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What’s New

Keep up-to-date on the latest vision-related news and eye care events in our Practice.

Embrace Style and Protection with Prescription Sunglasses

Prescription sunglasses are not just a fashion statement; they offer essential protection and visual clarity tailored to your specific needs. Whether you're driving, hiking, or just enjoying a day at the beach, having the right pair of prescription sunglasses can make a world of difference.

Scleral Lenses – Frequently Asked Questions

Scleral lenses have revolutionized vision correction for many individuals with unique eye conditions. Whether you're considering scleral lenses for yourself or simply seeking more information, this guide is here to answer all your queries.

Annual Eye Exams at Loudoun Eye Associates: For Optimal Eye Health

Discover the numerous benefits of annual eye exams with Loudoun Eye Associates in Ashburn. Our comprehensive checkups offer clear vision, early detection of eye conditions, and insights into overall health. Prioritize your eye health and book your yearly exam today.

The Role of Lifestyle in Myopia Management

Did you know that small adjustments to daily routines can significantly impact your child's eye health? From nutrition to outdoor playtime, read on to discover how various lifestyle factors play an important role in myopia management and prevention.

The Comprehensive Guide To Regular Eye Exams

Explore the importance of regular eye exams and their pivotal role in preserving eye health and detecting early signs of diseases.

Understanding Glaucoma and Preserving Your Vision | Loudoun Eye Associates

Discover the causes, symptoms, and treatment options for glaucoma, a stealthy eye condition that requires attention and prompt care.

Your Eyes As A Window Into Your Whole-Body Health

Did you know that your eyes are often the first line of defense when it comes to detecting and treating many common systemic diseases and conditions? It's true!

Presbyopia and Multifocal Contact Lenses

Blurry vision over age 40? Skip the reading glasses. Find out why multifocal contact lenses are ideal for presbyopia.

My Child Is Having Trouble In School: Visual Problem or Learning Disability?

Your child's education is very important. His/her success or failure in this most important part of life will effect him/her from childhood into adulthood. If your child is falling behind, it is important to understand the proper way to help. Dr. Richard Kao of Loudoun Eye Associates in Ashburn,Virginia explains,...

9 Signs Your Child Might Need Glasses

Vision problems in children are easy to miss. Children don’t always notice problems themselves, and may not have the words to describe them. Here are 9 subtle signs that your child may need glasses.

How Pregnancy Can Affect Your Eyesight

Did you know that pregnancy hormones can affect your vision? Read on to learn about the possible visual changes that some women may experience while expecting, and what warning signs to look out for.

5 Contact Lens Health Tips

If you wear contact lenses (other than daily disposable lenses), remember to rinse, disinfect and replace them regularly to prevent eye infections. Schedule a contact lens exam and fitting to ensure your lenses are right for you.

What Is the Long-Term Impact of Virtual Learning on Children’s Eyes?

For many children, learning via a digital device has become routine, and their eyes are paying the price. Fortunately, there are ways to minimize digital eye strain while your child is studying.

7 Tips to Keep Your Vision Healthy and Clear

Creating healthy living habits is a great way to preserve your vision throughout your lifetime. These can help keep your eyes healthy and your vision clear.

7 Questions And Answers About Astigmatism

Astigmatism is a non-spherical cornea that causes blurred vision. Here are 7 frequently asked questions and answers regarding this very common refractive error.

5 Important Eye Care Tips For Kids

Eye care is just as important for children as it is for adults. The sooner you teach your children how to care for their eyes, the more likely they will be to ingrain these habits for life. Here are some tips for kids!

How to Deal with Contact Lens Discomfort

Do your eyes become irritated and itchy when you wear contact lenses? Could be dry eye syndrome, allergies or the contact lenses themselves. Read on to find out what to do if you experience contact lens discomfort.

How Much Time Should My Child Spend Outdoors?

Playing outdoors offers numerous benefits, including delaying the onset of myopia. Read on to learn why that is, and learn why slowing myopia progression is vital for your child’s eye health.

6 Reasons Scleral Lenses Can Manage Your Dry Eye Syndrome

Dry eye syndrome can cause dry, red, itchy, irritated eyes. While eye drops or artificial tears provide relief to some individuals, they may not be effective for people with severe dry eye symptoms. For these individuals, scleral lenses may be a better option. Find out how scleral lenses can help relieve your dry eye symptoms.

