Glaucoma Co-Management

Glaucoma Co Management and Surgical Referral in York Region

Written and medically reviewed by Dr. Roxanna Gangi, Optometrist

Glaucoma is a long term eye disease that can damage the optic nerve and cause permanent vision loss if it is not detected and controlled. Many patients are managed with eye drops, but some may eventually need laser treatment or surgical care from an ophthalmologist.

Dr. Roxanna Gangi reviewing OCT optic nerve and macular thickness scans for glaucoma monitoring and surgical co-management at Pro Eye Exam in York Region

What Glaucoma Co Management Means

Dr. Roxanna Gangi provides glaucoma monitoring, treatment guidance, specialist referral coordination, and post procedure optometric follow up for patients across York Region. Her nearly 14 years of previous ophthalmology and eye surgery experience in Iran helps her understand the seriousness of glaucoma progression and the importance of careful long term monitoring.

Glaucoma co management means Dr. Roxanna Gangi monitors the condition over time, reviews pressure control, tracks optic nerve changes, assesses visual field results, manages medication when appropriate, and coordinates referral if specialist laser or surgical treatment may be needed. See also Glaucoma Screening and Management.

When Laser or Surgery May Be Considered

Laser or surgical glaucoma care may be considered when:

  • Eye pressure remains too high
  • Visual field loss progresses
  • Optic nerve damage worsens
  • Eye drops are not tolerated
  • Treatment needs become more complex

What Dr. Roxanna Gangi Monitors

Glaucoma care requires more than a single eye pressure reading.

Dr. Roxanna Gangi may monitor eye pressure, optic nerve appearance, OCT imaging, visual field testing, medication response, side effects, and progression risk. Patients with diabetes also benefit from coordinated diabetic eye exams.

Optometry care

Why Continuity of Care Matters

Glaucoma is a long term condition. Having the same doctor follow your results over time helps detect subtle changes and supports better communication with specialists when referral is needed.

Dr. Roxanna Gangi's former ophthalmology and eye surgery background allows her to explain glaucoma care with greater depth and help patients understand why consistent monitoring is so important.

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Frequently asked questions

Can glaucoma be cured?

Glaucoma cannot be cured, but it can usually be controlled with proper monitoring and treatment. The goal is to preserve the vision you currently have.

When is glaucoma surgery needed?

Glaucoma surgery may be considered when eye pressure remains too high despite drops, when damage continues to progress, or when drops are not tolerated.

What is SLT laser treatment?

SLT, or Selective Laser Trabeculoplasty, is an in office laser procedure used to help lower eye pressure in some types of open angle glaucoma. Suitability is determined by the specialist.

Will glaucoma surgery improve vision?

Glaucoma treatment is designed to preserve vision, not improve it. Vision lost to glaucoma cannot be restored, which is why early detection and consistent care are so important.

How often should glaucoma be monitored?

Monitoring frequency depends on the stage and stability of the disease. Some patients are seen every few months, while others may be monitored less often when stable.

Can Dr. Roxanna Gangi coordinate referral to a glaucoma specialist?

Yes. When laser or surgical care is appropriate, Dr. Roxanna Gangi can coordinate referral to a glaucoma specialist and continue your optometric follow up afterward.