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About Glaucoma

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Glaucoma is an eye disease that causes progressive damage to your optic nerve. This damage is usually the result of an abnormal amount of pressure inside of your eye and over time it can lead to vision loss or even blindness.

Open-Angle Glaucoma: The most common kind of glaucoma is open-angle glaucoma. The only symptom associated with open-angle glaucoma is vision loss. Usually beginning with the peripheral, or side, vision. However, if it is caught early enough you may be able to prevent additional vision loss. This is why you must get yearly comprehensive eye examinations by an ophthalmologist, or eye specialist, to monitor any changes to your vision.

Angle-Closure Glaucoma: Acute angle-closure glaucoma (sometimes referred to as narrow-angle glaucoma) is a medical emergency and requires immediate treatment. You can spot this condition by the following symptoms:
- Severe eye pain - Nausea and/or vomiting - Red eyes - Sudden blurred vision or other disturbances to your vision - Seeing halos around light

Treatment Options
Below is a list of common medications often prescribed for glaucoma which a doctor or provider can prescribe for you for just $5 through SesameRx.
An ounce of prevention is worth a ton of cure. Here are a few self-care steps that you can use for early detection or prevention of glaucoma:
FAQs

Glaucoma Care

What are common symptoms of glaucoma?

There are multiple forms of glaucoma, which often present different symptoms. The symptoms most commonly associated with these conditions include:
- Open-angle glaucoma
- Blind patches in your peripheral (side) or central vision, often in both eyes
- Advanced phases of tunnel vision
- Acute angle-closure glaucoma
- Severe headaches
- Pain in the eyes
- Hazy vision
- Vomiting and nausea
- Redness in the eyes
- Lights with halo effects

What are the most common treatment options for glaucoma?

Thankfully, there are a number of effective ways to treat glaucoma and the symptoms it causes. According to the Mayo Clinic, these often include:

- Prostaglandins. These reduce your eye pressure by increasing the outflow of the fluid in your eye (aqueous humor). Latanoprost (Xalatan), travoprost (Travatan Z), tafluprost (Zioptan), bimatoprost (Lumigan), and latanoprostene bunod are some of the medications in this category (Vyzulta).Mild reddening and stinging of the eyes, darkening of the iris, darkening of the pigment of the eyelashes or eyelid skin, and blurred vision are all possible adverse effects. This medication is only to be taken once a day.

- Beta-blockers. These lower the pressure in your eye by reducing the production of fluid in your eye (intraocular pressure). Timolol (Betimol, Istalol, Timoptic) and betaxolol are two examples (Betoptic). Breathing difficulties, a decreased heart rate, lower blood pressure, impotence, and weariness are all possible adverse effects. Depending on your condition, this class of medicine may be given for once- or twice-daily use.

- Alpha-adrenergic agonists. These decrease aqueous humor production and promote fluid outflow in your eye. Apraclonidine (Iopidine) and brimonidine are two examples (Alphagan P, Qoliana). An erratic heart rate, elevated blood pressure, weariness, red, itchy, or swollen eyes, and a dry mouth are all possible adverse effects. This class of medication is normally administered twice daily, although it can also be prescribed three times a day.

- Carbonic anhydrase inhibitors. These medicines reduce the production of fluid in your eye. Examples include dorzolamide (Trusopt) and brinzolamide (Azopt). Possible side effects include a metallic taste, frequent urination, and tingling in the fingers and toes. This class of drug is usually prescribed for twice-daily use but sometimes can be prescribed for use three times a day.

- Rho-kinase inhibitor. This medication decreases ocular pressure by inhibiting the rho kinase enzymes that cause fluid accumulation. Netarsudil (Rhopressa) is the brand name for this medication, which is taken once a day. Eye redness, irritation, and deposits accumulating on the cornea are all possible side effects.

- Miotic or cholinergic agents. These enhance the amount of fluid that leaves your eye. Pilocarpine is an example (Isopto Carpine). Headache, eye discomfort, smaller pupils, hazy or poor vision, and nearsightedness are all possible side effects. This type of medication is typically administered up to four times per day. These drugs are no longer commonly recommended due to the risk of side effects and the requirement for daily administration.

Oral medications

If eyedrops alone aren't enough to lower your eye pressure, your doctor may prescribe an oral drug, such as a carbonic anhydrase inhibitor. Frequent urination, tingling in the fingers and toes, sadness, stomach distress, and kidney stones are all possible adverse effects.