Is It Really That Bad to Sleep or Shower In Contact Lenses?

If you wear contact lenses, you likely appreciate the freedom it provides. But did you know that wearing contact lenses in water or while sleeping can damage your eyes?

Living With Keratoconus | Kenneth’s Story

Here’s a glimpse into the life of Kenneth, a keratoconus patient. Read on to learn about his struggle with this eye disease, and how scleral lenses opened up a world of opportunities to him.

Why Are Dilated Eye Exams So Important?

Dilated eye exams make it possible for eye doctors to better assess your eye health and are the only way to detect certain eye diseases.

Why Bother With Myopia Control?

Myopia, or nearsightedness, is more than just blurry vision. Here’s why parents of myopic children should consider myopia control, and what we can do to help.

4 Common Myopia Myths Debunked

Myopia is an eye condition with increasing prevalence. While there is a lot of information out there on myopia, there are also many misconceptions. Read on to discover the REAL facts.

Can I Wear Contacts If I Have Astigmatism?

People with astigmatism may wonder whether they can wear contact lenses. They absolutely can! The two main contact lens choices for astigmatism are scleral lenses and toric lenses. Read on to learn more and discover how we can help.

6 Common Myths About Glaucoma

Glaucoma is a group of eye diseases causing damage to the optic nerve that can lead to vision loss or blindness. While there is a lot of information out there on glaucoma, there are also many misconceptions. Read on to learn to discover the REAL facts.

Why Do Onions Make Us Cry?

Ever wonder why your eyes tear up when you chop an onion? Here’s why these savory bulbs make you cry, and how you can reduce discomfort when cooking with them.

5 Facts About Scleral Lenses

Scleral contact lenses were designed to vault over irregular corneas to create a smooth optical surface that provides sharp, comfortable vision. Here are 5 facts about sclerals to better understand how and why they work.

8 Ways Your Eyes Change With Age

The older one gets, the more the eye changes and the higher the risk of developing sight-threatening conditions. Learn about why middle-aged people need reading glasses and when to visit the eye doctor.

Protect Your Eyes From Vision Loss: Diabetes Awareness Month

Diabetic retinopathy is a potentially sight-threatening condition caused by high blood sugar levels in diabetics. Fortunately, your eye doctor can advise on how to manage and reduce the risk of developing it.

How To Prevent “Mask Fog” on Your Glasses

If you wear glasses and a face mask, you’ve probably struggled with “mask fog.”  Your lenses get all misty, requiring you to wipe your eyewear throughout the day. Below are a few strategies to help you prevent your eyeglasses from fogging up when wearing a mask. But First, Why Do...

Pink Eye? It Could Be Coronavirus

How to prevent conjunctivitis and protect your eyes When you have a virus, especially one that causes a hacking cough, runny nose, and other symptoms of a common cold or flu, it’s typical for your eyes to also get puffy and red. You may be suffering from viral conjunctivitis, also...

Don’t Do These 11 Things If You Wear Daily Disposable Contacts!

Countless people around the world wear daily disposable contact lenses or dailies. These popular single-use lenses are removed and discarded at the end of each day, and a new, fresh pair is inserted the next morning. Used properly, dailies promote eye health, and they’re comfortable and convenient. Despite the many...

What Services Can I Get Using Tele-Optometry?

Tele-optometry is a branch of telemedicine that can cover a wide range of problems and treatments related to vision and ocular health. Tele-medicine delivers medical care through digital medical equipment and telecommunications technology, such as online videos accessible through smart phones and tablets. This allows patients to easily receive screenings,...

Do Your Eyeglasses Fit Right?

Get an eye exam to check the fit of your glasses Tips and guidelines are all over the internet about how to choose the perfect eyeglasses for your face. Which advice should you listen to? Do any of these helpful hints have any real value? Truthfully, there are many myths...

8 Ways to Protect Your Eyes at the Office

Everyone seems to be staring at a screen these days, whether their computer, their smartphone or another digital device. The stress it puts on your eyes can cause a condition called "digital eye strain" (DES) or "computer vision syndrome" (CVS). Symptoms include eye fatigue, dry eyes, blurred vision, headaches, neck...

Can Contact Lenses Give Me 20/20 Vision?

