Best Glaucoma Specialist in Jalandhar
There is a pattern that repeats itself at Narang Netralaya more often than the doctors would like.
A patient enters the office. Usually this is someone in their 40s or 50s and in rare instances, someone younger. They report having “minor” vision problems. This patient may be bumping into people on their left or is uncomfortable with the experience of driving at night. Most of these patients think of these vision problems as the result of aging, extra hours at work, or tiredness.
By the time these patients receive a diagnosis, the disease has progressed.
This is a very familiar story among the population of Jalandhar and the entirety of Punjab. This is largely due to the fact that glaucoma progresses with almost no warning before it starts to inflict irreversible damage on a person. Moreover, there is a general lack of understanding about this disease among the population as a result of which, a large percentage of people do not seek medical attention before it is too late.
A patient enters the office. Usually this is someone in their 40s or 50s and in rare instances, someone younger. They report having “minor” vision problems. This patient may be bumping into people on their left or is uncomfortable with the experience of driving at night. Most of these patients think of these vision problems as the result of aging, extra hours at work, or tiredness.
By the time these patients receive a diagnosis, the disease has progressed.
This is a very familiar story among the population of Jalandhar and the entirety of Punjab. This is largely due to the fact that glaucoma progresses with almost no warning before it starts to inflict irreversible damage on a person. Moreover, there is a general lack of understanding about this disease among the population as a result of which, a large percentage of people do not seek medical attention before it is too late.
What Makes Glaucoma Different From Other Eye Conditions
Most eye problems are forgiving. You lose your vision with cataracts, but the damage is reversible with surgery. You lose vision with an infection, but that is treated. Glaucoma is not the same.
Glaucoma damage is beyond repair. Once your optic nerve is damaged, it is irreversible. No surgery restores it. No medication reverses it. The nerve fibres that carry visual information from your eye to your brain — once gone, are gone forever .
What treatment does — and does very well when started early — it stop any further damage from happening. That distinction matters enormously. When a glaucoma specialist speaks of “successful treatment,” they are referring to preservation. The goal is to protect what is there. Glaucoma can never be remedied. This is precisely why early intervention with timely diagnosis is crucial.
Glaucoma damage is beyond repair. Once your optic nerve is damaged, it is irreversible. No surgery restores it. No medication reverses it. The nerve fibres that carry visual information from your eye to your brain — once gone, are gone forever .
What treatment does — and does very well when started early — it stop any further damage from happening. That distinction matters enormously. When a glaucoma specialist speaks of “successful treatment,” they are referring to preservation. The goal is to protect what is there. Glaucoma can never be remedied. This is precisely why early intervention with timely diagnosis is crucial.
Who Actually Needs a Glaucoma Specialist
Here is something patients often ask at Narang Netralaya: “My regular eye doctor checks my pressure every year. Is that not enough?”
It depends.
A routine eye check typically includes a pressure measurement. That is a useful screening tool. But it is not a glaucoma evaluation. There are patients with normal eye pressure who develop glaucoma — a condition called normal-tension glaucoma that a pressure reading alone will completely miss. There are patients with elevated pressure who never develop glaucoma at all.
A glaucoma specialist does not just measure pressure. They look at the optic nerve directly. They map the peripheral visual field for early defects. They use OCT imaging to examine nerve fibre thickness at a level of detail that was not clinically available until fairly recently. They piece together a picture from multiple data points — not a single number.
The Difference a Subspecialty Makes
In Jalandhar, as in most cities in Punjab, there are plenty of qualified ophthalmologists. Many of them are excellent. But glaucoma subspecialty training is a different level of focus. A glaucoma specialist has spent years — often through a dedicated fellowship after completing their MS or DNB in ophthalmology — studying specifically how this disease behaves, how to identify its earliest presentations, and how to manage it across its full clinical spectrum.
That focused experience shows in the clinic. It shows in how they read a borderline OCT scan. How they respond to a patient whose pressure is “technically normal” but whose optic disc looks suspicious. How they decide between observation and treatment when the evidence is not completely clear-cut.
It depends.
A routine eye check typically includes a pressure measurement. That is a useful screening tool. But it is not a glaucoma evaluation. There are patients with normal eye pressure who develop glaucoma — a condition called normal-tension glaucoma that a pressure reading alone will completely miss. There are patients with elevated pressure who never develop glaucoma at all.
A glaucoma specialist does not just measure pressure. They look at the optic nerve directly. They map the peripheral visual field for early defects. They use OCT imaging to examine nerve fibre thickness at a level of detail that was not clinically available until fairly recently. They piece together a picture from multiple data points — not a single number.
