Tag: Glaucoma Diagnosis

Why Do I Need Glaucoma Treatment If My Vision Seems Normal?

Glaucoma often causes permanent optic nerve damage long before noticeable vision loss develops. Treatment is designed to protect your future vision by slowing or preventing progression before symptoms appear, Dr Shibal Bhartiya explains.

Your vision feels fine. No pain, no blur, no obvious change. So why is your doctor urging treatment? This is the most common question glaucoma patients ask, and it deserves a direct, honest answer,

Glaucoma destroys your optic nerve silently. By the time you notice something is wrong, you have already lost nerve fibres that will never return. Treatment does not restore what is gone. It protects what remains.

The Vision You Have Now Is Not the Vision You Started With

Glaucoma removes peripheral vision first. Your central vision stays sharp until the disease is advanced. Your brain also compensates, filling in blind areas so skilfully that you do not notice them. You may have lost 30 to 40 percent of your optic nerve fibres before any symptom appears.

This is why “I can see fine” is not a safe reassurance in glaucoma. It reflects the vision that has survived, not the vision that has been lost.

Why Glaucoma Treatment Feels Unnecessary (And Why That Feeling Is Dangerous)

Glaucoma drops do not improve your vision. They do not reduce pain because glaucoma causes none. They do not change how things look today. Their only job is to lower the pressure inside your eye and slow the damage to your optic nerve.

When a treatment produces no felt benefit, stopping it feels harmless. This is the central psychological trap in glaucoma care. Patients who feel well skip doses, delay refills, or discontinue treatment altogether. The nerve continues to deteriorate. By the time symptoms appear, the loss is severe and permanent.

The absence of symptoms is not evidence that you are safe. It is evidence that the disease has not yet crossed your threshold of awareness.

What the Research Actually Shows

Studies consistently show that controlling eye pressure reduces the risk of glaucoma progression. The Ocular Hypertension Treatment Study showed that lowering pressure by 20 percent reduced conversion to glaucoma by more than half. The Early Manifest Glaucoma Trial showed that each mmHg reduction in pressure produced a measurable reduction in progression risk.

You are not treating a feeling. You are treating a measurable biological risk that happens to produce no warning before it causes irreversible harm.

“But My Pressures Are Controlled Now — Do I Still Need Drops?”

Yes. Controlled pressure means the treatment is working. Stopping treatment removes the protection. Pressure typically rises again within days to weeks after discontinuation.

Some patients assume that normal pressure readings mean the problem is resolved. Glaucoma is a chronic condition. Controlled pressure is a maintained state, not a cured one.

Normal-Tension Glaucoma: When Pressure Is Not Even the Full Story

A significant group of patients develop glaucoma with eye pressures in the statistically normal range. Their optic nerves are still vulnerable, often due to poor blood flow, structural susceptibility, or other factors. For these patients, the question “but my pressure is fine” does not mean treatment is unnecessary. It means the target pressure needs to be set lower, and other risk factors need attention.

This is one reason that glaucoma management requires individual assessment, not a one-size guideline.

FAQ

If I have no symptoms, does that mean my glaucoma is mild?

Not necessarily. Glaucoma can cause significant optic nerve damage before any symptom appears. The severity of glaucoma is assessed through structural tests like OCT and functional tests like visual fields, not through how your vision feels day to day.

What happens if I skip my glaucoma drops for a few days?

Eye pressure can rise within 24 to 48 hours of stopping treatment. Over time, this pressure exposure adds to cumulative nerve damage. Occasional missed doses are less harmful than long gaps, but no dose-skipping is risk-free in active glaucoma.

Can I know if my glaucoma is getting worse?

Progression is detected through serial OCT scans and visual field testing, not through symptoms. This is why regular follow-up is essential even when your vision feels unchanged.

My doctor wants to change my drops. Should I get a second opinion first?