Before our eye doctor answers the question about whether or not contacts can help you achieve 20/20 vision, let’s discuss what those numbers mean. Everyone talks about 20/20 vision all the time, but what is it exactly? Our optometrist at your nearby eye care center in Ashburn can answer any...

How Smoking Impacts Vision

Smoking harms nearly every system in your body — including your eyes. Though we are all aware of the health effects associated with smoking, such as lung cancer, heart disease, and bad teeth, few know about the negative impact it can have on our vision. Smoking and Eye Disease Smoking,...

Trouble Seeing at Night? All About Night Blindness

At this time of year when the sun sets earlier, many people are affected by night blindness. Night blindness or nyctalopia refers to difficulty seeing at night or in poor or dim lighting situations. It can be caused by a number of underlying conditions, sometimes completely benign and sometimes as...

How to Keep Glasses from Getting Foggy

Whether you live in a cold climate or have visited one in the winter, you have probably seen someone who just walked in from the cold outdoors sporting glasses that are no longer transparent, or perhaps you’ve experienced it yourself. Why Do Glasses Fog Up? There are several factors that...

12 Tips for Optimal Eye Health

Good Eye Care Habits & Hygiene By practicing good eye care habits and hygiene, you can prevent many vision problems from occurring. Eye problems and the risks associated with vision loss only grow as you age. By neglecting eye care, you place yourself at a higher risk of suffering from...

Sports-Related Eye Injuries

September Is Sports Eye Safety Month! Ocular sports trauma is among the leading causes of permanent vision loss in North America. Tens of thousands of people get treated for sports-related eye injuries a year, with the most common injuries occurring during water sports and basketball. Infections, corneal abrasions, eye socket...

Ashburn contact lenses, Are contact lenses better than glasses?

Loudoun Eye Associates Eye Clinic in Ashburn, Virginia Do contacts make your vision worse? You have just visited our eye care clinic for an eye exam in Ashburn, Virginia and you received a new vision prescription. Now it is time to purchase new eyewear – should you buy eyeglasses or...

Top 4 Eyecare Tips for Summer Vacation

This summer, whether you're headed across state lines on a family road trip, flying off to Europe, grabbing a quick weekend getaway, or taking a vacation in your own backyard, don't forget to protect your eyes! Summer Eye Care Near You Check out our top 4 tips for ensuring healthy...

Do I Need Eye Exams?

Do you wait until you notice a problem before visiting your eye doctor for an eye exam? Or do you schedule routine check-ups? Many people are not aware of how important it is to have regular eye exams. In fact, it is the most dependable way to preserve your long-lasting...

Mental Health and Your Vision

May is Mental Health Awareness Month in the USA; in Canada, Mental Health week is May 6th to 12th. Since 1949, it has been observed throughout the United States as a way of drawing attention to the importance of proper mental health. This year’s theme is #4Mind4Body. The idea is...

Parkinson’s Awareness Month and Your Vision

April is Parkinson's Awareness Month in the USA and Canada, a time when those living with the disorder, their family members, friends, and community come together to raise awareness and share helpful information. People with Parkinson's Disease (PD) and their loved ones are encouraged to share their stories, struggles, and...

Top 5 Tips for Managing Eye Allergies This Spring

Spring is a season of new beginnings, when the cold harsh winter months are behind us, flowers bloom, and people begin spending more time outdoors. For people with allergies, spring means one more thing: suffering. Spring may be in the air, but for allergy sufferers, so is pollen, pet dander,...

What’s in Your Household Cleaning Supplies?

Most of us have the basics: bleach, oven cleaner, air freshener, furniture polish, and window spray. Did you know that chemicals found in these kinds of cleaning products can be toxic and harmful to your health? In small amounts, they generally don’t cause much damage. But when used on a...

All About Management & Treatment of Eye Disease in Ashburn, Virginia.

Many eye diseases are associated with aging, and even before you notice any problems, it is common for one of these conditions to be detected during a comprehensive eye exam. If you were diagnosed with an eye disease, such as cataracts, glaucoma, macular degeneration, diabetic retinopathy, or dry eye, you...

What You Need to Know About Glaucoma – The Sneak Thief of Sight

January is National Glaucoma Awareness Month. What is Glaucoma? Glaucoma, a silent eye disease, is the most common form of irreversible blindness in the world. It is actually a group of diseases that causes progressive damage to the optic nerve. Glaucoma is a progressive eye disease that can lead to...

