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Glaucoma·Placentia, Orange County

Normal Tension Glaucoma Treatment in Placentia, 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.

Placentia residents with a family history of glaucoma should not wait for symptoms—by the time you notice vision changes, significant irreversible damage may have occurred. Proactive screening is essential.

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 Placentia 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?

If you or a family member in Placentia experience any of the following symptoms, scheduling an evaluation sooner rather than later leads to better outcomes:

  • 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 Placentia residents, we design treatment plans that balance effectiveness with convenience—minimizing follow-up visits while ensuring optimal outcomes:

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 Placentia Patients

Common questions from Placentia 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. Placentia residents appreciate our efficient diagnostic process—thorough evaluation and results discussion in a single appointment that respects your schedule.
We offer comprehensive treatment options for normal tension glaucoma including specialty contact lenses, medical therapy, and advanced procedures. For Placentia commuters, we prioritize treatments that provide stable vision for driving and work, with follow-up schedules that minimize time away from your routine.
Call (714) 558-1182 or book online. Initial consultations take 60-90 minutes and include comprehensive testing. Conveniently located for Placentia residents with ample parking and easy access, typically within a 15-25 minute drive from most neighborhoods.
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 Placentia Residents

Glaucoma management for Placentia patients begins with comprehensive baseline testing including visual field analysis, OCT nerve fiber layer measurement, and gonioscopy. Placentia families trust our practice because we combine modern technology with the personal attention of a neighborhood eye doctor. 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 Placentia

Historic small town with close-knit community feel

Population: 51,000+

FamiliesWorking professionalsHistoric preservation enthusiastsLong-term residents

Languages Spoken in Placentia

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

EnglishSpanishKorean

Eye Health Priorities for Placentia

  • Whole-family eye care
  • School vision screenings
  • Contact lens fittings for all ages
  • Progressive lens consultations
  • Annual comprehensive exams

Conveniently Located Near Placentia Landmarks

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

Old Town Placentia
Tri-City Park
Placentia Linda Hospital
Bradford Avenue Historic District
Kraemer Memorial Park

Getting to Our Office from Placentia

Drive Time
25 min
Primary Route
55 Freeway
Distance
8.7 mi

Placentia patients typically reach our Santa Ana office via the 55 Freeway in approximately 25 minutes. Free on-site parking is available in our building.

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

Placentia Neighborhoods We Serve

  • Old Town Placentia
  • Kraemer-Bradford
  • North Placentia

Zip codes: 92870, 92871

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 Placentia patients.

Why Placentia 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 Placentia 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 Placentia

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 Placentia

See why your neighbors in Placentia 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 Placentia and Orange County residents.