VisionSource! - North America's Premier Network of Private Practice Optometrists
North America's Premier Network of Private Practice Optometrists






Advanced Care for Glaucoma


Glaucoma is often referred to as the "silent thief of sight" because it is a very slow, painless disease that can cause blindness if left undetected and untreated.  Fortunately, Dr. Janot has the latest diagnostic instrumentation which helps him diagnose and treat glaucoma before it has had a chance to steal your vision.


High risk factors for glaucoma include:

  • Persons over 35 years of age
  • Persons of African American or Latino descent
  • Persons who are highly nearsighted
  • Persons with a family history of glaucoma, especially in a sibling
  • Persons who have cardiovascular disease, especially diabetes


In its most common form, glaucoma is usually caused from increased eye pressure.  Dr. Janot measures your eye pressure on every annual examination and, more often if necessary with a simple test called "tonometry".  This is measured with one of several simple tests. This increased eye pressure, over time, causes damage to the delicate optic nerve inside your eye, which Dr. Janot examines regularly by direct inspection and by using the Optomap retinal examination to compare any changes from year to year.


If he determines that you are indeed at high risk for vision loss due to glaucoma, Dr. Janot may order more specialized testing including a Visual Fields test, Ultrasound Pachymetry, and / or a Scanning LASER of your optic nerve.


Visual Fields Testing



Shown above, a patient is undergoing a Visual Fields Test.  This is a painless, computerized test which carefully measures peripheral vision, looking for any early or subtle changes in your vision which may be caused by glaucoma.  It is also used in testing patients who have a stroke or a neurological problem.




Spectralis OCT Scanning LASER

Shown to the right is our new Spectralis OCT Scanning LASER.  This painless LASER test measures the health of your optic nerve and the nerve fibers that allow you to see.  It is highly accurate and gives a wealth of information to allow Dr. Janot to carefully follow you if glaucoma is suspected, or to accurately plan a course of treatment if glaucoma is diagnosed.


If Dr. Janot diagnoses you with glaucoma, he will recommend an appropriate plan of treatment.  Most of the time, glaucoma can be controlled (arrested) using eye drop medication.  LASER and surgical options are also a possibility.