Been Told You Have Glaucoma… What Do I Do Now?

If you have been told you have or may have glaucoma, it’s completely understandable to feel worried.  Expert reassurance, diagnosis and treatment is available at Vision Care Clinic, Bristol from glaucoma specialist Mr Demetri Manasses. Including, advanced scans, SLT laser treatment, glaucoma monitoring and personalised private care.

In fact, most patients who come to see Mr Demetri Manasses arrive with very similar questions:

  • Am I going to lose my sight?
  • How serious is this?
  • Do I definitely have glaucoma?
  • Do I need treatment straight away?
  • What’s the best thing to do now?

The first thing to know is being told you have glaucoma, or that glaucoma is suspected, does not automatically mean you are going to lose your vision.

The reality is that many people diagnosed with glaucoma continue to enjoy excellent vision throughout their lives with the right monitoring and treatment.

The key is understanding exactly where you stand and having a clear plan moving forward.

What Is Glaucoma?

Glaucoma is a condition that affects the optic nerve, the structure responsible for carrying visual information from your eye to your brain.

In many cases, glaucoma is linked to increased pressure inside the eye, although it can also occur when eye pressure is within the normal range.

What makes glaucoma challenging is that it often develops quietly over many years.

Most people experience no pain, symptoms and feel their vision is perfectly normal.

That’s why regular eye examinations are so important.

If your Optician has suggested you have, suspected glaucoma, here’s some reassuring news.

Being referred because glaucoma is suspected does not necessarily mean you have glaucoma.  Many patients are referred because an optician has identified something that simply deserves a closer look, such as:

  • Raised eye pressure
  • A family history of glaucoma
  • Changes in the appearance of the optic nerve
  • An unusual visual field test
  • OCT scan findings that need further investigation

In many cases, further testing confirms that glaucoma isn’t present.  In others, the condition is detected early, often before any noticeable damage has occurred, which is a positive thing as glaucoma is at its most manageable when it’s identified early.

Why Early Diagnosis Is So Important

One of the biggest fears patients have is blindness.  The good news is that modern glaucoma care is focused on preventing vision loss before it happens.

The real question isn’t:

“What happens if I have glaucoma?”. It’s: “What can we do to protect my sight?”

In most cases, there is quite a lot.  With modern treatments, advanced diagnostics and regular monitoring, many patients maintain stable vision for decades.

Why Seek Private Glaucoma Care in Bristol?

When it comes to glaucoma, uncertainty can often be more stressful than the diagnosis itself.  Many patients choose private glaucoma care in Bristol because they want answers quickly and want to understand exactly what is happening with their eyes.

At Vision Care Clinic, patients benefit from:

  • Fast access to a glaucoma specialist
  • Comprehensive glaucoma assessments
  • Advanced OCT scans and biomechanically adjusted pressure checks
  • Visual field testing
  • Eye pressure monitoring
  • Personalised treatment plans include medication, SLT laser and surgical intervention
  • Ongoing, single consultant-led care
  • Access to the latest glaucoma treatments

Most importantly, you’ll have the opportunity to sit down with a specialist and ask questions. No rushing.  No guessing.

Just a clear explanation of what your results mean and what happens next.

Your Glaucoma Assessment with Mr Demetri Manasses

During your consultation, Mr Manasses and his team will carry out a detailed assessment of your eye health. This may include:

Eye Pressure Testing

Measuring the pressure inside your eyes is an important part of understanding glaucoma risk.  We measure this in several ways, including a biomechanically adjusted measurement for absolute accuracy.

OCT Glaucoma Scanning

Advanced OCT technology allows us to examine the optic nerve in extraordinary detail and identify subtle changes that may not affect vision yet.

Visual Field Testing

This assesses peripheral vision and helps determine whether glaucoma has caused any functional changes to your vision.

Optic Nerve Examination

A careful assessment of the optic nerve remains one of the most valuable tools in diagnosing and monitoring glaucoma.

Corneal Thickness Measurements

This helps ensure eye pressure measurements are interpreted accurately and forms part of your overall risk assessment.

