Normal tension glaucoma is a form of open-angle glaucoma in which:
Eye pressure remains within normal limits (usually 10–21 mmHg)
Optic nerve damage still occurs
Vision loss progresses धीरे-धीरे
It challenges the common belief that glaucoma only happens due to high eye pressure.
No early warning signs
Optic nerve damage occurs silently
Vision loss is permanent
Often diagnosed in advanced stages
It is often called the “silent thief of sight” because symptoms appear late.
Early Stage:
No noticeable symptoms
Advanced Stage:
Loss of peripheral (side) vision
Blind spots in vision
Tunnel vision in severe cases
Most patients do not realize the problem until significant damage has already occurred.
The exact cause is not fully understood, but several factors may contribute:
Common Causes:
Reduced blood flow to the optic nerve
Optic nerve sensitivity or weakness
Low blood pressure (especially at night)
Vascular disorders (poor circulation)
In many cases, insufficient blood supply damages optic nerve cells even without high pressure.
You are at higher risk if you:
Have a family history of glaucoma
Have low blood pressure
Suffer from migraines
Have cardiovascular disease
Are above 40 years of age
Certain populations may also have a higher risk due to vascular factors.
| Feature | Normal Tension Glaucoma | Open-Angle Glaucoma |
|---|---|---|
| Eye Pressure | Normal | High |
| Cause | Blood flow / nerve sensitivity | Fluid drainage issue |
| Progression | Slow | Slow |
| Detection | Difficult | Easier |
Consult an eye specialist if you experience:
Gradual vision loss
Blind spots in vision
Family history of glaucoma
Frequent headaches or vascular issues
Regular eye exams are critical for early detection
Diagnosis includes a comprehensive eye evaluation:
Tonometry – Measures eye pressure
Ophthalmoscopy – Examines optic nerve
Visual Field Test – Detects vision loss
OCT Scan – Measures optic nerve damage
Doctors may also evaluate blood circulation and systemic health conditions.
Although NTG occurs with normal pressure, treatment still focuses on reducing eye pressure further to slow disease progression.
Medications
Eye drops to reduce pressure
Laser Treatment
Improves fluid drainage
Surgery
Used in advanced cases
Goal: Protect optic nerve and prevent further damage
Estimated Cost Range:
Eye drops: ₹500 – ₹2,000/month
Laser treatment: ₹10,000 – ₹30,000
Surgery: ₹40,000 – ₹1,50,000
Book Glaucoma Consultation & Check Treatment Cost
Lifelong monitoring required
Regular eye check-ups essential
Vision loss cannot be reversed
Early treatment slows progression
Advanced glaucoma diagnostics (OCT, visual field testing)
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Latest laser & surgical technologies
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Or
It is a type of glaucoma where optic nerve damage occurs despite normal eye pressure.
Yes, if untreated, it can lead to permanent vision loss.
It may be due to poor blood flow or optic nerve sensitivity.
No, but it can be controlled with early treatment.
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