Have an Eye Safe Halloween

Brush Up Before You Dress Up Halloween is one of the most fun times of the year for children and adults alike. When else do you get to dress up as anyone (or anything) you want, socialize with friends and eat lots of treats? Nevertheless, lurking behind those costumes and...

Exercise and Your Eye Health

Regular exercise is an essential component of overall health and wellness. It is proven that exercise reduces sickness and disease; it increases strength, immunity, and mental health; and it also helps regulate bodily functions and maintain a healthy weight. Research shows that exercise can lower our risk of chronic conditions...

Healthy Aging for the Eyes

How can I keep my Eyes healthy as I get old Getting old doesn't have to be synonymous with vision loss. There is a lot you can do to keep your eyes and vision healthy and prevent age related eye disease and vision loss, especially if you start early. Keeping...

Progressive Myopia: When Your Child’s Vision Keeps Getting Worse

What Is Progressive Myopia? Nearsightedness or myopia is one of the most prevalent eye disorders worldwide and its incidence is increasing. In fact by 2050, myopia is projected to affect half of the world’s population! Many children diagnosed with nearsightedness (myopia) experience a consistent worsening of their vision as they...

How-to Guide for Buying Sunglasses

Sure, sunglasses might add the final touches to your chic ensemble, but the real reason to purchase your shades is to protect your eyes from the sun. Not only does glare from the sun make it difficult to see, but the UV rays it reflects can cause permanent damage to...

Sports Vision Deconstructed

Vision is a critical component to succeed as an athlete and this doesn’t just mean having 20/20 vision. There are a number of visual processes that are involved in optimal sports performance, whether you are playing a weekly little league game or competing in professional sports. The eyes and the...

Women’s Eye Health – 7 Tips for Optimal Vision for Life

April is Women’s Eye Health Month in the USA and May is Healthy Vision month in Canada too, so let’s take the opportunity to look at some tips for maintaining eye and vision health, with a special focus on women. Statistically, women are more at risk than men for eye...

Signs of Eye and Vision Problems in Infants

Infant Eyesight Despite nine months of growth in utero, babies are not born with fully developed eyes and vision - just like they can't walk or talk yet. Over the first few months of life, their visual systems continue to progress, stimulated by their surroundings. Babies will develop the ability...

AMD Awareness Could Save Your Vision

It’s that time of the year again. Each February, the optometric community bands together to create awareness about age-related macular degeneration (AMD). AMD is a leading cause of vision loss for people 50 years and older; early detection plays a key role in the outcome of the disease. That’s why...

Don’t Let Snow Blindness Ruin Your Winter Vacation

While most people have sunglasses high on their packing list for a tropical vacation, many people don’t consider it as much of a priority for colder climate getaways. But they should, and here’s why: Wintertime vacations often include activities that involve snow and ice and in general, conditions that can...

6 Crazy Holiday Eye Injuries to Avoid

As the season to deck the halls arrives, make sure that you aren’t one of the many people who find themselves celebrating in the urgent care clinic due to an eye injury. The holidays present many opportunities for potential eye injury so it’s important to be aware and proceed with...

10 Eye Healthy Foods to Eat This Year

The New Year is coming and many people include healthier eating and exercise in their resolutions for the year ahead. Well other than weight loss and overall health and disease-prevention, a healthy diet and regular exercise can protect your eyes and your vision. In particular, there are certain vitamins and...

What You Need to Know to Help World Blindness

October is World Blindness Awareness Month, an initiative started to help the public to understand the realities of visual impairment and how it affects the world population. Unfortunately, there are hundreds of millions of individuals around the world who are unnecessarily blind or visually impaired due to causes that are...

How to Safely View the Great American Eclipse of 2017

On August 21st, for the first time since 1979, a solar eclipse will be visible across North America. What's even more historic is that it will also be the first time an eclipse will be visible across the continent, from coast to coast, since 1918. If you want to bear...

Got a Shiner!

What Exactly Is a Black Eye? A black eye, also known as a periorbital hematoma, is usually not an injury of the actual eye (which is why it is called “periorbital”- around the eye). It typically occurs when there is an injury to the face or the eye socket which...

Are You Ignoring Your Dry Eyes?

