Glaucoma

Glaucoma is a disease caused by increased intraocular pressure (IOP) resulting either from an overproduction of fluid or from a malfunction of the eye's drainage structures. Left untreated, an elevated IOP causes irreversible damage to the optic nerve and retinal fibers, which leads to progressive and permanent vision loss. Early detection and treatment can slow or halt the progression of the disease.

Essentially, glaucoma occurs when the delicate balance between the production and drainage of aqueous is thrown off-balance. Common types of glaucoma are open angle and acute angle closure.

Open angle glaucoma results from aqueous fluid building up within the anterior chamber, causing IOP to become elevated. Left untreated, this may result in permanent damage of the optic nerve and retina.

Acute angle closure occurs in only about 10% of the glaucoma population. It is the result of an abnormality of the structures in the front of the eye, collectively called the angle. In most of these cases, the angle space between the iris and cornea is more narrow than normal, leaving a smaller channel for the aqueous to pass through. If the flow of aqueous becomes completely blocked, IOP rises sharply, causing a sudden angle closure attack.

Two less common forms of glaucoma are secondary glaucoma, which results from another disease or problem in the eye and congenital glaucoma, a rare type that is seen in infants and requires surgery.

The danger of glaucoma lies in its lack of symptoms. Generally, it takes a routine eye exam to detect the disease. However, acute angle closure may cause a sudden decrease in vision, extreme eye pain, headache, nausea or vomiting, or acute glare and light sensitivity.

Most patients with glaucoma require only medication to control the eye pressure. Sometimes more than one medication will be prescribed. Surgery is indicated when medical treatment fails to lower the pressure satisfactorily. The purpose of surgery is to allow fluid to drain from the eye more efficiently so IOP is not elevated.

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Testimonials

  • "Cannot recommend Dr Coad & his lasik coordinator Nicole enough. They are wonderfully supportive and gentle that even if you are nervous it will be difficult to stay that way around this supportive duo! Without a doubt recommend going to see them, they are worth the additional care and cost for a full-service experience that are there just to help you & give you the best vision possible. Thank you Dr Coad & Nicole."
    Yasmin L.
  • "Dr. Coad and his staff made the experience of having a cataract removed the best it could possibly be, from evaluation to discussing options to being reassuring when the surgery began, to follow-up. The evaluation process was efficient, yet at no time did I feel as if it was anything but personal. His staff at all times were both professional and welcoming. Vace, the surgical coordinator, did everything to make sure the surgical process went smoothly.
    As to Dr. Coad himself, I can't say enough. His skill is absolutely top-notch, but it was the concern that he took in making sure that I understood all of my options, and his reassuring manner before, during and after the surgery which makes it easy to recommend him to the fullest to anyone who needs ophthalmic care."
    Ed W.
  • "Had a five star experience at Chelsea Eye! I went to Dr Yoon for an eye exam and she was extremely friendly, helpful and down to earth! I have met all the staff and they are very friendly and easy to talk to. Hugo in particular was wonderful to work with during the exam. It was a breathe of fresh air coming to this practice and I highly recommend going here for an Optometry appointment or Opthalmology appointment with Dr Coad."
    Devon T.
  • "Can I please take a moment and talk about how awesome Dr. Jay Yoon is?!

    I would be friends with this woman! I went in freaked out about a blood vessel on my eye and in total hypochondriac mode (is it a stroke? Is this connected to my brain? Is it gonna spread?). She laughed and calmly said "looks like you've always had this and it's fine and here are some drops cause your eyes are dry and here's my great primary doctor who I recommend since you don't have one."

    She was very funny and relatable and cool - she didn't try to rush me away and she was honest about everything too and so helpful.

    I've already started recommending her and now I'll do it on here: book an appt and be treated so warmly."
    Bonnie G.
  • "Dr Coad and Nicole were both absolutely wonderful. After my brother had LASIK surgery, I decided to go ahead and do the same.

    Both Nicole and Dr. Coad are very proficient in their work. They answered any and all questions that I had, and calmed every nervous feeling that arose from the start, up until the surgery.

    Going through the surgery I was EXTREMELY nervous and Dr. Coad walked me through the entire procedure (before and during) and made my whole LASIK experience a breeze.

    I can not recommend them enough. If you are interested in LASIK Dr. Coad is the only doctor I would trust."
    Christina V.
  • "This team is the absolute best. Christine is a gift from the gods and makes you feel comfortable supported and amazing. She really got me through my anxieties about my recent lasik surgery - which went great! Dr Coad is the best. A fantastic team, a simple process - I highly recommend this team - if you've ever considered lasik (like I have for the last 20 years) make an appt with this great group. You'll be happy you did."
    Mark P.
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