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Glaucoma·Chino Hills, San Bernardino County

Pigmentary Glaucoma Treatment in Chino Hills, California

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

Pigmentary Glaucoma develops when pigment granules from the back of the iris (the colored part of the eye) flake off and clog the eye's drainage system (trabecular meshwork). This blockage increases eye pressure, which can damage the optic nerve. It typically affects young to middle-aged, nearsighted males. The condition often follows Pigment Dispersion Syndrome, where pigment release occurs without elevated pressure.

Pigmentary Glaucoma is called "the silent thief of sight" because it progresses without noticeable symptoms. Chino Hills residents should prioritize regular comprehensive eye exams that include optic nerve and pressure evaluation.

Dr. Bonakdar on Pigmentary Glaucoma

Direct Answers from Dr. Bonakdar

Dr. Alexander Bonakdar at EyeCare Center of Orange County provides expert pigmentary glaucoma diagnosis and treatment for patients in Chino Hills 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 Pigmentary Glaucoma?

Chino Hills residents experiencing any combination of the following symptoms should schedule a comprehensive evaluation:

  • Halos around lights, especially after exercise
  • Blurred vision after physical activity
  • Eye pain or aching
  • Gradual peripheral vision loss
  • Often discovered during routine eye exams
  • Krukenberg spindle visible on cornea

What happens if pigmentary glaucoma is not treated?

Without proper diagnosis and treatment, pigmentary 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 Pigmentary Glaucoma treated?

Treatment for Chino Hills patients is tailored to the specific type and severity of their condition. Options available at our practice include:

Prostaglandin analog eye drops
Miotics (pilocarpine) to prevent pigment release
Selective Laser Trabeculoplasty (SLT)
Argon Laser Trabeculoplasty (ALT)
Laser Peripheral Iridotomy (LPI)
Minimally Invasive Glaucoma Surgery (MIGS)
Trabeculectomy for advanced cases

Standard Care vs. Specialized Treatment for Pigmentary 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

Pigmentary Glaucoma FAQs for Chino Hills Patients

Common questions from Chino Hills patients about our eye care services

At EyeCare Center of Orange County, we diagnose pigmentary glaucoma using advanced diagnostic equipment including corneal topography, OCT imaging, and comprehensive eye examinations. Chino Hills patients receive the same comprehensive diagnostic technology used at major academic eye centers, right here in Orange County.
We offer comprehensive treatment options for pigmentary glaucoma including specialty contact lenses, medical therapy, and advanced procedures. Dr. Bonakdar personalizes each Chino Hills patient's treatment plan based on condition severity, lifestyle demands, and long-term visual goals.
Call (714) 558-1182 or book online. Initial consultations take 60-90 minutes and include comprehensive testing. Our centrally located Orange County practice is easily accessible from Chino Hills, with appointment times designed to fit your schedule.
Yes, we accept most major vision and medical insurance plans including VSP, EyeMed, Medicare, and Medi-Cal for pigmentary glaucoma diagnosis and treatment. We verify your coverage and discuss costs before any procedures.

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

Pigmentary Glaucoma Care for Chino Hills Residents

Glaucoma management for Chino Hills patients begins with comprehensive baseline testing including visual field analysis, OCT nerve fiber layer measurement, and gonioscopy. Our centrally located Orange County practice is easily accessible for Chino Hills residents, with flexible scheduling to accommodate your needs. Pigmentary 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 Chino Hills

Affluent hillside community with excellent schools and Asian-American population

Population: 78,000+

Affluent familiesAsian-American communityProfessionalsOutdoor enthusiasts

Languages Spoken in Chino Hills

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

EnglishMandarinKoreanSpanishTagalog

Eye Health Priorities for Chino Hills

  • Comprehensive eye examinations
  • Contact lens fittings
  • Glasses and eyewear
  • Eye disease treatment
  • Emergency eye care

Conveniently Located Near Chino Hills Landmarks

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

Chino Hills State Park
The Shoppes at Chino Hills
Vellano Country Club
Los Serranos Country Club
Ayala High School

Getting to Our Office from Chino Hills

Drive Time
30 min
Primary Route
57 Freeway
Distance
18.5 mi

Chino Hills patients typically reach our Santa Ana office via the 57 Freeway in approximately 30 minutes. Free on-site parking is available in our building.

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

Chino Hills Neighborhoods We Serve

  • Vellano
  • Los Serranos
  • Butterfield Ranch
  • Western Hills

Zip codes: 91709

Don't Delay Treatment for Pigmentary Glaucoma

Without timely care, pigmentary glaucoma can lead to lasting visual impairment. Early diagnosis and treatment offer the best outcomes for Chino Hills patients.

Why Chino Hills Patients Choose EyeCare Center for Pigmentary Glaucoma

Glaucoma Diagnostic Suite

Visual field testing, OCT nerve fiber analysis, and pachymetry provide a complete picture of pigmentary 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 Chino Hills 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 Pigmentary Glaucoma Specialist in Chino Hills

Dr. Alexander Bonakdar is a board-certified ophthalmologist with over 35 years of experience treating pigmentary 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 Chino Hills

See why your neighbors in Chino Hills 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 Pigmentary Glaucoma Consultation

Expert diagnosis and treatment for Chino Hills and San Bernardino County residents.