A second opinion is always appropriate in glaucoma, especially if you are uncertain about treatment changes, surgical recommendations, or whether your current regimen is adequate. Glaucoma causes irreversible loss, so the cost of a wrong decision is permanent.

Are there people who do not need treatment despite a glaucoma diagnosis?

In very early suspected glaucoma or ocular hypertension with low risk factors, observation may be appropriate rather than immediate treatment. This is a clinical judgement based on your individual risk profile, your optic nerve appearance, and your visual field results. It requires an experienced glaucoma specialist to make that call correctly.

What You Should Expect From Your Glaucoma Care

A good glaucoma consultation does more than prescribe drops. It establishes your target pressure based on your stage of disease, your age, and your life expectancy. Also, it identifies your progression rate through serial testing. It reviews whether your current treatment is achieving that target. And it explains, clearly, what is at stake if treatment is inconsistent.

If you have left a consultation without understanding why your specific pressure target was chosen, that is worth asking about. If you are uncertain whether your glaucoma is stable or progressing, that is worth investigating through formal visual field and OCT trend analysis.

A Note on Seeking a Second Opinion

Glaucoma decisions carry permanent consequences. Second opinions are not a sign of distrust toward your current doctor. They are a rational response to a disease where the cost of under-treatment is irreversible. An independent review of your scans and pressure history can confirm that you are on the right path, or catch something that has been missed.

This page is part of the Glaucoma Hub hub. Read about our full approach to glaucoma care. Please also read our Second Opinion Hub. Please also read Glaucoma Diagnosis, first 90 days; and Glaucoma Treatment

Here’s another heartening patient story: Tired of drops

About the Author

This article was written by Dr Shibal Bhartiya, fellowship-trained glaucoma specialist and Mayo Clinic Research Collaborator, Clinical Director at Marengo Asia Hospitals, Gurugram, known for ethical, patient-centred glaucoma care and independent glaucoma second opinions. She is also the Program Director for Community Outreach & Wellness; and for the Marengo Asia International Institute of Neuro and Spine.

She has published peer-reviewed research on glaucoma management, examining how treatment decisions should balance medical evidence, patient preferences, and long-term vision outcomes.

As Editor-in-Chief of Clinical and Experimental Vision and Eye Research and Executive Editor of the Journal of Current Glaucoma Practice (Pubmed Indexed, official journal of the International Society of Glaucoma Surgery), Dr Shibal Bhartiya brings editorial and research depth to every clinical decision. Her 200+ publications, including 90+ PubMed-indexed publications and 28 edited textbooks span glaucoma biology, surgical outcomes, health equity, and emerging diagnostics.

1500+ Five Star Patient Reviews Google Business Profile

If you are unable to come to Dr Bhartiya’s clinic: Read more about teleconsultation

Read her research on PubMed | Google Scholar | ResearchGate | ORCID

Upload your reports for a structured review.| www.drshibalbhartiya.com | +91 88826 38735

Leave a review on Google

What Should I Do After Being Diagnosed With Glaucoma?

After a glaucoma diagnosis, start treatment, learn the right drop technique, and book a follow-up within four to six weeks. Check your general health, watch out for any side effects, and ask your doctor whether laser suits you. Then make your close relatives are screened for glaucoma.

A glaucoma diagnosis can feel overwhelming, but the first 90 days are crucial for understanding your condition, starting treatment, and establishing a plan to protect your vision long term. Early follow-up, regular eye pressure monitoring, and clear communication with your glaucoma specialist can make a significant difference in preserving sight.

Your First 90 Days With Glaucoma: A Step-by-Step Action Plan

Many patients ask me: I have been diagnosed with glaucoma. What do I do now. Here is what I tell them: A glaucoma diagnosis does not mean you are going blind. It means you now have information most people get too late. The next 90 days are the most important window — not because the disease moves fast, but because the habits you build now protect your vision for the next 30 years.

This guide, written by Dr Shibal Bhartiya, tells you exactly what to do, in order.

