Catching glaucoma before the visual field does
OCT, automated visual fields, cataract surgery and diabetic retinopathy. Retinal screening is performed without dilation in most cases.
Glaucoma destroys the optic nerve silently: by the time a patient notices, 40% of the fibres are already lost, and they do not come back. OCT measures nerve fibre thickness to the micron and detects damage years before the visual field does. We recommend this screening from forty, and from thirty-five where there is a family history. The unit also performs day-case cataract surgery with multifocal implants.
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