A special report from the Wilmer Eye Institute at Johns Hopkins

One of America's top ophthalmology centers


Controlling Glaucoma to Prevent Vision Loss

Controlling Glaucoma to Prevent Vision Loss

Written by Harry A. Quigley, M.D.,
Director of the Glaucoma Service and the Dana Center for Preventive Ophthalmology
at Johns Hopkins' Wilmer Eye Institute

Straightforward, informed answers to your most important questions about managing glaucoma, a condition that affects an estimated 2.5 million Americans.  If you or a loved one has glaucoma, our new report will give you the information you need to make informed treatment decisions that could save your sight. Controlling Glaucoma to Prevent Vision Loss is written for YOU .

Your eyesight is a precious gift that should last a lifetime. Unfortunately, for many people with glaucoma, the loss of vision is a very real threat.

Glaucoma causes a loss of peripheral vision that can lead to all sorts of problems - from having to give up driving to the increased risk of falls and fractures. The end result is often a loss of independence, a significant diminution in quality of life - even blindness.

BUT THERE IS GOOD NEWS: Vision loss from glaucoma is PREVENTABLE as long as people with glaucoma are diagnosed early, treated effectively, and then follow through with the treatments prescribed by their doctors.

If you're reading this letter right now, chances are you or a loved one has glaucoma or may be at risk for glaucoma. If so, it's critically important to learn everything you can about your condition so you can make informed decisions, partner with your doctor effectively, ask the right questions about your treatment, and understand the answers.

To help you, we have asked Harry A. Quigley, M.D., to share his wisdom and hands-on experience treating glaucoma patients LIKE YOU in a new in-depth report, Controlling Glaucoma to Prevent Vision Loss.

Dr. Quigley is ideally positioned to help you understand and manage your glaucoma.

Director of the Glaucoma Service and the Dana Center for Preventive Ophthalmology at the acclaimed Wilmer Eye Institute at Johns Hopkins, Dr. Quigley is a noted glaucoma expert and the author of 300 peer-reviewed articles. His research has contributed to improving the early diagnosis of glaucoma and to perfecting laser iridotomy, a treatment for closed-angle glaucoma.  His suturing technique for the surgical procecure trabeculectomy has been widely adopted.

Like an in-depth consultation with your personal physician, Controlling Glaucoma to Prevent Vision Loss gives you unprecedented access to the extensive knowledge and experience of Dr. Quigley and other noted Johns Hopkins specialists in treating glaucoma successfully.

This information is so critical to your well-being that Controlling Glaucoma to Prevent Vision Loss is available to you instantly in a digital PDF download. Simply click the order button below, and in a few moments you can begin reading this important report!

The Knowledge You Need

In the introduction to Controlling Glaucoma to Prevent Vision Loss, Dr. Quigley writes:

"In this report, you will find critical information you need to know about glaucoma: its possible causes, the current methods for diagnosing it, and the options that you have to treat it, from eye drops to laser treatment to operative surgery. We have a variety of drugs that make treating glaucoma safe and effective, and surgical techniques that lower eye pressure (intraocular pressure, or IOP). And researchers at Wilmer and elsewhere are working on new methods of protecting the optic nerve from harm, ultimately saving it from the damage caused by glaucoma."

Indeed, it's a new world in glaucoma research, and Controlling Glaucoma to Prevent Vision Loss will put you in the forefront of what we know. In page after page of this comprehensive report, we address your most serious concerns about living with glaucoma:

  • How does glaucoma damage the eyes?
  • If I have glaucoma, does that mean I'll go blind?
  • Will I still be able to read?  How long is it safe for me to keep driving?
  • Could I have prevented my glaucoma?
  • Is glaucoma inherited? And if it is, what should I tell my children?
  • What are the first signs that glaucoma is developing?
  • Are there new advances in detecting glaucoma?
  • My IOP is normal, but my ophthalmologist tells me I have glaucoma. How is that possible-and what is the treatment?
  • I have 20/20 vision. Can I still have glaucoma?
  • I've lost some peripheral vision. Should I make an appointment with a low-vision rehabilitation specialist?