Dr Shibal Bhartiya is a fellowship-trained glaucoma specialist and Mayo Clinic Research Collaborator with over 25 years of experience. Her approach focuses on identifying risk before damage is irreversible, simplifying treatment decisions, and protecting vision long-term. Emphasis on early detection, risk assessment, and continuity of care. She is rated 5 stars across 1,500+ patient reviews on Google.

Day 1–7 of Glaucoma Diagnosis: Get the Basics Right

Ask three questions before you leave the clinic

  1. What type of glaucoma do I have?
  2. What is my target eye pressure?
  3. How much damage is already present?

Write the answers down. They guide every decision that follows.

Learn to put in your eye drops correctly

This is the single most important skill you will learn. Studies show that over 60% of patients use eye drops incorrectly — and incorrect technique means the drop misses the eye, or drains immediately into the tear duct and does nothing.

Do this:

  1. Wash your hands.
  2. Tilt your head back. Pull your lower eyelid down to form a pocket.
  3. Hold the bottle above the eye. Do not touch your eye or lashes.
  4. Squeeze one drop into the pocket.
  5. Close your eye gently. Press the inner corner, near your nose, for one minute.
  6. Do not blink hard. Do not wipe the eye.

This pressure blocks the tear duct, so the medicine stays in the eye. Wait five minutes between different drops. Otherwise the second drop washes out the first.

Ask your doctor or technician to watch you once and correct your technique.

Here’s a video demonstration of how to put eye drops:

Set a daily alarm — and take them seriously

Glaucoma drops work only when taken on time, every day, for life. A single missed day matters less than a pattern of casual delays.

Most drops are once daily, ideally at night. Set a recurring alarm on your phone with a label — “Left eye drop, right eye drop, press corner.” Place the bottle next to your toothbrush. The habit links to the existing habit.

If you use drops twice daily, set both alarms. Never rely on memory alone.

NOTE: Some drops blur vision for a few minutes. Do not drive until your vision feels normal. After a dilated eye exam, this can take several hours.

Keep every report

You walked out of the clinic with reports. Photograph or scan every one of them today — the visual field test, the OCT nerve scan, the IOP readings, the prescription. Put them in a dedicated folder on your phone or email them to yourself with the subject line “Glaucoma Records — [your name].”

You will need these at your next visit, at any second opinion, and if you travel and need emergency eye care. Doctors cannot make good decisions without your baseline.

Week 2–4 of Glaucoma Diagnosis: Build the Follow-Up Structure

Book your first follow-up for four to six weeks

Most drops start lowering pressure within days to a few weeks. Your doctor rechecks at four to six weeks to confirm the drop works for you. Book this visit before you leave the clinic, or call and book it this week.

At this visit, your doctor checks three things:

  • Whether you need a different dose or medicine
  • Your eye pressure compared with your baseline
  • Redness, allergy, or discomfort from the drop

Set a calendar reminder for this appointment the day you are diagnosed. If the appointment was not scheduled, call the clinic and schedule it yourself before the week is over.

Know the side effects of common drops

Most glaucoma drops are well-tolerated. But some cause changes you should know about.

A few effects deserve a call to your doctor.

  • Prostaglandin analogues (latanoprost, travoprost, bimatoprost): These can darken the iris or eyelid skin, lengthen lashes, and cause mild redness. Most effects are cosmetic. Tell your doctor.
  • Beta-blockers (timolol): Tell your doctor before starting if you have asthma, COPD, a slow pulse, or heart block. These drops can worsen those conditions. If you feel breathless or unusually tired, call the same day.
  • Alpha agonists (brimonidine): These can cause an allergic reaction with red, itchy, watery eyes. It may appear after weeks or months. Call your doctor if this happens.

Redness is common. Do not stop your drops on your own. A preservative-free drop or a different class often solves the problem. Read more on managing drop side effects.

