Palo Alto
650.322.4393
706 Webster Street
Palo Alto, CA 94301
Email: info@fishmanvision.com
www.fishmanvision.com

 

Glaucoma

 

 

 

                           

 

Glaucoma is the leading cause of preventable blindness in the United States. Dr. Fishman is committed to preventing blindness from this disease and to providing the best in glaucoma patient care. Dr. Fishman offers state-of-the-art technology for the diagnosis and treatment of glaucoma.  In addition to medical therapy for glaucoma management, Dr. Fishman offers SLT laser treatments to reduce dependence on eye drops for patients with open-angle glaucoma.  Dr. Fishman is now pleased to offer Canaloplasty, a much less invasive and safer procedure than the traditional Trabeculectomy to treat Glaucoma. For narrow-angle glaucoma, Dr. Fishman can perform laser peripheral iridotomies in the comfort of his own office.  
 

Early Diagnosis


          

 

 

Dr. Fishman provides comprehensive diagnosis and treatment of all types of glaucoma. Dr. Fishman is committed to glaucoma through clinical service and education. Glaucoma is a disease of the optic nerve resulting in gradual progressive visual loss. Glaucoma is a leading cause of blindness worldwide and is the number one cause of preventable blindness. Because it is often a silent disease, it may progress for years without detection. Through early diagnosis and appropriate treatment, visual loss is controllable.

Diagnostic Tools


To help ensure accurate diagnosis and management, several state-of-the-art diagnostic tests is employed by Dr. Fishman. Dr. Fishman uses advanced visual field and optic nerve analysis systems available, including the Humphrey Visual Field (HVF) Analyzer and the Zeiss Cirus High definition Optical Coherence Tomography (OCT).  Our visual field and OCT systems allows Dr. Fishman not only to detect glaucoma in its earliest stages, but also to quantitatively compare these results with past and future exams. We also use high-resolution optic nerve photography. 

Treatment


Treatment for glaucoma comes in three forms: eye drops, laser treatment and incisional surgery. These treatments are all aimed at lowering the eye pressure. For almost all patients, appropriate treatment will slow and often stop the progression of glaucoma. Many patients choose to start with medical treatment. For those requiring additional treatment, or those who do not wish to use eye drops, surgical procedures may be performed. Procedures include:

 

  1. Laser procedures, including SLT trabeculoplasty and YAG iridotomy.
  2. Canaloplasty by itself and during cataract surgery.
  3. Cataract surgery with intraocular lens implants.

If a patient has a visually significant cataract and glaucoma, he or she may benefit from combined cataract removal and Canaloplasty surgery to lower the intraocular pressure at the same time.
Lasers
  1. Selective Laser trabeculoplasty- A laser treatment used to improve fluid outflow and decrease intraocular pressure.
  2. Laser Peripheral Iridotomy - A procedure to improve access to the drain of the eye.

The best way to keep glaucoma from robbing you of your eyesight is to have regular eye examinations by a professional eye care specialist. Simple and painless, an eye exam will alert you and your eye doctor to early symptoms of glaucoma so that an appropriate course of treatment can be started. Early detection of glaucoma means more effective treatment of the disease.
Your eyesight is too precious to take for granted.  Contact Dr. Fishman today to learn more about glaucoma detection and treatment or to schedule an eye examination.