Ophthalmology & Optometry/glaucoma

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Question
They say that glaucoma is a slowly developing eye disease, at first your peripheral vision is affected and gradually your field of vision narrows until totally blind, and by the time symptom are noticed significant vision loss has already occurred !?
How is that possible when even a small loss of peripheral vision is quite noticeable.

Answer
On the contrary . Small areas of
Peripheral vision that are lost are almost always not
Noticed by patients , some of
These abnormal blindspots are twenty to thirty degrees away from the central fixation area  and
Aren't noticed until they are large and dense. When these "visible" blindspots become apparent , this means that over 50%
Of the nerve fiber layer
From
The optic nerve that radiates onto to retina, have been destroyed and cannot be reversed . That
Is why
Early detection and treatment is imperative . Hopes this clarifies
This a bit.     Dr Berger  

Ophthalmology & Optometry

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DR. KENNETH BERGER

Expertise

Any and all questions with regard to ocular ailments, eye diseases as cataracts, glaucoma, macular degeneration, diabetic retinopathy, etc , eye and visual sympomatology, eyeglasses, contact lenses, low or subnormal vision, pediatric vision conditions,and special and unique ailments will be discussed.

Experience

36 years of clinical experience in opticianry and therapeutic optometry. Still in private practice with special interests in vision conditions, diagnosing and treating ocular ailments, prescibing treatment plans which include medicine, eyeglasses, and contact lenses primarily. Although surgery is not within the realm of my area of expertise, I co-manage many pre and post -op surgical cases which include Lasik and PRK procedures.

Organizations
New Jersey Society of Optometric Physicians American Optometric Association

Education/Credentials
B.A.,1968, Hunter College of the City University of New York B.S.,1970, Pennsylvania College of Optometry O.D.,1973, Pennsylvania College of Optometry Therapeutic Pharmaceutical Administration Certification, New Jersey 1992

Awards and Honors
Clinical Efficiency Award, 1973, Pennsylvaania College of Optometry

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