Glaucoma Specialist

Dr. Edward Washington is a trusted glaucoma specialist serving Norcross GA. He is available Monday through Friday at Peachtree Ophthalmology in Peachtree Corners, Georgia.

Call 770-285-7910 Now!

Dr. Washington is a board-certified ophthalmologist with experience in medical, laser, and surgical treatment of glaucoma. He has performed advanced Minimally Invasive Glaucoma Surgery (MIGS) and recommends specific procedures based on the individual patient.

Glaucoma is a group of conditions that usually result in a specific type of optic nerve damage known as optic nerve cupping. Once significant optic nerve loss has occurred patients develop visual field loss in their peripheral vision which can progress centrally (“tunnel vision”).

Optic nerve damage and visual field loss is permanent. The optic nerve is the cable cord connecting the eye and the brain. Once the cord is damaged the brain has no signals resulting in vision loss.

Most of the time glaucoma is painless and patients do not have symptoms of vision loss until late in the end-stage of the disease. Early detention and treatment of glaucoma helps in preventing further damage and visual field loss. Read more about glaucoma.

Risk factors for glaucoma include the following:

  • Older age
  • Family History
  • African, Hispanic, or Asian ethnicity
  • Thin Cornea thickness
  • Elevated Eye pressure
  • Myopia (near sighted)
  • Hyperopia (far sighted) for Narrow angle glaucoma
  • Use of Steroids (oral, IV, inhaler)
  • Eye Trauma
  • Hypertension (high blood pressure)
  • Hypotension (low blood pressure)
  • Diabetes
  • Migraines, Vascular spasm, Raynaud’s phenomenon
  • Sleep Apnea

Most patients with glaucoma will not have any symptoms in the early stages of the disease.

Patients with advanced stage glaucoma will have tunnel vision and issues with peripheral vision.

Patients with angle closure glaucoma will have symptoms of:

  • eye pain
  • red eye
  • headache
  • nausea and vomiting
  • decreased vision
  • loss of vision

OPEN ANGLE GLAUCOMA

Patients have open angle glaucoma when their drainage system, the trabecular meshwork, is open, unobstructed, and visible on exam. Glaucoma results from the resistance to outflow and the build up of eye pressure.

NARROW ANGLE OR ANGLE CLOSURE GLAUCOMA

Angle closure glaucoma occurs when the drainage system of the eye, the trabecular meshwork, is blocked or obstructed (usually by the iris) and fluid can not drain from the eye resulting in increased eye pressure.

Glaucoma is diagnosed during a comprehensive eye exam. It may take a couple of visits and special testing to determine if a patient has glaucoma.

WHAT CAN I EXPECT DURING THE GLAUCOMA EXAM?

  • History
  • Visual acuity testing
  • Ocular vital signs
  • Eye pressure
  • Pupil testing: Confrontational fields, Extraocular movements
  • Slit Lamp Exam & Dilated Eye Exam
  • Fundus Photos of the optic nerve.
  • Gonioscopy (special lens placed on eye): determines if you have narrow angles or open angles.
  • Humphrey visual field: a device that measures and maps a patient’s visual field.
  • Optical Coherence Tomography: a noninvasive device that uses light to create cross section images of the optic nerve. It detects changes in optic nerve thickness over time and compares the patient’s optic nerve to their normal cohort.

FOLLOW-UP APPOINTMENTS

Patients with glaucoma are typically followed between every 2 to 6 months depending on the severity. Sometimes patients are followed for shorter duration, 1 to 8 weeks, depending on their ocular situation and response to treatment.

MEDICATIONS

The initial treatment for glaucoma is topical medication. Some medication reduces aqueous humor production and others increase outflow of the drainage system.

  • Prostaglandin Analogs
  • BetaBlockers
  • Alpha agonists
  • Carbonic Anhydrase Inhibitors (topical and oral)
  • Rho-Kinase Inhibitors
  • Cholinergic Agents

LASER PROCEDURES

  • Laser Iridotomy: A procedure for patients with narrow angles/ narrow angle glaucoma. The laser creates a hole in the peripheral iris to prevent pupillary block and acute angle closure glaucoma.
  • Laser Trabeculoplasty: A procedure for patients with open angle glaucoma, who have issues taking eye drops (compliance or allergy). The laser targets the Trabecular meshwork for 180 to 360 degrees depending on the surgeon. This procedure improves outflow to reduce eye pressure. The effect of the laser can last up to 1 to 5 years and can be repeated, but loses its effectivity over time.

GLAUCOMA SURGERY

  • Traditional Glaucoma Surgery
    • Trabeculectomy: A procedure where a tiny scleral flap is created to improve outflow in glaucoma patients. This surgery creates a filtration bleb or conjunctival buble under the eyelid.
    • Glaucoma Drainage Device: A procedure where a tube implant is placed inside the eye (anterior chamber) to improve outflow. This tube is connected to a reservoir plate that will be sutured in between a patient’s eye muscles.
  • Minimally Invasive Glaucoma Surgery

Why Chose As Your Glaucoma Specialist?

Intentional & Personal Treatment

Our practice believes in intentional and personal eye care. We are dedicated to the education and comfort of our patients to assist them in making knowledgeable decisions regarding their overall health and eye care.

Member of American Glaucoma Society

Dr Washington is a member of the prestigious American Glaucoma Society. The American Glaucoma Society is comprised of Glaucoma Specialists dedicated to sharing clinical and scientific information for the benefit of patients, colleagues, fellows and residents.

Care Through Fostering Strong Relationships

We provide intentional care through fostering strong relationships with community healthcare providers, recruiting compassionate staff, and empowering employees. We were founded on the belief in the unlimited potential of the neighborhood practice.

Testimonials

I'm pleased to share my positive experience with Peachtree Ophthalmology. The Ophthalmologist conducted a thorough examination for my elderly mother-in-law, who faces challenges with cataract and glaucoma. Towards the end of the visit he shared some valuable resources that provided clarity about her condition and treatment options. The professionalism and convenient location definitely make it a commendable choice.
- Murielle Abi

How To Contact Us?

Our eye clinic is located close to the intersection of Holcomb Bridge Rd and Spalding Dr. Peachtree Ophthalmology serves Norcross GA & Peachtree Corners.

Address

4045 Wetherburn Way, Ste 1
Peachtree Corners, Georgia 30092

Phone & Fax

770-285-7910
770-609-8356

Office Hours

Mon - Fri: 8:00 a.m. to 5:00 p.m.
Sat & Sun: Closed

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