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The Silent Threat to Vision: Why Glaucoma Often Goes Undetected Until It’s Too Late

The Silent Threat to Vision: Why Glaucoma Often Goes Undetected Until It’s Too Late

By Dr. Shital S. LalwaniDate: 24/11/2025

What Makes Glaucoma So Dangerous?

Glaucoma is feared not because it causes pain or discomfort, but because it causes almost no symptoms until vision damage has already occurred.

Many people assume that eye problems will cause blurred vision or discomfort from the start. Glaucoma behaves differently. It affects the optic nerve gradually and quietly, and by the time most patients notice a problem, significant permanent loss has already happened.

The most important message about glaucoma is simple: early detection saves vision.

Understanding the Disease

Glaucoma is a group of conditions that damage the optic nerve, typically due to increased pressure within the eye. Fluid builds up within the eye and presses on the nerve. But it is equally important to understand that glaucoma can occur even when eye pressure is normal, which is why depending on symptoms alone is risky.

Anyone can develop glaucoma, but age over 40, a family history of glaucoma, diabetes, high eye power, thyroid problems, long-term steroid use and previous eye injuries significantly increase risk.

Why Patients Do Not Notice Glaucoma Early

When cataracts develop, vision becomes cloudy or hazy and the person realises something is wrong.

Glaucoma works differently. It first affects side vision, which the brain automatically compensates for. Patients feel like they are seeing normally, even as peripheral sight slowly narrows. Central vision is affected only in the later stages, and the damage cannot be reversed.

Many patients discover they have glaucoma only when it has progressed enough to interfere with driving or navigating crowded spaces.

Warning Signs to Watch For

Most early stages are silent. Later stages may show:

  • Loss of side vision
  • Needing more light for reading
  • Sudden halos around lights
  • Difficulty walking without bumping into objects
  • Rarely, strong headache or eye pain in sudden pressure spikes

Any suspicion should be taken seriously and evaluated at once.

Comprehensive Diagnosis Is the Best Protection

Because glaucoma progresses quietly, routine eye check-ups matter. A simple vision test is not enough to detect glaucoma.

Screening at Jeevan Sparsh Eye Hospital includes evaluating eye pressure, analysing the optic nerve, measuring peripheral vision through a visual field (perimetry) test, corneal thickness measurement, and OCT scans to detect early nerve fibre thinning. These tools help identify glaucoma before symptoms appear and determine how aggressively it might progress.

 Evaluating Safety and Effectiveness

Treatment Protects the Remaining Vision

While lost vision cannot be restored, early treatment can stop or slow down further damage significantly. Treatment options include:

  • Pressure-lowering eye drops
  • Laser procedures to improve drainage
  • Minimally invasive glaucoma surgery for selected cases
  • Traditional glaucoma surgery for advanced disease

Every treatment plan is customised based on the patient’s age, daily routine, pressure levels, and optic nerve condition. Consistent follow-up appointments are essential to protect long-term vision.

Do Not Wait for Symptoms

People often postpone glaucoma screening because they “feel fine.” Unfortunately, good vision does not mean good optic nerve health. Annual preventive screening, especially after age 40 or when risk factors are present, is the strongest protection against irreversible vision loss.

Laser-assisted options represent future-forward innovation that is valuable to understand

Safeguard Your Sight for Life

Glaucoma does not have to steal vision. With early screening and timely treatment, most people live their entire life with functional vision. The safest step is not waiting for symptoms, but scheduling regular eye examinations.

Jeevan Sparsh Eye Hospital provides comprehensive glaucoma evaluation and personalised treatment to protect vision long-term.

If you have risk factors or simply want to stay proactive about your eye health, consider a glaucoma screening appointment. Preserving sight today can protect independence, safety, and quality of life for decades.