Surgical & Specialty Care

Glaucoma Evaluation & Management

Evidence-based evaluation and long-term management of glaucoma and ocular hypertension — with specialist referral when appropriate.

Clinical eye examination at Bronx Vision Center
01

Eye Pressure

Elevated intraocular pressure (IOP) is one of the primary risk factors for glaucoma. We measure eye pressure as part of every comprehensive examination and monitor it closely in patients at elevated risk.

Diagram of an eye with a blocked drainage canal and high pressure damaging the optic nerve
When fluid cannot drain properly, pressure builds inside the eye and can damage the optic nerve.
02

Optic Nerve Assessment

The optic nerve is the primary site of glaucomatous damage. We evaluate the optic nerve head carefully for signs of structural change, including cup-to-disc ratio, rim tissue integrity, and nerve fiber layer appearance.

03

Visual Field Testing

Visual field testing detects functional loss associated with glaucoma. We perform and interpret visual field examinations to assess the extent of any field defect and monitor for progression over time.

04

Structural Imaging

When appropriate, structural imaging of the optic nerve and retinal nerve fiber layer provides additional information to support diagnosis and monitoring. We use imaging findings in the context of the full clinical picture.

05

Risk Assessment

Glaucoma risk is influenced by multiple factors, including eye pressure, optic nerve appearance, family history, corneal thickness, and other clinical findings. We assess each patient's individual risk profile and discuss findings clearly.

06

Treatment

There is no cure for glaucoma yet, but it can be managed to prevent further vision loss — which is why early detection matters. The appropriate treatment depends on the type of glaucoma, among other factors.

Treatment for glaucoma is aimed at lowering intraocular pressure to a level that reduces the risk of further optic nerve damage. Medical therapy — typically eye drops — is the most common first-line approach. We discuss treatment options, expected benefits, and potential side effects.

07

Long-Term Monitoring

Glaucoma is a chronic condition requiring ongoing monitoring. We provide structured, long-term follow-up to assess treatment response, monitor for progression, and adjust the management plan as needed.

08

Specialist Referral

When glaucoma is advanced, progressing despite medical therapy, or requires surgical intervention, we coordinate referral to a glaucoma specialist. We remain involved in the patient's ongoing care as appropriate.

Laser procedures and glaucoma surgery — which improve fluid drainage from the eye or reduce fluid production — are performed by the glaucoma specialist.

Schedule a Glaucoma Evaluation

Contact Bronx Vision Center to schedule a glaucoma evaluation or follow-up appointment.