Open Angle Glaucoma

Are you over 40 years of age?

Are you seeing well?

Open Angle Glaucoma

If you answered “Yes” you may have glaucoma.

Open Angle Glaucoma is a chronic disease that has no symptoms in its early stages and can cause blindness.

The incidence increases with age and is more common in Hispanics and Blacks. Slowly the optic nerve cells, which connect the eye to the brain, are lost due to poor circulation or elevated eye pressure. The cell loss is irreversible, so early detection and treatment is very important to keep your existing vision.

Make an Appointment

Please make an appointment with one of our specialists who will create a specialized plan to help you see, look, and feel your best!

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Detecting Damage from Open Angle Glaucoma

Systematic follow up exams and tests are very important


Optic Nerve Photos

The top image shows a normal optic nerve full of nerve fibers used to transmit messages to the brain. The lower image shows a nerve where 45% or more of these fibers are missing.



A healthy eye produces electricity when sending an image to the brain. Annual testing detects decreased production of electricity which can be the first finding of this disease.


Optic Nerve Thickness

The top image shows all green, meaning that the thickness of the optic nerve is normal. The change in color displays the nerve thinning. Yearly measurements can detect nerve cell loss before your field of vision is affected.


Visual Field

When the disease advances, lights shown during the test are missed as documented by the black dots. The tests are repeated 1 to 3 times per year to detect damage to the nerve and efficacy of treatment.

There has never been a better time to start taking care of your eyes!

Call: 786-899-2516

Open Angle Glaucoma

What causes it? How do you treat it?

We Know How to Diagnose and Treat Glaucoma!

 Open Angle Glaucoma is characterized by having an eye pressure that is too high relative to your body’s circulation.  In order to avoid progression of this disease we lower the eye pressure, so that enough blood and nutrients can flow into your eyes. How low your eye pressure needs to be depends on how poor is your body’s circulation.

 The eye pressure is maintained by the balance between the production of aqueous fluid behind the iris and the outflow of the fluid above the iris, through an area called The Angle.

 We can lower the eye pressure two ways; by decreasing production of the aqueous humor using lasers or drops or by improving the outflow of the fluid using other lasers, eye drops, and small drainage devices.

 After a detailed exam, our doctors will determine which options are best for you.

Call now and make an appointment today!

Beraja Medical Institute Doctors

Choose from one of our experienced Open Angle Glaucoma Specialists


Dr. Roberto Beraja

Anterior Segment and
Refractive Surgeon

If you have any questions, call us. We are here to help!

Call: 786-899-2516


Am I a Candidate?

Laser treatments result in better pressure control than drops for most patients.

When lasers and medications do not control the disease then surgery is indicated.

Our doctors will discuss with you your particular situation and which treatment is best for you.

Call us at: 786-899-2516

2550 South Douglas Road
Coral Gables, FL, 33134


Before the Operation

Lasers require no special preparation. Buy the medications you will need after the laser. If you are using glaucoma medications, continue use them the day of surgery.

Come driving to the Laser Surgery Center. If you need a laser treatment in both eyes, these will be scheduled for different days.

Trabeculectomies, iStent,and Valves require that our anesthesiologist’s evaluate your specific needs. If you take aspirin or a blood thinner you may have to stop them after consulting with your physician.

Come to the Laser Surgery Center without having breakfast at the designated time. Make arrangements for someone to take you back home after the surgery since you will not be able to drive.

Our friendly staff is available to help you with financial arrangements and answer any questions.


The Procedure

Lasers take seconds and you will be discharged thirty minutes after the procedure.

Trabeculectomies, iStent, and Valves are performed in the operating room with sedation. Tell the anesthesiologist how sleepy you wish to be during the surgery.


After Your Operation

Use the drops as directed.

Lasers require no special care after the procedure.

Trabeculectomies, iStent, and Valves require that you do not swim, do gardening, or heavy exercise for two weeks. Do other activities with caution. After this period you can return to your normal activities.The day after the surgery please remain at home so we can contact you. Do not miss your post-op appointment and feel free to call us for any reason if you need to see us earlier.


Insurance Coverage

We accept many insurance plans.

Glaucoma is a sight threatening disease.  Lasers and surgical procedures are medically necessary.

Insurances coverage criteria vary. Some insurance carriers require a pre-authorization for these types of procedures. Our staff will assist you completing the necessary forms as required by your insurance carrier.