And that's just the start.  We discuss the role of corneal thickness - a new risk factor for glaucoma that should be taken into account by your eye doctor .

  • How is corneal thickness measured?
  • What impact does corneal thickness have on IOP?
  • How does corneal thickness affect glaucoma risk?
  • Is measuring corneal thickness part of a normal eye exam?

We probe the role of genetics in the development of glaucoma .

  • Which genes and genetic mutations are associated with glaucoma?
  • Are there new genetic-based therapies in the pipeline for glaucoma?
  • How important is the role of genetics in glaucoma?
  • Why are Asians at such high risk for glaucoma?

And we take a close look at the diagnostic tools your ophthalmologist may use to establish a diagnosis of glaucoma: tonometry, ophthalmoscopy, gonioscopy, and perimetry (visual field testing). Recently, advances have been made in the technology used to identify structural changes in the eye that may not be evident in a traditional ophthalmoscopic exam.  We explain: scanning laser polarimetry, ocular coherence tomography, and confocal scanning ophthalmoscopy.

Treating Glaucoma: What You Should Know
To Stop Glaucoma in Its Tracks

While glaucoma cannot be cured, it can be treated safely and effectively with medication or surgery.

In Controlling Glaucoma to Prevent Vision Loss, Dr. Quigley answers common questions posed by patients he sees every day in his practice. Armed with the answers, you'll be prepared to discuss your glaucoma treatment plan with your doctor so you can stop glaucoma in it's tracks:

  • What are the primary goals of glaucoma treatment?
  • Is there a particular target IOP that your doctor will aim for when treating glaucoma?
  • Are all glaucoma therapies equally effective? What are the reasons to choose eyedrops over surgery - or vice-versa?
  • Once therapy has begun, what type of follow-up monitoring is needed?
  • Will changes in diet or taking vitamins or other supplements help treat glaucoma?
  • Does one's race have any effect on the response to glaucoma drugs?
  • What can I do to make sure I take my eyedrops correctly and regularly?
  • Are there other drugs in the glaucoma pipeline that can play a future role in treatment?

And speaking of drugs, Controlling Glaucoma to Prevent Vision Loss explains the benefits and risks of the medications used to treat glaucoma, including beta-blockers, topical prostaglandins, carbonic anhydrase inhibitors, adrenergic agonists, and miotics - used singly or in combination.

Approximately 10% of patients with open-angle glaucoma opt for surgery.  If you're considering surgery, you'll want to focus on our chapter Surgery for Glaucoma, which takes a thorough look at laser trabecular surgery as well as conventional surgery for glaucoma.

  • Cyclodestructive surgery: Is it still performed?
  • Filtration surgery: What should I expect?
  • What's a "bleb" and what do you do about it?
  • Tube shunt surgery: When is it necessary?

There's more to Controlling Glaucoma to Prevent Vision Loss...much more. We provide a list of resources to help you cope with the cost of your glaucoma drugs, advice to help you make the most of limited vision and mobility and a detailed glossary of glaucoma terms used

Direct to You From Johns Hopkins Medicine

Controlling Glaucoma to Prevent Vision Loss is designed to give you unprecedented access to the expertise of the only hospital to be ranked #1 for 22 years by U.S. News & World Report -- an unprecedented 21 years in a row from 1991 to 2011, and again in 2013.  A tradition of discovery and medical innovation is the hallmark of Johns Hopkins research. And the acclaimed Wilmer Eye Institute at Johns Hopkins has long been recognized for bringing together ophthalmologists consistently ranked by their peers as among the finest internationally, with a specially trained and highly experienced team of nurses, technicians, and staff cited by patients for their knowledge, responsiveness, and sensitivity. You simply won't find a more knowledgeable and trustworthy source of the medical information you require.

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