Any high blood pressure should be rechecked because many factors can cause the measurement to vary.
In addition, not all hypertension necessarily means glaucoma because glaucoma is characterized by damage to the optic nerve.
It will therefore be necessary to perform a certain number of examinations which are all painless and do not require the instillation of eye drops to dilate the pupil:
- Blood pressure measurement with a non-contact tonometer and, in case of doubt, with a Goldman applanation tonometer.
- Pachymeter measurement of corneal thickness because the measured tension figure must be weighted according to the thickness of the cornea.
- Gonioscopy with examination of the iridocorneal angle and measurement of the depth of the anterior chamber of the eye which predisposes to acute angle-closure glaucoma.
- Fundus examination and posterior pole retinophotography with non-mydriatic retinograph
- Examination of the Visual Field with the Octopus Computerized Campimeter.
- Examination of the optic nerve with RTVue OCT, the ultimate in ophthalmological diagnostic devices, allowing ultra-fine analysis of the optic nerve and the ganglion cells and fibers that are the first to be affected in the case of early glaucoma.
