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Exfoliative Glaucoma (Pseudoexfoliation Syndrome): Symptoms, Causes & Treatment in Orange CountyExpert Eye Care from Orange County’s Leading Specialists

Expert information about exfoliative glaucoma (pseudoexfoliation syndrome) from Orange County's leading eye care specialists. Learn about symptoms, causes, diagnosis, and the latest treatment options.

Medically reviewed by Dr. Alexander Bonakdar, O.D. · Updated April 2026

What is Exfoliative Glaucoma (Pseudoexfoliation Syndrome)?

Exfoliative Glaucoma, also known as Pseudoexfoliation Glaucoma (PXG), occurs when abnormal fibrillar protein material accumulates in the eye, particularly on the lens and in the drainage angle. This dandruff-like material clogs the trabecular meshwork, causing elevated eye pressure and optic nerve damage. It is more common in older adults and those of Scandinavian, Mediterranean, or Middle Eastern descent, and often presents with higher pressures and faster progression than typical open-angle glaucoma.

At EyeCare Center of Orange County, we specialize in the diagnosis and treatment of exfoliative glaucoma (pseudoexfoliation syndrome). Our experienced optometrists use state-of-the-art technology to provide comprehensive care and help preserve your vision.

Common Symptoms of Exfoliative Glaucoma (Pseudoexfoliation Syndrome)

If you're experiencing any of these symptoms, schedule a comprehensive eye examination:

Gradual peripheral vision loss

Often asymmetric (one eye worse than other)

Halos around lights

Fluctuating vision

Often no early symptoms

May have weakened zonules affecting lens stability

Treatment Options for Exfoliative Glaucoma (Pseudoexfoliation Syndrome)

We offer comprehensive treatment options tailored to your specific needs:

Pressure-lowering eye drops (prostaglandins, combination drops)

Selective Laser Trabeculoplasty (SLT) - often highly effective

Minimally Invasive Glaucoma Surgery (MIGS)

Trabeculectomy or tube shunt for advanced cases

Frequent monitoring due to rapid progression

Careful cataract surgery planning due to weak zonules

Target IOP typically lower than POAG

Why Choose EyeCare Center of Orange County?

Over 30 Years of Experience

Dr. Alexander Bonakdar has been serving Orange County since 1991 with specialized expertise in glaucoma.

Advanced Diagnostic Technology

We utilize the latest equipment for accurate diagnosis and effective treatment of exfoliative glaucoma (pseudoexfoliation syndrome).

Personalized Treatment Plans

Every patient receives customized care based on their unique needs and condition severity.

Comprehensive Eye Care

From diagnosis to treatment and follow-up care, we provide complete support throughout your treatment journey.

Frequently Asked Questions

What causes Exfoliative Glaucoma (Pseudoexfoliation Syndrome)?

Exfoliative Glaucoma (Pseudoexfoliation Syndrome) can be caused by various factors including genetics, age, environmental conditions, and underlying health issues. A comprehensive eye examination can help determine the specific cause in your case.

How is Exfoliative Glaucoma (Pseudoexfoliation Syndrome) diagnosed?

Diagnosis involves a thorough eye examination including vision tests, imaging, and specialized diagnostic procedures. Our advanced equipment allows for early detection and accurate diagnosis.

Is Exfoliative Glaucoma (Pseudoexfoliation Syndrome) preventable?

While not all cases are preventable, regular eye exams, protective eyewear, proper nutrition, and managing underlying health conditions can help reduce risk factors. Early detection through routine screenings is crucial.

Does insurance cover Exfoliative Glaucoma (Pseudoexfoliation Syndrome) treatment?

Most vision and medical insurance plans cover diagnostic exams and medically necessary treatments. We accept most major insurance plans and can help verify your coverage before treatment.

Don't Let Exfoliative Glaucoma (Pseudoexfoliation Syndrome) Impact Your Vision

Schedule your comprehensive eye examination today and get expert diagnosis and treatment.

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