Glaucoma diagnosis
Glaucoma screening

OUR SERVICES

Glaucoma prevention / Early detection of glaucoma

Glaucoma is an eye disease that usually progresses chronically over many years, often goes unnoticed by patients for a long time, and can lead to blindness if left untreated. Glaucoma is more common in older people (aged 40 and above).

The most common form of the disease, primary open-angle glaucoma (POAG), usually affects both eyes but does not cause any early symptoms. Later on, those affected who have not been treated notice a marked restriction of their field of vision or even loss of central vision in the more severely affected eye. Although glaucoma rarely leads to blindness, the later it is diagnosed, the higher the risk of blindness. It is therefore advisable to have appropriate tests for early detection of glaucoma during routine eye examinations.

The German Ophthalmological Society recommends that people aged 40 and over who do not have glaucoma have a glaucoma screening every two years. For people over 65, glaucoma screening should even be carried out annually. People at risk should have an annual eye examination from the age of 35.

Certain individuals have a higher risk of glaucoma than others Risk factors:

Age > 40 years; first-degree relatives with glaucoma; myopia; diabetes mellitus; vascular factors: migraine or cold hands and feet.

Most cases of glaucoma are caused by increased intraocular pressure. This causes damage to the optic nerve. However, there are also types of glaucoma that develop without increased intraocular pressure (normal-pressure glaucoma). On the other hand, there are cases with moderately increased intraocular pressure that show no signs of visual impairment or optic nerve damage. The disease in these cases is called ocular hypertension (high eye pressure).

OCT Glaukom

Eye pressure measurement

Increased eye pressure is the most important risk factor for the development of glaucoma. At our practice, eye pressure can be measured both non-contact using non-contact tonometry and applanation using Goldmann contact tonometry.

Glaukomvorsorge bei einer Patientin

Pachymetry / Measurement of corneal thickness

Knowledge of the central corneal thickness is important because corneal thickness has a direct influence on intraocular pressure measurement. The thinner the measured central corneal thickness, the higher the risk of developing glaucoma. Corneal thickness measurement is called pachymetry and is performed non-invasively using a painless, contact-free diagnostic procedure (OCT, IOL Master, Keratograph, Pachycam).

Visual field examination

Visual field testing is a key component of glaucoma diagnosis and monitoring. Up to 40 percent of nerve fibers may already have been destroyed by glaucoma before the first visual field defects become apparent in visual field testing.

OCT

A loss of nerve fibers around the optic nerve head and ganglion cells in the macula can be determined using high-resolution optical coherence tomography (OCT). The thickness of the nerve fiber layer around the optic nerve head and the ganglion cell thickness of the macula are measured precisely. These OCT measurements provide valuable information for the early detection and progression of glaucoma. OCT examination is superior to all other morphometric methods in the early detection of glaucoma.
The procedure is non-invasive, painless, and safe.

OCT Glaukom

No coverage under statutory health insurance

Unfortunately, these examinations are not covered by statutory health insurance. They are part of what is known as individual health services and are billed privately to the patient in accordance with the German Scale of Medical Fees (GoÄ).