Glaucoma is a common eye condition that can gradually damage the optic nerve and lead to vision loss if left untreated. With regular eye exams and expert care, glaucoma can often be managed to help protect your sight.

At MU Health Care, we provide the most advanced care for glaucoma in central Missouri. Our general and fellowship-trained ophthalmologists (eye doctors) are experts in diagnosing glaucoma in the early stages and using leading-edge technology to treat it. We also offer less invasive glaucoma surgeries.

Glaucoma Symptoms

Glaucoma may not cause symptoms until the disease has become severe. However, you should see an ophthalmologist right away if you experience any signs of glaucoma, such as:

  • Blurred vision or vision loss
  • Loss of side (peripheral) vision
  • Sensitivity to light
  • Eye pain
  • Seeing “halos” around lights 
  • Severe headaches

Glaucoma doesn’t always affect both eyes, so you may only notice symptoms in one eye.

Without treatment, glaucoma can cause permanent blindness. That’s why having regular eye exams with an ophthalmologist is so important, especially if you:

  • Have a family history of glaucoma
  • Are older than 55
  • Have diabetes, high blood pressure or migraines
  • Are Latino or of African or Asian descent
  • Are extremely nearsighted or farsighted
  • Have a cornea transplant
  • Had a retinal detachment

Getting Help for Glaucoma

Ophthalmologists at MU Health Care are specialists in diagnosing glaucoma, whether it’s in its early stages or more progressed. We can help if you have symptoms or have a family history of glaucoma and want to get checked. You can get a referral from your optometrist or primary care provider, or reach out to us directly.

Advanced incisional surgery expertise

We treat the following two types of glaucoma:

  • Open-angle: The most common type of glaucoma, occurs when the eye’s drainage canals become clogged over time, damaging the optic nerve.
  • Closed-angle: Also called narrow-angle, characterized by a closing or narrowing of the angle between the iris and cornea, reducing fluid drainage and causing pressure to build inside the eye.

Glaucoma Diagnosis at MU Health Care

During your first appointment, we’ll ask questions about your medical and family history. We’ll also perform several tests, such as:

  • Dilated eye exam: Checks your optic nerve and other parts of your eye.
  • Applanation tonometry: Measures pressure inside the eye with greater accuracy than “air puff” tests or pencil type probes. Before this test, you’ll receive numbing eyedrops with a fluorescent dye. Then, the doctor will gently put a device on your eye surface to measure the pressure.
  • Gonioscopy: A painless test that uses a special lens and slit lamp to provide more insights into your glaucoma, such as whether it is open- or closed-angle.
  • Optical coherence tomography (OCT): Assesses the optic nerve for damage.
  • Visual field test: Checks your ability to see varying degrees of light flashes to measure your vision.
  • Corneal thickness test: Evaluates your risk for glaucoma.

Glaucoma Treatment at MU Health Care

Our specialists work together to design your personalized treatment plan at MU Health Care. Your team may may include:

Our team may suggest surgery or medications like eye drops, depending on your glaucoma, lifestyle and preferences.

Medications and Implants

Several types of eye drops can treat glaucoma. If you need help managing your medications, we can create a personalized chart indicating which drops to take and when.

For certain types of glaucoma, we also offer Durysta®, a small, pellet-like implant that is injected into your eye. The implant slowly releases medicine, reducing the need for daily eye drops. Over time, the pellet dissolves on its own.

If you have advanced glaucoma or want to avoid using eye drops, we offer several types of surgery. After surgery, many patients no longer need to use as many, or any, daily eye drops for the long term.

Laser Surgery

Laser surgery uses a focused beam of light to increase the flow of fluid out of the eye, which lowers pressure. We can perform this procedure in office, so you may return to your normal activities the same day. Laser can also be used in narrow-angle glaucoma to help prevent angle closure.

We offer all the latest, least invasive laser procedures for your comfort and convenience.

Filtering Surgery (Traditional Trabeculectomy)

Filtering surgery (traditional trabeculectomy) uses a blade to create a tiny hole in your eye. After surgery, fluid can drain from your eye to help reduce pressure. Or, your ophthalmologist may place a drainage tube made from silicone, collagen or metal during surgery.

Our glaucoma surgeons specialize in performing revision trabeculectomy if a prior surgery failed to reduce eye pressure.

Microinvasive Glaucoma Surgery

As part of an academic health system, we offer minimally invasive procedures. Our team has extensive experience using microscopic-sized equipment and tiny incisions to treat glaucoma.

Microinvasive glaucoma surgery is associated with less pain and a shorter recovery compared to traditional glaucoma surgery. You may need fewer daily eye drops after these procedures.

Combined Glaucoma and Cataract Surgery

If you have glaucoma and a cataract, we may perform surgery to treat both issues at the same time. With microinvasive glaucoma surgery, we can also remove the cataract to improve your vision during the same procedure. This eliminates the need for multiple procedures and reduces your downtime.

Support for Low Vision

If glaucoma has affected your eyesight and made everyday activities difficult, we can help. Our eye experts offer many treatments for low vision, including evaluation for special optical devices to help make tasks easier.