Month 1–2 of Glaucoma Diagnosis: Tell Your Family

Your siblings and children need an eye check — now

Why should my relatives get screened? Glaucoma runs in families. Population studies report a roughly four to nine times higher risk for first-degree relatives. Most have no symptoms until damage is advanced.

Tell your siblings and adult children this month. Ask each to see an ophthalmologist for an eye pressure check, optic nerve assessment, and visual field test. This may be the most useful thing your diagnosis does for your family.

Month 1–3: Address the Controllable Risk Factors

Stop smoking

Smoking harms blood vessels and your general health. Evidence linking it directly to glaucoma progression is mixed. Quitting still protects your heart and circulation, which also matters for your eyes.

If you smoke, speak to your doctor about cessation support.

Blood pressure, diabetes, and sleep

High blood pressure, diabetes, thyroid disease, and sleep apnoea all affect glaucoma progression through vascular and metabolic pathways. If these are uncontrolled, your optic nerve faces risk from two directions simultaneously.

Ask your physician to check your blood pressure, fasting glucose, and HbA1c. Uncontrolled diabetes and high blood pressure add stress to the optic nerve. Mention loud snoring or morning tiredness, because several studies link sleep apnoea with glaucoma.

Tell every doctor about your glaucoma before they change a blood pressure medicine. Very low night-time blood pressure can matter in glaucoma. Never change those medicines yourself. Read more on glaucoma and blood pressure.

Exercise — the right kind

Moderate aerobic exercise, such as brisk walking for 30 minutes most days, can lower eye pressure modestly. Avoid heavy lifting with breath-holding and head-down yoga poses. Both raise eye pressure briefly.

Month 2–3: Ask About Laser Treatment

SLT — Selective Laser Trabeculoplasty

If you have open-angle glaucoma, ask whether SLT suits you. It is a clinic laser that improves fluid drainage from the eye. It takes about ten minutes and does not burn tissue.

In the LiGHT trial, at the end of six years, about 70% patients remained at or less than the target IOP without the need for medical or surgical treatment. That said, the effect can fade over years, and SLT can often be repeated.

Ask your doctor at the 30-day or 90-day visit: “Am I a candidate for SLT?”

LPI — Laser Peripheral Iridotomy

If you have narrow angles or angle-closure glaucoma, ask whether you need LPI. The laser makes a tiny opening in the iris. It lowers the risk of a sudden pressure rise, called an acute angle-closure attack. Do not delay this conversation.

LPI is typically recommended before an attack happens — it takes three to four minutes per eye and prevents one of the most painful ophthalmic emergencies.

When Should I Get a Second Opinion?

Consider one if your reports and diagnosis do not match, if you feel unsure about your plan, or if your glaucoma progresses despite treatment. I review your records using my L.I.F.T.S.™ second opinion framework. The outcome is a clear plan: observe, refine, or escalate. You can upload your reports for a structured review.

When to See a Doctor

See a doctor urgently (same day)

  • Severe eye pain, especially with a red eye
  • Sudden blurred vision or halos around lights
  • Eye pain with headache, nausea, or vomiting
  • Sudden loss of vision in either eye

These can signal acute angle closure, which needs emergency treatment.

See your doctor soon

  • Redness or irritation that does not settle
  • Trouble putting in drops, or repeated missed doses
  • Difficulty getting your medicine
  • New gaps or dim patches in your side vision
  • Low mood or constant worry about your diagnosis

Book an Appointment:

📍 Gurgaon 📞 +91 88826 38735 | 🌐 Contact Us | Second Opinion Form for teleconsults

Throughout: Keep Your Perspective

Do not search the internet at 2am

Try not to search online at 2am. The worst stories online often involve people who were never diagnosed or who stopped treatment. You have been diagnosed, and you now have a plan.

A new diagnosis can feel unsettling. That is normal. I have studied quality of life in advanced glaucoma in my own published research. If worry or low mood persists, read about glaucoma and depression and speak with your doctor.

