-5 www.Premier2020.com