If you have a family history of glaucoma, what should you do?
A good baseline examination including eye pressures, visual fields, gonioscopy, corneal thickness measurement, disc assessment and imaging is recommended. This serves as a very useful baseline to monitor for any future changes. Disc photos are particularly helpful and it is useful to keep these electronically in your own records as well.
Monitoring can be done at the opticians as well. If you are over 40 years old with a first-degree relative with glaucoma then glaucoma screening is free at the opticians. This may not include disc imaging but many opticians are able to do this at an extra charge.
Some people can get glaucoma before 40 years as well; these include those with developmental glaucoma, congenital glaucoma and secondary glaucoma.
Afro Caribbean’s particularly are at an increased risk of getting glaucoma even before 40 years of age especially if there is a family history. Similarly in a condition called pigment dispersion glaucoma can occur at a relatively younger age.
Click here to download a leaflet on glaucoma and your relatives
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I was immediately put at ease by Mr. Goyal at my initial consultation. My diagnosis of early stage glaucoma was promptly followed up by relevant medication together with factual literature about the condition and how it is treated.
I have seen many different NHS consultants regarding my glaucoma over the years, and Mr Goyal exceeds all of them by his care, in depth knowledge and abilities. Mr M.J.H., Kent
Mr Goyal was highly recommended by my optician. He explained everything about understanding glaucoma in a simple way and was always extremely kind and patient.
I suffered from primary angle closure in both eyes and was treated by Mr. Goyal. He performed clear lens extraction/replacement in both of my eyes to help prevent the risk of glaucoma. Mr. Goyal is clearly an acknowledged expert in this field and in the many dealings that I have had with him, he has always impressed me. I found him to be very approachable and he was always happy to take the time necessary to explain to me, with the appropriate level of detail, the options that were available to me and the risks that were associated with each. I was naturally concerned about the operations but I was always reassured by Mr. Goyal’s knowledge, experience, approach and attention. Mr. Goyal made himself available to me via email and telephone before and after the operations, responding to any concerns or questions I had – this provided me with a great deal of comfort. The actual operations were executed perfectly by Mr. Goyal, during which he kept me informed throughout telling me what he was doing or what he was about to do. As an added bonus, with the aid of a special lens manufactured to my personal prescription, Mr. Goyal has also been able to counteract the effects of the severe astigmatism that previously affected one of my eyes. I have had no problems since the operations and I am very happy with the outcome. I would have absolutely no hesitation in recommending Mr. Goyal to any of my friends and family. Thank you Mr. Goyal for my “new eyes”.
I was extremely satisfied with Mr Goyal’s prompt examinations and diagnosis and I think he has an excellent manner and approach towards his patient. He is extremely professional and gives a thorough examination giving the patient considerable time and attention to their problem with excellent follow-up treatment as well as care.