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Glaucoma·Costa Mesa, Orange County

Normal Tension Glaucoma Treatment in Costa Mesa, California

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

Normal Tension Glaucoma (NTG), also called low-tension or low-pressure glaucoma, is a form of open-angle glaucoma where optic nerve damage and vision loss occur despite eye pressure (IOP) being within the normal range (10-21 mmHg). This condition is often under-diagnosed because standard glaucoma screenings focus on elevated pressure. Risk factors include family history, migraines, low blood pressure, and Japanese ancestry.

Costa Mesa professionals should know that prolonged near work doesn't cause glaucoma, but the stress response from high-pressure work environments may affect intraocular pressure patterns. Regular monitoring provides peace of mind.

Dr. Bonakdar on Normal Tension Glaucoma

Direct Answers from Dr. Bonakdar

Dr. Alexander Bonakdar at EyeCare Center of Orange County provides expert normal tension glaucoma diagnosis and treatment for patients in Costa Mesa and throughout Orange County. With over 35 years of clinical experience and advanced diagnostic technology, each patient receives a personalized treatment plan based on their specific condition severity and lifestyle needs.

What is glaucoma?

Glaucoma is a group of eye conditions that damage the optic nerve, usually due to increased pressure inside the eye. It is one of the leading causes of irreversible blindness worldwide. Most forms develop slowly with no early symptoms, which is why regular eye exams are essential.

Can glaucoma be prevented?

Glaucoma cannot be completely prevented, but early detection and treatment can prevent vision loss. Regular comprehensive eye exams are the best protection, especially after age 40 or if you have a family history. Treatment with eye drops or laser can effectively control eye pressure.

What happens if glaucoma is not treated?

Without treatment, glaucoma causes slow, painless loss of peripheral vision that you may not notice until significant damage has occurred. The optic nerve damage is permanent and cannot be reversed. Eventually, central vision is also affected, leading to blindness.

What are the symptoms of Normal Tension Glaucoma?

Costa Mesa professionals working at screens may first notice symptoms during extended computer use or at the end of a long workday:

  • Gradual peripheral vision loss
  • Often no symptoms until advanced
  • Tunnel vision in late stages
  • Difficulty with night vision
  • Difficulty adjusting to dim lighting
  • Subtle central vision changes

What happens if normal tension glaucoma is not treated?

Without proper diagnosis and treatment, normal tension glaucoma can lead to:

  • Gradual and permanent loss of peripheral vision
  • Irreversible damage to the optic nerve
  • Eventual tunnel vision affecting daily activities
  • Inability to drive safely
  • Complete blindness in advanced cases
  • Loss of independence and quality of life

How is Normal Tension Glaucoma treated?

For Costa Mesa's digital professionals, we prioritize treatments compatible with extended screen use and offer strategies to optimize visual comfort during work hours:

Pressure-lowering eye drops (prostaglandins, beta-blockers)
Selective Laser Trabeculoplasty (SLT)
Minimally Invasive Glaucoma Surgery (MIGS)
Trabeculectomy for advanced cases
Blood flow optimization strategies
Neuroprotective therapies
Target IOP 30% below baseline

Standard Care vs. Specialized Treatment for Normal Tension Glaucoma

AspectStandard ApproachSpecialized Treatment
DetectionBasic eye pressure checkOCT imaging, visual field testing, and nerve fiber analysis
MonitoringAnnual pressure checkStructural and functional progression tracking
TreatmentSingle medicationMulti-modal: drops, laser (SLT), and micro-invasive surgery
Nerve AssessmentVisual inspection onlyHigh-resolution OCT measures nerve fiber thickness
Risk ScreeningBased on pressure aloneConsiders corneal thickness, family history, ethnicity, and genetics

Normal Tension Glaucoma FAQs for Costa Mesa Patients

Common questions from Costa Mesa patients about our eye care services

At EyeCare Center of Orange County, we diagnose normal tension glaucoma using advanced diagnostic equipment including corneal topography, OCT imaging, and comprehensive eye examinations. For Costa Mesa's tech professionals, we assess how digital device usage and work environment may be contributing to or masking symptoms during your diagnostic evaluation.
We offer comprehensive treatment options for normal tension glaucoma including specialty contact lenses, medical therapy, and advanced procedures. Costa Mesa tech workers benefit from treatments optimized for screen use—we recommend solutions that maintain visual clarity through long hours of near work.
Call (714) 558-1182 or book online. Initial consultations take 60-90 minutes and include comprehensive testing. Costa Mesa professionals can schedule around work—we offer lunch-hour and late-afternoon appointments with minimal wait times.
Yes, we accept most major vision and medical insurance plans including VSP, EyeMed, Medicare, and Medi-Cal for normal tension glaucoma diagnosis and treatment. We verify your coverage and discuss costs before any procedures.