Surgery and other therapies

In some cases, your provider may recommend surgery or other therapies to treat your glaucoma. Common glaucoma procedures include:

- Laser therapy. If eyedrops alone aren't enough to lower your eye pressure, your doctor may prescribe an oral drug, such as a carbonic anhydrase inhibitor. Frequent urination, tingling in the fingers and toes, sadness, stomach distress, and kidney stones are all possible adverse effects.

- Filtering surgery. A trabeculectomy (truh-bek-u-LEK-tuh-me) is a surgical operation in which your surgeon makes an opening in the white of the eye (sclera) and removes part of the trabecular meshwork.

- Drainage tubes. A tiny tube shunt is inserted into your eye by your eye surgeon to drain out excess fluid and relieve your eye pressure.

- Minimally invasive glaucoma surgery (MIGS). To lower your eye pressure, your doctor may recommend MIGS surgery. These treatments are less risky and require less immediate postoperative care than trabeculectomy or the placement of a drainage device. They're frequently used in conjunction with cataract surgery. There are several MIGS treatments to choose from, and your doctor will discuss which one is best for you.

- Treating acute angle-closure glaucoma. Glaucoma with acute angle-closure is a medical emergency. If you've been diagnosed with this illness, you'll require immediate therapy to lower your eye pressure. This will usually necessitate the use of medicine as well as laser or other surgical techniques. A laser peripheral iridotomy is a technique in which a doctor uses a laser to create a small opening in your iris. This permits fluid (aqueous humor) to pass through it, reducing strain on the eyes.

What should I do if I am having vision problems?

If you are having serious vision problems or vision loss, see a doctor right away. Vision loss can be caused by an injury or by more serious conditions, like a stroke. If you are experiencing a severe, acute vision problem, call 911 immediately.

For non-emergency eye care, you can connect today with a licensed doctor on Sesame for a video eye exam. Our real, quality doctors can help diagnose and treat eye conditions for a clear, affordable price. No copays, no insurance networks, no hidden fees. It's really that simple.

What diseases does an ophthalmologist treat?

Ophthalmologists are medical doctors who specialize in treating a wide range of eye conditions. Ophthalmologists provide comprehensive eye exams to screen for eye disease. Some common conditions that ophthalmologists can treat include:
- Persistent dry eye syndrome
- Glaucoma
- Strabismus (Crossed eyes)
- Eye infections
- Astigmatism
- Macular Degeneration
- Diabetic retinopathy
- Presbyopia (age-related farsightedness)
- Conjunctivitis


To treat these diseases, ophthalmologists may prescribe eye medication or perform eye surgery. Common procedures performed by a specialized eye surgeon include:
- Refractive surgery (such as LASIK)
- Cataract surgery
- Cornea surgery
- Vitrectomy (retina surgery)


Before you book appointments with an ophthalmologist, check to make sure that they are certified by the American Academy of Ophthalmology (AAO). This ensures that your eye surgeon has received intensive training and is licensed at the highest possible level.

Don't wait to get screened for eye diseases and vision problems. Early detection helps reduce issues later on. Connect on Sesame with a licensed ophthalmologist in Meridian, ID to get the care you need for one affordable, upfront price - no copays or hidden fees. Seeing a doctor for your yearly wellness and prevention check-up can save many other medical issues from arising. Save up to 60% when you book your next comprehensive eye exam through Sesame.

How do I find the best ophthalmologist near me?

Right here!

Sesame makes it easy to find convenient and affordable eye care. Whether you're dealing with an existing eye condition or just want to book a new-patient eye exam, you can connect with a real, quality doctor on Sesame for an upfront, cash price. Save 60% on your next ophthalmologist visit by booking with Sesame. No surprise bills, wait times, or copays. Just clear, quality care.

What happens at an eye exam?

Eye doctors perform eye exams to help assess the health of your eye and screen for eye conditions. Eye doctors usually conduct two main types of eye exams: routine eye exams and comprehensive eye exams.

Routine eye exams:

Routine eye exams are performed annually or every other year. Routine eye exams are meant to check for vision problems and assess your eyesight. Your eye doctor will ask about your medical history, family history (relating to eye conditions), and any eye problems you may be experiencing. The doctor will perform tests to assess general eye health and check for astigmatism, nearsightedness (myopia), or farsightedness (hyperopia)/ age-related farsightedness (presbyopia). During a routine eye exam, your doctor will determine whether you may need eyeglasses and contact lenses and develop a prescription that works for you. Some tests performed during a routine eye exam include:

- Visual acuity tests: Tests that determine how well you see the details of a letter or figure at different distances.

- Visual field test: This test helps doctors determine where the limit of sight is in the corner of your eye.

