Eye Physicians & Surgeons - Type Button Name Here



At Eye Physicians and Surgeons, we have the most up to date technology to screen, detect, and treat all forms of Glaucoma in its earliest stages.  

In addition to medical and laser treatments, we offer several different forms of Micro-Invasive Glaucoma Surgery (MIGS).  MIGS has gained popularity in recent years as a less invasive way to treat glaucoma than older, more risky procedures.  

Dr. Cohen was the first private practitioner in the state of Iowa to implant the new CyPass Micro-Stent (Alcon) since its approval by the FDA.  This micro-stent represents a significant advance in the ability to treat glaucoma with minimally invasive surgery.

We also offer multiple laser therapies for glaucoma including the new micro pulse cyclophotocoagulation (CPC) which is a minimally invasive treatment for moderate to severe forms of glaucoma.  

What is glaucoma?

Glaucoma is a disease of the optic nerve, which is the part of the eye that carries the images we see from the eye to the brain.

The optic nerve is made up of many nerve fibers (like an electric cable containing numerous wires). Glaucoma is a condition in which there is damage to this nerve and its nerve fibers, which can cause blind spots in our vision and vision loss.

Glaucoma and its progression is related to the pressure inside of your eye, known as your intraocular pressure (IOP). When the clear liquid that fills the eye--which normally flows in and out--cannot drain properly, pressure builds up in the eye. The resulting increase in pressure can damage the optic nerve and lead to permanent vision loss.

Glaucoma is often (but not always) a "silent disease"......because patients can go many years suffering progression of permanent vision loss without knowing they have the condition.  The reason patients don't always detect the loss earlier is because glaucoma is often gradual and usually starts by affecting your peripheral vision first, and only later begins to affect your central vision. 

Glaucoma often starts by affecting the peripheral vision as the above picture demonstrates, and in later stages progresses to cause loss of your central vision.  Most people don't notice the early loss of their peripheral vision, which makes eye exams critical.

Risk Factors:

  • Age (the older we get, the greater the risk)
  • Family History
  • Certain Ethnic Groups (African American, Asian, and Caucasion ethnic groups among the greatest affected)
  • History of diabetes, near sightedness, or far sightedness also increases your risk