Personalized Glaucoma Care in Bozeman
Glaucoma is one of the leading causes of permanent vision loss, yet many people do not realize they have it until vision changes begin to occur. Because glaucoma often develops slowly and without obvious symptoms, regular eye exams are important for detecting changes early and protecting long-term eye health.
At 20Twenty Eyecare, we use diagnostic technology like OCT imaging, optomap retinal imaging, visual field testing, pachymetry, and iCare tonometry to evaluate optic nerve health and monitor for early signs of glaucoma.
Our goal is to identify concerns early and provide personalized care based on your eyes and risk factors. Book your glaucoma evaluation today and take a proactive step toward protecting your vision.
What Is Glaucoma?
Glaucoma is a group of eye conditions that damage the optic nerve, which is responsible for sending visual information from the eye to the brain. This damage is often associated with increased eye pressure, although glaucoma can also occur in patients with normal pressure levels.
Because glaucoma typically develops gradually, many people may not notice symptoms until vision loss has already occurred.


Common Risk Factors for Glaucoma
Several factors may increase the risk of developing glaucoma, including:
- Age
- Family history of glaucoma
- Elevated eye pressure
- Diabetes or high blood pressure
- Thin corneas
- Previous eye injuries
- Long-term steroid use
Understanding your risk factors and scheduling regular eye exams can help support early detection and ongoing monitoring.


Signs and Symptoms of Glaucoma
In many cases, glaucoma causes no noticeable symptoms early on. As the condition progresses, some patients may experience:
- Gradual loss of peripheral vision
- Blurred vision
- Difficulty adjusting to low light
- Halos around lights
- Eye pressure or discomfort
Because symptoms may not appear until later stages, routine testing is critical for protecting your vision.
Our Diagnostic Technology for Glaucoma Management
Glaucoma care relies on careful testing over time to detect small changes before they affect vision. Because glaucoma often develops slowly and without clear symptoms, regular monitoring is one of the most important ways to protect long-term eye health.
At 20Twenty Eyecare, we use a range of testing methods to look at both the structure and function of the optic nerve. Each test gives us different information, helping us build a complete picture of your eye health and track changes with accuracy over time.
Optical Coherence Tomography, or OCT, creates detailed images of the optic nerve and retinal nerve fibre layer. This helps us look for early changes in nerve tissue that may not yet affect vision.
By tracking these images over time, we can identify even small changes and adjust care when needed.
Visual field testing checks your side vision, which is often affected first in glaucoma.
This test helps us understand how well your vision is working in everyday life and allows us to compare results over time to see if there are any changes.
iCare tonometry measures eye pressure in a quick and comfortable way, without the need for the traditional air puff test.
Since eye pressure is a key risk factor for glaucoma, regular testing helps us monitor changes and guide ongoing care.
Pachymetry measures the thickness of your cornea. This is important because corneal thickness can affect how eye pressure readings are interpreted.
Knowing this measurement helps us better understand your individual risk and ensures more accurate monitoring.
Optomap retinal imaging captures wide-view images of the inside of your eye, including the retina and optic nerve.
These images allow us to document your eye health clearly and compare changes over time to support ongoing glaucoma monitoring.
Ongoing Glaucoma Monitoring and Management
Glaucoma management focuses on protecting vision by monitoring changes closely and reducing the risk of progression over time. Your management plan may include:
- Regular eye pressure monitoring
- Imaging and visual field testing
- Prescription eye drops or medications
- Lifestyle and eye health recommendations
- Ongoing follow up care based on your individual needs
Consistent monitoring plays an important role in preserving vision and detecting changes as early as possible. Book your glaucoma evaluation today and take a proactive step toward protecting your eye health and vision.
Frequently Asked Questions About Glaucoma
Glaucoma is a group of eye conditions that can damage the optic nerve over time. It is often linked to eye pressure, but it can also occur with normal pressure. If not detected and managed early, it can lead to permanent vision loss.
Most people do not notice symptoms in the early stages of glaucoma. Vision changes often begin gradually, which is why regular eye exams are important for early detection and monitoring.
You may have a higher risk of developing glaucoma if you:
- Are over age 40
- Have a family history of glaucoma
- Have elevated eye pressure
- Have diabetes or high blood pressure
- Have thin corneas
- Have had a previous eye injury
- Use steroid medications long-term
There is currently no cure for glaucoma. However, with early detection and ongoing management, progression can often be slowed to help protect remaining vision.
We monitor glaucoma using a combination of tests, including eye pressure measurements, OCT imaging, visual field testing, corneal thickness measurements, and retinal imaging. Tracking these results over time helps us detect changes early.
In many cases, early vision loss from glaucoma affects peripheral vision first, which can be difficult to notice. This is why testing is important, even if your vision seems normal.
Testing frequency depends on your risk level and eye health. Some patients may need yearly monitoring, while others may require more frequent visits based on findings and risk factors.
Glaucoma cannot always be prevented, but early detection and regular monitoring can significantly reduce the risk of serious vision loss.
A glaucoma visit typically includes eye pressure testing, imaging of the optic nerve, visual field testing, and a detailed eye health assessment. These tests help build a clear picture of your eye health over time.
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Contact Information
- Phone: 406-522-8888
- Fax: 406-404-1885
- Email: info@20twentymt.com
Hours of Operation

What People Are Saying
Testimonials
I had a great experience at 20twenty eyecare from start to finish. Dr. Blom and Cora were friendly, knowledgeable, and great to work with. Cora was fantastic when helping me pick out and fit my frames. She picked out frames that would best suit my face and made sure everything fit comfortably. I’m really happy with my experience and would definitely recommend them to anyone!
Bailey
I was very well taken care of at 20Twenty. Dr Blom and the staff were great. I felt the exam was very thorough and not rushed. Dr Blom spent a lot of time with me and was very good at explaining my tests. I would highly recommend him. He has also taken excellent care of my daughter. Much appreciated.
Wally
What a kind and professional staff! I felt heard and allowed to ask questions. The office was very clean and with today’s health concerns, that is important. My Dr. was thorough and I felt well taken care of. I was grateful that my annual vision health was taken seriously with Professionalism. A patient of 4 years.
April
20Twenty Eyecare is the very best that I have experienced anywhere. All of the staff, from the front desk to the examining rooms and the opticians are very professional, extremely knowledgeable, and always willing to explain what they are doing and answer questions. They are always very thorough and get it right the first time. Thank you for a very pleasant experience each time that I visit.