- Refraction tests: To determine whether you may need glasses or contact lenses, eye doctors will use a phoropter to test the refractive error of each eye. A phoropter is a medical device that looks like a large pair of goggles. The eye doctor will ask you to look through the phoropter at a series of letters or images and will adjust the phoropter's lenses until arriving at a prescription that works for you.

- Eye movement tests: These simple tests can often be performed by tracking the eye's movement as it follows an object in the line of sight. This helps doctors check the strength of your ocular muscles.

Comprehensive eye exams:

An eye doctor will perform a comprehensive eye exam to assess eye health and visual acuity and screen for eye conditions and diseases. The eye doctor will run a routine eye exam alongside more specific tests tailored to your vision and eye needs. These are usually longer eye exams that are used to check for signs of eye disease or serious eye problems. Tests that may be performed during a comprehensive eye exam include:

- Tonometry: Tonometry is a test that helps check for glaucoma by measuring eye pressure - the pressure of fluid in the eye.

- Slit-lamp tests: Slit-lamp (or biomicroscope) tests check for abnormalities in the cornea, iris, and lens of the eye. The doctor will use a special type of light (slit-lamp) and a low-powered microscope to look at the surface of your eye. This painless examination can help catch macular degeneration, detached retinas, and cataracts.

Eye exams play a key role in eye health and general healthcare. Not only do eye exams help doctors assess your quality of vision, but they also help determine whether you need eyeglasses or other forms of eye care. Comprehensive eye exams are crucial for catching serious eye conditions.

Why are eye exams necessary?

Routine eye exams help eye doctors determine whether you need eyeglasses or prescription eye care. If you currently have eyeglasses or use contact lenses, routine eye exams also help determine the prescription that is right for you.

Comprehensive eye exams help eye doctors screen for eye disease and eye conditions such as:
- Glaucoma
- Macular degeneration
- Strabismus
- Corneal damage/ abrasions
- Detached retinas/ retinal damage
- Optic nerve damage
- Color blindness


Based on your medical history and eye health, it is generally recommended that adults receive a comprehensive eye exam every two years to screen for serious eye health problems and eye disease.

What is a dilated eye exam?

Dilation is usually the last part of an annual eye check-up (don't worry, it's painless) and is the best way for eye doctors to check for early warning signs of eye diseases.

Usually, your eye doctor will give you an eye drop that will dilate, or widen, your pupil. Your doctor can then examine the inner parts of your eye. Dilation allows eye doctors to catch eye diseases before they begin to cause serious symptoms and develop a treatment plan that's right for you!

What do you need for an eye exam?

Just yourself (and some information about your medical history).

During your video consult, your doctor will ask you questions about your current symptoms and medical history. They may ask you to re-position your webcam to better evaluate any symptoms you are having. Come prepared to ask questions and get to the bottom of your symptoms.

Is an eye exam painful?

Nope! Eye exams are almost always easy and painless. Most eye exams begin with your doctor asking you questions about any symptoms you have been having, your medical history, and your current medications.

Then, the doctor will test your visual acuity and visual field to see if you may need eyeglasses or contact lenses. Similar to the at-home vision tests, the doctor will ask you to identify letters listed on a chart approximately 10 feet away to assess your vision in each eye. If necessary, your eye doctor may conduct a refraction assessment. Refractors (those giant, metal goggles often associated with the eye doctor's office) correct errors in your vision, like astigmatism, by properly focusing light on your cornea, the back part of your eye. Eye doctors use refraction assessments to discover your lens prescription and fit you for glasses.

Your doctor may use a slit lamp, a tool that helps examine the inner structures of your eye, like your retina. They can also treat any physical symptoms you might be experiencing, like a stye - a painful bump near the outside of the eyelid.

Most eye doctors will also measure your eye pressure to detect the presence of glaucoma. For this, doctors use a tool called tonometry, which uses a quick puff of air to measure your eye pressure. But don't worry! Most doctors will give you a numbing eyedrop before tonometry--making the process completely painless!

Connect with a licensed optometrist on Sesame today, who can assess your symptoms and schedule a follow-up appointment - all for one transparent cash price.

How often should I get an eye exam?

The frequency of your eye exams should depend on your age as well as your personal and family medical history. The American Optometric Association (AOA) has developed recommendations outlining how often you should receive a comprehensive eye exam based on your age and personal risk of eye problems.

