Lehigh County Health & Medicine Spring 2021 - 20

FEATURE

NOT YOUR
GRANDMOTHER'S
GLAUCOMA!
IMPROVED TECHNOLOGY:
New methods of
diagn
diag
nosis, new lasers
and new types of
eyedrops have changed
the way we diagnose
and treat this blinding
disease. It doesn't have
to be the blinding thief
in the night anymore-
it can be caught and
treated early, and your
vision can be saved.
BY LISA S. BUNIN, M.D.
OPHTHALMOLOGIST

W

hen I was training at
the Wilmer Institute at
Johns Hopkins over 25
years ago, I learned that
Glaucoma was a disease of high eye pressure.
The only test we had of optic nerve function
was a Goldman Visual Field, and though we
knew we could lose 35-50% of optic nerve
fibers before we saw real changes on the
visual field, we wouldn't treat unless there was
visual field loss. That's because we only had
eye drops that caused a lot of side effects and
patients hated taking them, especially when
they couldn't see or feel Glaucoma. Thus, we
were starting people on treatment far too late
in the disease, and they would progress from
there, needing risky filtering surgery that

20 Lehigh County Health & Medicine | SPRING 2021



Lehigh County Health & Medicine Spring 2021

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https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHM_Fall21
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHM_Summer21
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHM_Spring21
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHMFall_Winter20
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LehighCountyHealthMedicineSummer2020
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHM_Spring20
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHM_Winter19
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHM_Fall19
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHM_Summer19
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHM_Spring19
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHM_Winter18
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHM_Fall18
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHMSummer18
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHMSpring18
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHMWinter2018
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHMWinter18
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/Fall2017
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHMSummer2017
https://www.nxtbook.com/hoffmann/LehighCountyHealth_Medicine/LCHMSpring2017
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