You Don’t Have to Live With Dry Eyes Have you noticed that your eyes feel chronically dry, itchy, scratchy or even sometimes watery? Many people that have these symptoms just go on with their lives until the symptoms become unbearable. What they don’t realize is that these are signs that...

April is Women’s Eye Health and Safety Month

Hey women! Did you know that women are more likely to suffer from vision problems and are at higher risk of permanent vision loss than men? Well 91% of the women surveyed recently didn’t know that, which means that many of them aren’t taking the necessary precautions to prevent eye...

Understanding Eye Color

Eye color is a hereditary trait that depends on the genes of both parents, as well as a little bit of mystery. The color of the eye is based on the pigments in the iris, which is a colored ring of muscle located at the center of the eye (around...

6 Ways to Prevent Age-Related Macular Degeneration (AMD)

Age-related macular degeneration is a serious condition that can threaten your vision and general well-being. Characterized by the deterioration of the central area of the retina called the macula which is responsible for focused vision, the disease gradually reduces your central vision. This affects the ability to see fine details,...

Are You Missing Your Child’s Hidden Vision Problem?

Your toddler may show every sign of good eyesight including the ability to see objects in the distance, however that doesn't necessarily mean that he or she doesn’t have a vision problem.

“The Sneak Thief of Sight” Is On Our Minds This January

Make your resolution for healthy vision this year with increased awareness of the leading cause of blindness worldwide.

November is Diabetes Awareness Month

Chances are it affects you or someone you know. November has been dedicated as a time to spread awareness about the disease, its risk factors and the effects it has on your body, your daily life and the lives of your loved ones.

When 20/20 Vision isn’t Enough For Your Child

Since studies show that learning is 80% visual, children with untreated vision problems can really suffer when it comes to school. Most people think that good “vision” means 20/20 acuity but in reality, vision is much more complex.  Your brain is actually what completes the processing of the visual world...

Cutting Edge Eye-dentification

We have all seen the futuristic thrillers that use high-tech eye scanning identification systems but nowadays the technology does exist to use them in real life. A greater number of high security establishments have begun to use iris recognition for identification and security systems. How does it work? The iris...

Cataract Awareness Month: What to Expect from Cataract Surgery

After the age of 50 most people will eventually be diagnosed with cataracts. Cataracts are when the natural crystalline lens of the eyes become clouded, causing vision impairment that can not be corrected by glasses or contact lenses. While commonly an age-related condition, occasionally there are infants born with a...

Workplace Eye Wellness: The Dangers of Blue Light

When people think of workplace dangers to the eyes, it is usually machinery, chemicals or construction materials that come to mind.  However, a growing danger to the eyes is one that may be less obvious - exposure to blue light from digital devices, television and computer screens and artificial lighting....

Resolve to Prevent Glaucoma in 2016

This year, make healthy eyes and vision your resolution. Find out if you or a loved one is at risk for glaucoma, and take steps for prevention. Glaucoma is a leading cause of preventable vision loss and blindness in adults in the United States and Canada and the second leading...

How Do We See?

Have you ever thought about how vision works? It's an incredible system and process!

Decorative Lenses Could Cost You Your Vision

Beware this Halloween and think before you blink (in decorative contact lenses that is)! Sure, decorative contact lenses can enhance any Halloween costume, but if not taken seriously, they can also cost you your vision. Whether they are sold as cosmetic lenses, colored lenses or fashion lenses, they are anything...

6 Common Eye Myths Debunked

Over the centuries there have been a lot of old-wives tales circulating about eyes and vision. You know, like the one that if someone hits you on the back while your eyes are crossed they will stay that way. Unlike this example, some of these myths do have roots in...

Is Your Baby’s EyeSight Developing Normally?

A baby’s visual system develops gradually over the first few months of life. They have to learn to focus and move their eyes, and use them together as a team.  The brain also needs to learn how to process the visual information from the eyes to understand and interact with...

Guidelines For Picking the Right Pair of Shades

There is a lot more that goes into finding the right pair of sunglasses than just fit and fashion.  While it’s important to look and feel great in your shades, sunglasses also have the very important job of properly protecting your eyes from the sun. Here are a few facts...

6 Things You Need To Know About Cataracts

Cataracts are a leading cause of vision loss in the United States and Canada. Here are 6 things you need to know. 1. Chances are you will develop a cataract!  Cataracts are considered part of the natural aging process so if you live long enough, you will likely eventually develop...

