Glaucoma Care · Diagnostics

Glaucoma Testing
& Diagnosis

Glaucoma often has no early symptoms, which is why specific tests — eye pressure, OCT and visual field — are used to detect it before vision is permanently affected.

⚠️ Acute Angle-Closure Glaucoma — Seek Emergency Care

Unlike the common, gradual form of glaucoma, acute angle-closure glaucoma comes on suddenly and is a medical emergency. Seek immediate eye care — the same day, not a routine appointment — if you have:

What Is It?

Why Glaucoma Testing Matters

Glaucoma is a group of conditions that damage the optic nerve, often linked to raised pressure inside the eye. In its common chronic form, it usually causes no symptoms until significant, often irreversible, peripheral vision loss has already occurred.

Because of this, glaucoma is detected through specific tests rather than symptoms alone — which is why a comprehensive eye examination for adults, especially those over 40 or with a family history of glaucoma, includes glaucoma-specific testing.

A less common but more urgent form, acute angle-closure glaucoma, presents very differently — with sudden pain, redness and blurred vision — and needs emergency treatment (see the warning section below).

Symptoms & Indications

Who Should Be Tested

Because chronic glaucoma is usually symptom-free early on, testing is recommended based on risk factors rather than waiting for symptoms.

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Age over 40

Glaucoma risk increases with age, making periodic eye pressure and optic nerve checks worthwhile from 40 onwards.

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Family history of glaucoma

Having a parent or sibling with glaucoma raises your own risk and is a reason for earlier, more frequent screening.

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Diabetes or long-term steroid use

Certain medical conditions and medications are associated with increased glaucoma risk and warrant regular monitoring.

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Noticed gradual loss of peripheral vision

Though often unnoticed until advanced, some patients do report bumping into things on one side, or a family member noticing it.

Treatment Options

Available Options

01
Tonometry (Eye Pressure Check)

A quick, routine test measuring the pressure inside the eye — one of several factors used to assess glaucoma risk.

02
OCT of the Optic Nerve

Optical Coherence Tomography images the optic nerve fibre layer, detecting subtle thinning that can indicate early glaucoma damage.

03
Visual Field Testing (Perimetry)

Maps your peripheral vision to detect and monitor any glaucoma-related vision loss, often before you'd notice it yourself.

What To Expect

What a Glaucoma Testing Visit Involves

A glaucoma work-up combines several painless tests to build a complete picture of your eye pressure, optic nerve health and visual field.

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Eye Pressure Measurement

Tonometry measures intraocular pressure, a key (though not the only) risk factor for glaucoma.

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Optic Nerve Examination

The optic nerve is examined directly, and often imaged with OCT, to check for signs of glaucoma-related damage.

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Visual Field Test

A perimetry test maps out your peripheral vision to detect any glaucoma-related visual field loss.

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Diagnosis & Follow-Up Plan

Results are reviewed together to determine whether glaucoma is present, and a monitoring or treatment plan and follow-up interval are set.

Please note: A single mildly raised eye pressure reading does not necessarily mean you have glaucoma, and a normal pressure reading does not fully rule it out — this is why OCT and visual field testing are used together with pressure checks, not pressure alone.

Common Questions

Frequently Asked Questions

No. Tonometry, OCT and visual field testing are all painless, non-invasive tests, though eye drops may be used to help with certain parts of the examination.

Initial testing can be done in one visit, but glaucoma diagnosis often relies on comparing results over time (especially OCT and visual field trends), so a follow-up test after some months may be recommended to confirm a diagnosis.

Not necessarily. Some patients develop glaucoma with normal-range eye pressure ('normal-tension glaucoma'), which is why optic nerve and visual field assessment matter alongside pressure checks.

This depends on your risk factors and any findings from your last test; Dr. Gandhi will recommend an interval — commonly annual for higher-risk patients — specific to you.
Dr. Deepak Gandhi

Evaluated and treated under Dr. Deepak Gandhi, Director of Gandhi Eye Centre, with clinical experience across cataract, glaucoma, cornea, retina and pediatric eye care.

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Book a Glaucoma Screening

If you're over 40, have a family history of glaucoma, or haven't had your eye pressure checked recently, book a glaucoma screening at Gandhi Eye Centre, Faridabad.