Reach out if you need support

Several Indian and international glaucoma patient forums, and online communities run by ophthalmologists offer peer support from people at every stage of the same journey.

You do not have to figure this out alone.

Your 90-Day Checklist

  • Drop technique checked by a doctor or technician
  • Daily alarm set
  • Type of glaucoma and target pressure written down
  • Reports photographed and saved
  • Four to six week follow-up booked
  • Side-effect list saved on your phone
  • Siblings and adult children told and booked for screening
  • Blood pressure, glucose, and HbA1c checked
  • SLT or LPI discussion held with your doctor
  • One support resource bookmarked

Frequently Asked Questions

Do I have to use eye drops for life?

In most cases, yes. Drops control glaucoma but do not cure it. If you stop, pressure rises and damage can resume. Some patients reduce drops after laser treatment. Your doctor decides this using your pressure readings and tests.

Will I go blind from glaucoma?

Most people who are diagnosed and treated do not go blind. Risk is highest when glaucoma is undiagnosed, undertreated, or already advanced at diagnosis. Steady treatment and regular follow-up lower that risk.

My eye pressure was normal. Do I still have glaucoma?

Yes, this can happen. It is called normal-tension glaucoma. Doctors diagnose it from optic nerve changes and visual field loss, not pressure alone. Many Indian patients have pressure in the normal range. Treatment still aims to lower pressure from your own baseline.

Is glaucoma hereditary?

Yes, risk is higher if a parent, sibling, or child has it. Tell your close relatives. Ask them to get a pressure check, optic nerve assessment, and visual field test.

Can I exercise with glaucoma?

Yes. Brisk walking, cycling, and swimming are good choices. Avoid heavy lifting with breath-holding and head-down positions. Tell your doctor about your routine so they can interpret your pressure readings.

This page is a part of the Glaucoma Hub. you may want to read about Glaucoma Progression, and Risk Stratification in Glaucoma. You may want to read more about OCT and Visual Field, Glaucoma Tests Explained, Normal OCT but Vision Symptoms and How to Understand Your OCT Better. Also of help could be Why Do I Need a Visual Field Test? Glaucoma Diagnosis in Gurgaon, Get a Glaucoma Second Opinion in Gurgaon and Get an Online Glaucoma Consult.

Newly Diagnosed? Let’s Build Your Plan Together

A glaucoma diagnosis raises many questions. You do not have to answer them alone.

Bring your reports, and I will review your diagnosis, your target eye pressure, and your treatment plan with you. You leave with a clear next step: observe, refine, or escalate.

Living outside Gurgaon? I work with your local eye doctor to guide your care over time.

Book an Appointment:

📍 Gurgaon 📞 +91 88826 38735 | 🌐 Contact Us | Second Opinion Form for teleconsults

About the Author

This article was written by Dr Shibal Bhartiya, fellowship-trained glaucoma specialist and Mayo Clinic Research Collaborator, Clinical Director at Marengo Asia Hospitals, Gurugram, known for ethical, patient-centred glaucoma care and independent glaucoma second opinions. She is also the Program Director for Community Outreach & Wellness; and for the Marengo Asia International Institute of Neuro and Spine.

Dr Bhartiya has published peer-reviewed research onglaucoma management, examining how treatment decisions should balance medical evidence, patient preferences, and long-term vision outcomes. She is also a committed patient advocate and mainstream medical columnist, translating complex ophthalmic evidence into actionable public health insights across leading national platforms including NDTV and OnlyMyHealth

As Editor-in-Chief of Clinical and Experimental Vision and Eye Research and Executive Editor of the Journal of Current Glaucoma Practice (Pubmed Indexed, official journal of the International Society of Glaucoma Surgery), Dr Shibal Bhartiya brings editorial and research depth to every clinical decision. Her 200+ publications, including 90+ PubMed-indexed publications and 28 edited textbooks span glaucoma biology, surgical outcomes, health equity, and emerging diagnostics.