What You Need to Know About Firework Eye Safety

Independence Day may have passed but fireworks season is still in full swing and fireworks-related injury and death is a real and serious danger.  According to the 2014 Annual Fireworks Report, compiled by the US Consumer Product Safety Commission there were at least 11 deaths and 10,500 injuries due to...

5 Ways to Ensure Healthy Vision

Your eyes are constantly at work for you, playing a vital role as you navigate through each day. As May is healthy vision month, here are some things to keep in mind: Know your genesWhile your eyes may be the same color as your father’s eyes, you may have inherited...

Can you Really Go Blind from Looking at a Solar Eclipse?

Last week, people in South America, Europe, North Africa, and parts of Asia and the Middle East saw a solar eclipse. As you may have heard, looking directly at a solar eclipse is very dangerous for your eyes and vision. Nevertheless, this rare event is something that many people want...

Refocus on the Digital Age with Computer Glasses

Digital devices have impacted our world in so many positive ways, allowing us to connect, work, play and get information at the speed of light. But all of this good brings with it a measure of concern: Digital Eye Strain or Computer Vision Syndrome. Focusing on your vision on digital...

Under Pressure: Are you at Risk for Glaucoma?

January is Glaucoma Awareness Month.  Glaucoma is a serious, vision threatening disease. You can save your eyesight, by knowing the facts. Are you at risk of developing glaucoma? The short answer is yes. Anyone can get glaucoma and because of this it is important for every person, young and old...

“Eye” Am Home for the Holidays – 7 Eye Tips for College Students

Winter break is in a few weeks and, with college students finding their way home for the holidays, it is a good time for parents to check in and make sure their independent kids are taking care of themselves properly.Vision plays a key role in learning as well as extra-curricular activities...

Do You Know the Facts About Diabetic Eye Disease?

November is Diabetic Eye Disease Awareness Month. Do you know the facts?

October is…

October is 'Eye Injury Prevention Month' in the USA and 'Eye Health Month' in Canada. There are about 285 million people living with blindness and low vision all around the world. Children account for some 19 million of them. The vast majority of visual impairment is readily treatable and/or preventable....

Protect Children’s Eyes During Sports

The new school year has kicked off and you can tick off purchasing all that back to school equipment. Now, it's time to think about what your child will need for after school sports and hobby activities. Making sure they have the right protective eyewear for their sporting or athletic...

A Look Behind Sleeping Eyes

Have you ever wondered what your eyes do when you finally close them after a long day of visual processing and stimulation? Let's take a closer look at what happens behind your closed lids when your head hits the pillow. Firstly, once your eyes are closed, they do continue to...

6 Things You Should Know about UV Radiation and Your Eyes

The heat of long summer days is nearly upon us. As the sun's rays intensify and people spend more time outdoors in the sunshine it is very important to be aware of the potential damage exposure to the sun can have on your eyes. May is UV Awareness month. Here...

Dealing with Your Tween’s and Teen’s Eyesight

It can be devastating for a tween or teen to be told he or she needs to wear glasses, especially if it is sudden. Many tweens and teenagers are concerned about how glasses will affect their appearance, whether they will be made fun of (which unfortunately is a legitimate concern...

9 Tips for Coping With Eye Allergy Season

Spring is on the way. Soon the sun will be shining, the flowers blooming and allergy season will be upon us. If you have allergies, your eyes are often affected by the high pollen count along with other allergens floating in the fresh spring air. Tree pollens in April and...

Protecting Your Eyes From The Desk Job

There are so many people who spend hours a day, if not most of the day working on a computer or mobile device. They usually do so without taking notice of the effect this has on their bodies. Using a computer or handheld device for extended amounts of time can...

New Study Shows How Your Eyes Shed Light on Your Health

It's been said that your eyes are the window to your soul. Well, research is showing that your eyes are a window to a lot more than your thoughts and emotions; it can be an indicator of your overall health.  A study by UnitedHealthcare entitled, “Impact of Eye Exams in...

7 Facts You Should Know About Glaucoma

7 Facts You Should Know About Glaucoma Glaucoma, which refers to a group of eye diseases that damage the optic nerve, is often called 'the silent thief of sight'. This nickname evolved because the disease creeps up unnoticed in its early stages, causing no pain and few, if any symptoms....