What Are the First Signs of Glaucoma?
Medically reviewed by Dr. Brad Snead
What makes glaucoma a difficult condition is that there may not be an obvious first sign that it’s developing. The most common form, open-angle glaucoma, often develops gradually without causing noticeable symptoms in its early stages. You may continue to see clearly and go about your normal activities while changes are occurring to the optic nerve.
Glaucoma often affects peripheral vision first when vision changes begin. You may not even realize that your vision has deteriorated until the disease has progressed. And by the time you notice the impacts, glaucoma may have already caused permanent vision loss.
This is one reason regular eye exams and reporting vision changes are so important. No single pattern of glaucoma affects every patient in exactly the same way. Everyone’s eyes are different, and factors such as age, family history, eye anatomy and overall health can influence your risk factors and how the condition develops. Comprehensive eye exams allow your eye doctor to evaluate your individual eye health and look for changes that may not yet be affecting your vision.
While there may be no noticeable early signs of glaucoma, knowing what symptoms to watch for can help you recognize when it’s time to seek an evaluation.
What Are the Early Signs of Glaucoma?
While proactive care is usually the best defense, it’s important to understand if you’re experiencing early glaucoma symptoms in case they do begin to develop. These possible symptoms often begin with changes to peripheral vision.
Some possible early signs of glaucoma include:
It’s important to remember that these symptoms don’t necessarily mean you have glaucoma. Many eye conditions can cause similar vision changes, which is why it’s important to schedule an eye exam to determine the underlying cause.
Because glaucoma develops differently from one person to another, your eye doctor can consider your unique anatomy and risk factors when developing a treatment plan and monitoring changes.
Symptoms of Acute Angle-Closure Glaucoma
While open-angle glaucoma typically develops gradually, acute angle-closure glaucoma symptoms can suddenly appear. Acute angle-closure glaucoma occurs when the eye’s drainage angle becomes blocked, causing eye pressure to rapidly rise. This condition can damage the optic nerve and requires immediate medical attention.
Acute angle-closure glaucoma symptoms may include:
- Severe eye pain
- Sudden blurred vision
- Redness in the eye
- Halos around lights
- Nausea or vomiting
- Severe headache
Acute angle-closure glaucoma is an eye emergency. Seek immediate medical attention if you experience sudden severe eye pain, vision changes or other symptoms that are associated with this condition. Prompt treatment lowers the eye pressure and reduces the risk of permanent vision loss.
Not everyone with glaucoma will experience these symptoms. In fact, the more common open-angle form often causes no noticeable symptoms until vision loss has occurred.
When Should You See an Eye Doctor for Glaucoma Symptoms
Don’t wait for the first signs of glaucoma before you have your eyes examined for the condition. Proactive care is the best way to protect your vision, as it allows your eye doctor to detect the disease early and monitor changes over time.
You should schedule an eye exam if you are having trouble seeing to the sides, discover new blind spots, experience blurred vision or have any other vision changes that affect your everyday activities.
If you have risk factors for glaucoma, such as a family history of the disease, your eye doctor may also recommend more frequent exams, even if you haven’t experienced any glaucoma symptoms.