1600+ Five Star Patient Reviews Google Business Profile

If you are unable to come to Dr Bhartiya’s clinic: Read more about teleconsultation

Read her research on PubMed | Google Scholar | ResearchGate | ORCID | Github | Wikidata

📋Upload your reports for a structured review.| 🌐 Contact Us| 📞 +91 88826 38735

⭐ Helped by this article? Leave a Google review — it helps other patients find reliable eye care.

Last Reviewed: October 2026

HOW TO DO VISUAL FIELD

A visual field test checks your side (peripheral) vision and helps detect or monitor glaucoma and other optic nerve conditions. During the test, you look straight ahead and press a button whenever you notice lights appearing in different parts of your vision.

Automated static perimetry is the clinical gold standard for tracking glaucoma progression. Yet it is notoriously anxiety-inducing. High fixation losses and false positives corrupt diagnostic data when a patient is stressed. Active coaching before and during the test stabilises fixation, yields clean reproducible data, and transforms a feared exam into a collaborative clinical tool.

Please also read Visual Field Test (Perimetry) in Gurgaon.

Dr Shibal Bhartiya is a fellowship-trained glaucoma specialist and Mayo Clinic Research Collaborator with over 25 years of experience. Her approach focuses on identifying risk before damage is irreversible, simplifying treatment decisions, and protecting vision long-term. Emphasis on early detection, risk assessment, and continuity of care. She is rated 5 stars across 1,500+ patient reviews on Google.

How Patient-First Coaching Transforms Glaucoma Perimetry

Ask any glaucoma patient what part of their routine checkup they dread most. Nine out of ten will say the visual field test.

Sitting alone in a dark room, staring at a central yellow light, clicking a button for faint flashes you think you might be missing — it feels less like a diagnostic test and more like a high-stakes exam you are destined to fail.

A patient recently left a review that captured exactly why we approach this differently. They noted how other clinics seat you in the machine and tell you to press the clicker. No explanation. No preparation. Just anxiety and confusion. They described how, in our clinic, the entire experience was different. We walked them through what the visual field map actually shows. We explained the rhythm of the test before they started. They felt like a partner in their own care — not a passive subject.

You can read their experience here on Google.

When a patient understands that missing some flashes is a normal part of the machine’s threshold calculation, their heart rate drops. Their blinking stabilises. Their anxiety disappears.

That extra ten minutes of human coaching does not just produce a more comfortable patient. It produces pristine, accurate diagnostic data — the data we rely on to protect their optic nerve for decades.

What Actually Happens During a Visual Field Test

You sit with one eye covered and rest your chin on the machine. Your job is simple: keep looking at the central target and press the button whenever you notice a light anywhere in your side vision.

You are not expected to see every flash.

In fact, the machine deliberately presents lights that become increasingly faint to identify the threshold where vision transitions from “seen” to “not seen.” Missing some lights is not failure — it is how the test works.

Blink normally. Take short pauses if needed. If your attention drifts for a moment, do not panic and start clicking rapidly to catch up. The best visual field tests are usually not the fastest tests. They are the calmest.

The Most Common Mistake Patients Make

Patients often believe this is an intelligence test or a reaction-time test.

It is neither.

Trying too hard can sometimes reduce accuracy. Clicking every time you think a light might have appeared creates false positives. Chasing missed flashes leads to fatigue and fixation loss.

The goal is not perfection. The goal is honest responses.

Why One Visual Field Rarely Tells the Whole Story

A visual field is not interpreted in isolation.

Sleep, dry eye, anxiety, distraction, cataract, learning the machine, and even understanding instructions can influence a result.

That is why glaucoma decisions are usually made by combining visual fields with optic nerve examination, eye pressure, imaging, and change over time.

Protecting vision is rarely about one dramatic test result. It is about recognising patterns early and responding before change becomes irreversible.

