Glaucoma is often called the “silent thief of sight” because it can slowly damage vision without noticeable symptoms in its early stages. For many patients, glaucoma begins subtly and remains manageable for years with proper care. However, in some cases, the disease can become progressive, meaning vision loss continues despite initial treatment. Understanding what progressive glaucoma is, how it’s detected, and what treatment options exist can help patients take an active role in protecting their long-term vision.

What Does Progressive Glaucoma Mean?

Progressive glaucoma occurs when damage to the optic nerve continues over time. This progression may show up as:

• Increasing blind spots in peripheral vision

• Changes in optic nerve appearance

• Worsening visual field test results

• Rising or unstable eye pressure (intraocular pressure)

Progression doesn’t happen overnight, but without careful monitoring, vision loss can become permanent. That’s why early diagnosis and consistent follow-up are essential.

Why Early Detection Matters

Glaucoma damage cannot be reversed, but it can often be slowed or stopped when caught early. Routine comprehensive eye exams allow optometrists to detect glaucoma before noticeable vision changes occur. At Complete Eyecare, advanced diagnostic testing helps identify glaucoma risk factors early and track even subtle changes over time. Regular exams are especially important if you have risk factors such as:

• A family history of glaucoma

• Elevated eye pressure

• Diabetes or high blood pressure

• African, Hispanic, or Asian ancestry

• Age 60 or older

Early detection gives patients the widest range of non-surgical treatment options and the best chance of preserving vision.

Prescription Eye Drops

Eye drops are the most common first-line treatment for glaucoma. They work by lowering eye pressure either by reducing fluid production or improving drainage within the eye. For progressive glaucoma, adjustments may be made to:

• Dosage

• Type of medication

• Combination therapies

Consistent use is crucial, as missed doses can allow pressure to rise and damage to continue.

Oral Medications (When Needed)

In some cases, oral medications may be prescribed short-term to help control eye pressure. These are typically used when eye drops alone are not sufficient and require close monitoring by your eye doctor.

Ongoing Monitoring and Advanced Testing

Progressive glaucoma requires careful, long-term monitoring. This may include:

• Visual field testing to assess peripheral vision

• Advanced scans of the structural integrity of the optic nerve called OCT

• Eye pressure tracking over time

These tools allow your optometrist to determine whether current treatment is working or if adjustments are needed. If glaucoma continues to progress despite medical management, our optometrist may refer you to a glaucoma specialist to discuss additional treatment options, including laser procedures or glaucoma surgery when appropriate.

Protect Your Sight With Early Glaucoma Detection

Progressive glaucoma can be concerning, but early detection and proper optometric care make a significant difference. With routine exams, advanced diagnostics, and personalized treatment plans, many patients are able to manage glaucoma effectively and preserve their vision for years to come.

Schedule your annual eye exam at Complete Eyecare to detect and monitor glaucoma early. Visit our office in Blaine, Minnesota, or call (763) 220-2602 to book an appointment today.