Comprehensive Glaucoma Evaluation in Ahmedabad: Puja Eye Hospital

No. All components of the comprehensive glaucoma evaluation are non-invasive and painless. The gonioscopy lens involves brief contact with the eye surface after anaesthetic drops are applied, which is very well tolerated.

If dilating drops are used during the evaluation, your vision will be temporarily blurred and you will be sensitive to light for approximately 4 to 6 hours. It is advisable to arrange for someone to drive you home. If you prefer to avoid dilation, please inform the clinic at the time of booking so that the examination can be planned accordingly.

For patients newly diagnosed with glaucoma, follow-up evaluations are typically scheduled every 3 to 6 months initially. Once the condition is stable and well-controlled, annual evaluations may be sufficient. For high-risk individuals without confirmed glaucoma, annual screening is generally recommended.

A normal evaluation is very reassuring. However, glaucoma can sometimes develop or progress subtly. If you have significant risk factors, regular follow-up evaluations are recommended even after a normal result, as glaucoma is a lifelong condition that requires periodic monitoring.

No referral is required. You can book directly by calling or WhatsApp messaging Puja Eye Hospital. Many patients visit Dr. Sheth for a second opinion or as a self-referred patient with concerns about their eye pressure or a family history of glaucoma.

You should see a glaucoma specialist in Ahmedabad for a comprehensive evaluation if you are over 40 years of age, have a family history of glaucoma, have been told you have high eye pressure (ocular hypertension), are highly myopic (high minus power), have diabetes or hypertension, use steroid medications long-term, or have previously suffered an eye injury. Many patients have no symptoms in the early stages – glaucoma silently destroys peripheral vision long before central vision is affected. Early detection at a dedicated glaucoma clinic like Puja Eye Hospital is the only way to prevent permanent vision loss.

Dr. Puja Sheth’s comprehensive glaucoma evaluation protocol includes:

(1) Goldman applanation tonometry for precise IOP measurement;

(2) Pachymetry – corneal thickness measurement, which determines true risk from IOP readings;

(3) Gonioscopy – examination of the trabecular meshwork drainage angle to classify the glaucoma type as open-angle or closed-angle;

(4) Optic disc assessment using slit-lamp biomicroscopy and Zeiss OCT (Optical Coherence Tomography) for structural nerve fibre layer analysis;

(5) Humphrey visual field testing (perimetry) for functional assessment; and

(6) Fundus photography for baseline documentation. Each test provides a different layer of information, and together they give a complete picture of glaucoma presence and severity.

A first-visit comprehensive glaucoma evaluation typically takes 60 to 90 minutes. This includes the time required for pupil dilation (approximately 20–30 minutes), all diagnostic tests, and a detailed consultation with Dr. Puja Sheth to explain findings and recommend a treatment plan. Follow-up monitoring visits are shorter – usually 30 to 45 minutes – but still include updated IOP measurements, OCT, and visual field tests to track disease progression.

Zeiss OCT (Optical Coherence Tomography) is central to modern glaucoma diagnosis. It generates micron-level cross-sectional images of the retinal nerve fibre layer (RNFL) and optic nerve head, allowing Dr. Puja Sheth to detect structural glaucomatous damage – often before any visual field defect appears on perimetry. At Puja Eye Hospital, Zeiss OCT enables early detection, accurate staging, and reliable monitoring of disease progression over time. Serial OCT scans form the objective backbone of every glaucoma follow-up plan.

Monitoring frequency is individualised based on disease severity, IOP control, and risk factors. As a general framework: patients with ocular hypertension or glaucoma suspect status typically require evaluation every 6–12 months; patients with mild to moderate glaucoma on treatment require review every 3–6 months; advanced glaucoma cases or those post-surgery may require review every 1-3 months. Dr. Puja Sheth tailors each follow-up schedule to the individual, ensuring that any progression is detected and treatment adjusted promptly.

Yes – and this is precisely why regular glaucoma evaluations matter. Glaucoma causes irreversible nerve damage, but when caught early, treatment can halt or significantly slow progression, preserving functional vision for life. At Puja Eye Hospital, Ahmedabad, patients who undergo structured monitoring with regular IOP checks, serial OCT, and visual field testing are managed proactively – adjusting medications or proceeding to laser or surgical treatment before advanced damage occurs. The key message: blindness from glaucoma is largely preventable with early detection and consistent specialist care.