The AOA recommends that babies receive at least one comprehensive eye exam between birth and the age of 2, and at least one eye exam between the ages of 3-5. Then, the AOA suggests that children receive at least one more eye exam before first grade. After that, at-risk adolescents and adults should receive annual eye exams to help screen for eye disease and vision problems.

If you are low-risk or do not have vision problems, it is recommended that you get an eye exam every two years.

You should receive more regular eye exams if you have:

- A family history of eye problems and vision loss
- Preexisting health problems that affect your eyes (such as diabetes)
- Use and need prescription eye care (such as contact lenses, eyeglasses, or other eyewear)

Can you do an eye exam online?

Yep! Virtual eye exams are becoming more and more common. You can speak with a doctor over secure video chat to get your questions answered and symptoms addressed.

On Sesame, you can book an eye exam with a licensed optometrist in Meridian, ID for an affordable, cash price - all from the comfort of home.

How can I check my eyesight at home?

It is recommended that you see an eye doctor for your vision and eye care needs. But, there are some ways to test your vision at home. The easiest method, for example, is to set up an at-home eye test. You can do this by printing out an eyesight chart from the internet and taping it to a blank wall. Stand ten feet back from the chart and have a family member quiz you on the letters listed in the chart.

While this at-home eye test can be a fun way to test your visual acuity, you should see a licensed eye doctor for a comprehensive eye exam. Connect directly with optometrists and ophthalmologist on Sesame. Eye doctors on Sesame are available to speak today!

Can you get a doctors prescription online?

Sesame makes it easier than ever to get a prescription or refill a prescription from the comfort of your own home! To discuss a new prescription or refill, book a video visit with a doctor on Sesame. Physicians on Sesame can prescribe drugs that help treat infections, allergies, high blood pressure, and more.

Note that doctors on Sesame cannot prescribe controlled substances

Plus, because Sesame works to set prices directly with doctors, you can find visits with doctors at rates up to 60% less than what you’ll find through insurance networks.

Book a video visit on Sesamecare.com based on the health care you need, and pick up a new prescription or existing prescription refill at a pharmacy of your choice. If you don’t want to go pick up a prescription in-person, many pharmacies offer a prescription mail service for home delivery. Your medication will be shipped directly to you. Browse services on Sesame, set up an appointment with a real doctor at your convenience, and get the care you need. It’s simple, convenient, and affordable. Book a visit today!

Can you refill a prescription without a doctor?

Sometimes! Depending on the prescription medication that you need refilled, you may be able to get a prescription refill without direct consultation with your doctor. Based on the medication you need and the state you live in, you might be able to get your prescription refilled online.

Telehealth has made it easier than ever to get in touch with a health care professional for a prescription refill. Sesame offers convenient and affordable 15-minute video visits with real, quality doctors in Meridian, ID, so you can refill your prescription without the hassle of going to a doctor's office. It's simple: Search for the care you need, compare prices, and book a refill visit on your schedule.

Note: You cannot refill a prescription for a controlled substance without a doctor's consultation. Doctors on Sesame cannot prescribe narcotics or medication classified as controlled substances.

Can I get a prescription refilled?

Yes, you can book a video or in-person prescription refill appointment in which a provider will review current medications and prescribe a refill if necessary. Search appointments here.

Can I refill any medication over video?

Doctors on Sesame can refill most prescriptions for simple things like medication for diabetes and high blood pressure, antidepressants, birth control, and more. Doctors can't refill controlled substances over video. Yep, even if you've taken it for years.

Can you get a prescription refill at a different pharmacy?

Yep! If you request a prescription transfer, you can easily move your prescription from one pharmacy to another. Plus, many pharmacies now offer mail services for home delivery. Here's how to request a prescription refill at a different pharmacy:

1) Call your new preferred pharmacy to request a transfer.

2) Provide that pharmacy with health insurance/ prescription info

3) Wait for the prescription to be transferred before you pick it up. It usually takes pharmacies a few days to transfer a prescription, but you will get a notification once this step has been completed. Either go pick up your prescription in person or set up home delivery.

If you need a prescription refill, book a visit with a real, quality doctor on Sesame today. Doctors on Sesame can refill prescriptions for high blood pressure, birth control, allergies, and more! Save up to 60% on your prescription refill visit when you book with Sesame.

Can I book a follow-up appointment or additional services with Sesame?

Yes. Sesame offers a range of follow-up care, services, and specialist consults at clear, affordable prices. Get an MRI or X-ray for your sprained wrist. Talk to a therapist about how you're feeling. Or find a dermatologist to treat your rash. From primary care and prescription refills to dermatology and dentistry, clinicians on Sesame can help you treat and manage just about any condition.

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