Have more questions? Call us at (714) 558-1182

Normal Tension Glaucoma Care for Costa Mesa Residents

Glaucoma management for Costa Mesa patients begins with comprehensive baseline testing including visual field analysis, OCT nerve fiber layer measurement, and gonioscopy. Many Costa Mesa residents work in screen-intensive professions, so we factor digital lifestyle demands into our diagnostic and treatment recommendations. Normal Tension Glaucoma requires ongoing monitoring because vision loss from glaucoma is irreversible once it occurs. We establish individualized target pressures and treatment protocols—from topical medications to laser procedures and surgical referrals—based on your risk profile, disease stage, and overall health.

About Costa Mesa

Diverse arts and shopping district community

Population: 113,000+

Young professionalsArtistsDiverse communityRetail workers

Languages Spoken in Costa Mesa

Our practice serves the diverse Costa Mesa community. We provide care to patients who speak:

EnglishSpanishVietnamese

Eye Health Priorities for Costa Mesa

  • Computer vision syndrome treatment
  • Digital eye strain solutions
  • Blue light protection
  • Dry eye from reduced blinking
  • Ergonomic vision consultations

Conveniently Located Near Costa Mesa Landmarks

Our Orange County practice is easily accessible for Costa Mesa patients living near:

South Coast Plaza
Segerstrom Center for the Arts
Orange County Fairgrounds
Triangle Square

Getting to Our Office from Costa Mesa

Drive Time
20 min
Primary Route
55 Freeway
Distance
7.9 mi

Costa Mesa patients typically reach our Santa Ana office via the 55 Freeway in approximately 20 minutes. Free on-site parking is available in our building.

801 N Tustin Ave, Ste 404, Santa Ana, CA 92705 — Get Directions

Costa Mesa Neighborhoods We Serve

  • South Coast Metro
  • Mesa Verde
  • Eastside Costa Mesa
  • Westside Costa Mesa

Zip codes: 92626, 92627, 92628

Don't Delay Treatment for Normal Tension Glaucoma

Without timely care, normal tension glaucoma can lead to lasting visual impairment. Early diagnosis and treatment offer the best outcomes for Costa Mesa patients.

Why Costa Mesa Patients Choose EyeCare Center for Normal Tension Glaucoma

Glaucoma Diagnostic Suite

Visual field testing, OCT nerve fiber analysis, and pachymetry provide a complete picture of normal tension glaucoma status.

Individualized Pressure Targets

We set personalized IOP goals based on your risk factors, disease stage, and overall health—not one-size-fits-all numbers.

Laser Treatment Available

SLT and other laser procedures are offered for Costa Mesa patients who need additional pressure reduction beyond drops.

Long-Term Partnership

Glaucoma is a lifelong condition—our practice provides consistent, long-term monitoring and treatment adjustments over decades.

Dr. Alexander Bonakdar - Board Certified Ophthalmologist

Your Normal Tension Glaucoma Specialist in Costa Mesa

Dr. Alexander Bonakdar is a board-certified ophthalmologist with over 35 years of experience treating normal tension glaucoma and complex eye conditions. Trained at the #1-ranked Bascom Palmer Eye Institute, he has helped over 10,000 patients achieve and maintain clear vision.

35+ Years10,000+ PatientsBascom Palmer
Learn more about Dr. Bonakdar →

Patient Stories from Costa Mesa

See why your neighbors in Costa Mesa trust us with their vision.

Comprehensive Exam

"Not a fan of getting my eyes checked but the receptionist and Dr. were very nice and eased my anxiety."

emily garcia
Santa Ana, CA

Comprehensive Exam

"I came back for my yearly visit and had a great experience as always."

Eduardo arias
Santa Ana, CA

Schedule Your Normal Tension Glaucoma Consultation

Expert diagnosis and treatment for Costa Mesa and Orange County residents.