This page is a part of the Glaucoma Hub. you may want to read about Glaucoma Progression, and Risk Stratification in Glaucoma. Other articles of interest could be Advanced Glaucoma Care in Gurgaon, What Good Glaucoma Care Actually Optimises For, What Happens If Glaucoma Is Left Untreated?, More Glaucoma Eye Drops is Not Better Glaucoma Care, 5 Mistakes Patients Make in Glaucoma Care and Do You Really Need Treatment for Glaucoma?

FAQs

How do I prepare for a visual field test?

No special preparation is usually needed. Wear your glasses if advised, stay relaxed, and try to rest your eyes before the test.

Is a visual field test painful?

No. A visual field test is non-contact, painless, and usually takes only a few minutes for each eye.

Why do visual field tests need to be repeated?

Visual field tests help monitor change over time. In glaucoma, repeated tests are often more useful than a single result because they help detect progression early.

Why is the visual field test for glaucoma so stressful?

The test is designed to find the absolute limit of your peripheral vision. It presents flashes that are intentionally very faint, so feeling like you are missing lights or guessing is completely normal. This design triggers anxiety when the process is not explained beforehand. Preparation changes the entire experience.

How does anxiety affect the accuracy of a glaucoma perimetry test?

High anxiety leads to irregular blinking, rapid head movements, and false-positive clicking. These introduce significant noise into the results. An ophthalmologist cannot reliably distinguish true disease progression from a stressful test day. A coached, relaxed patient produces far more clinically reliable data.

What if I think I did badly on my visual field test?

Many patients feel they performed poorly, especially during early tests. A difficult test does not automatically mean glaucoma has worsened. Ophthalmologists interpret reliability measures, compare previous results, and look for repeatable patterns over time.

Am I Doing My Visual Field Test Wrong?

Most patients worry they are doing badly because they miss flashes or feel uncertain during the test. That feeling is normal. Visual field testing is designed to find the edge of what you can see, so missing lights is expected and does not mean you have failed.

Why Do I Keep Missing Lights on My Glaucoma Test?

The machine deliberately shows lights that become fainter and fainter to calculate your visual threshold. Missing some lights helps the test work properly. Trying to click for every possible flash often makes results less reliable than staying relaxed and responding naturally.

Read about the full spectrum of glaucoma diagnosis and treatment. To know more about visual fields, read What to Expect and What the Results Mean, How To Do Visual Fields, Glaucoma Test Results Explained: OCT, Visual Fields and Eye Pressure, Why Do I Need a Visual Field.

About the Author

This article was written by Dr Shibal Bhartiya, fellowship-trained glaucoma specialist and Mayo Clinic Research Collaborator, Clinical Director at Marengo Asia Hospitals, Gurugram, known for ethical, patient-centred glaucoma care and independent glaucoma second opinions. She is also the Program Director for Community Outreach & Wellness; and for the Marengo Asia International Institute of Neuro and Spine.

She has published peer-reviewed research on glaucoma management, examining how treatment decisions should balance medical evidence, patient preferences, and long-term vision outcomes.

As Editor-in-Chief of Clinical and Experimental Vision and Eye Research and Executive Editor of the Journal of Current Glaucoma Practice (Pubmed Indexed, official journal of the International Society of Glaucoma Surgery), Dr Shibal Bhartiya brings editorial and research depth to every clinical decision. Her 200+ publications, including 90+ PubMed-indexed publications and 28 edited textbooks span glaucoma biology, surgical outcomes, health equity, and emerging diagnostics.

1500+ Five Star Patient Reviews Google Business Profile

If you are unable to come to Dr Bhartiya’s clinic: Read more about teleconsultation

Read her research on PubMed | Google Scholar | ResearchGate | ORCID

Upload your reports for a structured review.| www.drshibalbhartiya.com | +91 88826 38735

Leave a review on Google