Individual’s are keen to understand if they need any treatment immediately and this will depend on the findings of your consultation.  Some patients require treatment straight away, while others may simply need ongoing monitoring.

The decision depends on:

  • Your eye pressure
  • Your optic nerve health
  • Your scan results
  • Your visual field results
  • Your overall glaucoma risk

What patients often find reassuring is that treatment recommendations are based on evidence specific to their eyes, not a one-size-fits-all approach.

Private Glaucoma Treatments Available at Vision Care Clinic

If treatment is required, Mr Manasses offers a range of modern glaucoma treatment options.

Glaucoma Eye Drops

For many patients, prescription eye drops remain the first line of treatment. These work by reducing eye pressure and helping protect the optic nerve.

SLT Laser Treatment for Glaucoma

Many patients are now asking about Selective Laser Trabeculoplasty (SLT).  SLT is a quick, minimally invasive laser treatment designed to improve fluid drainage and lower eye pressure.

For suitable patients, it may reduce or delay the need for long-term glaucoma drops.

Glaucoma Monitoring

Not every patient needs immediate treatment.  Some patients are best managed through careful ongoing monitoring using advanced imaging and testing.

MIGS – Minimally Invasive Glaucoma Surgery

For certain patients, minimally invasive glaucoma surgery may be considered to help control eye pressure while minimising recovery time and can be combined with cataract surgery, if required by the patient.

Why Patients Choose Mr Demetri Manasses

When patients search online for:

  • Glaucoma Specialist Bristol
  • Private Glaucoma Clinic Bristol
  • Glaucoma Consultant Bristol
  • Glaucoma Treatment Bristol
  • Glaucoma Laser Treatment Bristol
  • SLT Laser Bristol
  • Ocular Hypertension Specialist Bristol
  • Private Glaucoma Assessment Bristol
  • Raised Eye Pressure Treatment

what they’re often really searching for is peace of mind.

Mr Demetri Manasses is the local lead of glaucoma services at the Bristol Eye Hospital and combines his specialist glaucoma expertise with a calm, patient-centred approach that helps patients understand their diagnosis and treatment options.

Patients appreciate:

✓ Specialist glaucoma expertise

✓ Consultant-led care

✓ Advanced diagnostic technology

✓ Rapid access to appointments

✓ Personalised treatment recommendations

✓ Modern glaucoma treatments including SLT laser

✓ Long-term continuity of care

So if you have had a routine eye examination which identifies a concern.  Further assessment provides answers, a treatment plan can be formulated and put in place, to protect your vision for the future.

That’s exactly why glaucoma screening, diagnosis and treatment exist.

Take the Next Step with Confidence

If you’ve recently been told you have glaucoma, may have glaucoma, have raised eye pressure, or simply want reassurance from a specialist, you don’t have to navigate the uncertainty alone.

At Vision Care Clinic Bristol, Mr Demetri Manasses provides expert private glaucoma diagnosis, glaucoma monitoring, SLT laser treatment, glaucoma eye drop management and advanced glaucoma care tailored to your individual needs.

The goal isn’t simply to diagnose glaucoma.  It’s to help you understand your options, answer your questions, and create a plan that protects your sight for years to come.

Book a Private Glaucoma Consultation in Bristol

If you’re concerned about:

  • Glaucoma
  • Raised eye pressure
  • Ocular hypertension
  • Family history of glaucoma
  • Abnormal OCT scans
  • Visual field test results
  • SLT laser treatment
  • Glaucoma monitoring

book a consultation with Mr Demetri Manasses at Vision Care Clinic Bristol.

Sometimes the greatest reassurance comes from finally knowing exactly where you stand.

Published 15th October 2026
by Rebecca
Glaucoma Private Care | Bristol
If you have been told you have or may have glaucoma, it’s completely understandable to feel worried.  Expert reassurance, diagnosis and treatment is available at Vision Care Clinic, Bristol from glaucoma specialist Mr Demetri Manasses.

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