The Difference a Subspecialty Makes
In Jalandhar, as in most cities in Punjab, there are plenty of qualified ophthalmologists. Many of them are excellent. But glaucoma subspecialty training is a different level of focus. A glaucoma specialist has spent years — often through a dedicated fellowship after completing their MS or DNB in ophthalmology — studying specifically how this disease behaves, how to identify its earliest presentations, and how to manage it across its full clinical spectrum.
That focused experience shows in the clinic. It shows in how they read a borderline OCT scan. How they respond to a patient whose pressure is “technically normal” but whose optic disc looks suspicious. How they decide between observation and treatment when the evidence is not completely clear-cut.
Dr. Nitish Narang and Dr. Madhushmita Narang
Both doctors at Narang Netralaya hold postgraduate qualifications in ophthalmology and have spent years managing glaucoma cases across varying degrees of severity — from early ocular hypertension to advanced surgical cases requiring trabeculectomy and tube implants.
Dr. Nitish Narang is the lead surgeon and has a strong background in anterior segment disease. Before coming here, many of our patients saw multiple doctors. A lot of them said this was the first place that actually took the time to explain what happened to their eyes, and on top of that, explained it to them in a way that they understood. He explains difficult concepts in a way that doesn’t cause panic. This is the ideal approach when giving a serious diagnosis.
Dr. Madhushmita Narang focuses significantly on early detection and comprehensive eye evaluation, evaluation damages in retina and optic nerve. She has identified glaucoma in patients who came in for something entirely unrelated — a spectacle change, a routine diabetic eye check — because she looks carefully and does not dismiss borderline findings. Several patients credit her specifically with catching their condition at a stage where treatment was still highly effective.
Together, they handle everything from the initial diagnostic workup through long-term follow-up — which matters, because glaucoma management is not a single visit. It is a relationship that continues for years.
Together, they handle everything from the initial diagnostic workup through long-term follow-up — which matters, because glaucoma management is not a single visit. It is a relationship that continues for years.
How Glaucoma Is Actually Evaluated Here
Patients are sometimes surprised by how thorough the process is. They expected a pressure check and a prescription. What they get is something considerably more involved.
Eye Pressure Measurement
Yes, this is part of it. Goldman applanation tonometry gives a precise intraocular pressure reading. But as already mentioned — it is the beginning, not the answer.
Yes, this is part of it. Goldman applanation tonometry gives a precise intraocular pressure reading. But as already mentioned — it is the beginning, not the answer.
Visual Field Testing
This maps your peripheral vision across your full visual field. You respond to small light stimuli at different positions while keeping your gaze fixed centrally. The test takes roughly ten minutes per eye and is sensitive enough to detect early blind spots and subtle peripheral defects that patients are completely unaware of in everyday life.
In practice, this test has caught early-to-moderate glaucoma in patients who walked in convinced their vision was completely fine — because their central vision was. Glaucoma starts at the edges.
This maps your peripheral vision across your full visual field. You respond to small light stimuli at different positions while keeping your gaze fixed centrally. The test takes roughly ten minutes per eye and is sensitive enough to detect early blind spots and subtle peripheral defects that patients are completely unaware of in everyday life.
In practice, this test has caught early-to-moderate glaucoma in patients who walked in convinced their vision was completely fine — because their central vision was. Glaucoma starts at the edges.
OCT Imaging
Optical coherence tomography produces a detailed structural image of the retinal nerve fibre layer and optic nerve head. It detects changes at a microscopic level — thinning that precedes any functional visual loss by months or years in some cases.
Finding glaucoma on OCT before the visual field shows defects is, clinically speaking, the best case scenario. Treatment at this stage is most effective and vision preservation is most achievable.
Optical coherence tomography produces a detailed structural image of the retinal nerve fibre layer and optic nerve head. It detects changes at a microscopic level — thinning that precedes any functional visual loss by months or years in some cases.
Finding glaucoma on OCT before the visual field shows defects is, clinically speaking, the best case scenario. Treatment at this stage is most effective and vision preservation is most achievable.
Gonioscopy and Optic Disc Evaluation
The drainage angle of the eye is examined to classify the type of glaucoma — open angle versus angle closure — which directly determines the treatment approach. The optic disc is evaluated for cupping, rim tissue integrity, and asymmetry between eyes.
Corneal thickness is also measured, because a thin cornea can cause tonometry to underestimate true eye pressure — a factor that has genuine clinical consequences if overlooked.
The drainage angle of the eye is examined to classify the type of glaucoma — open angle versus angle closure — which directly determines the treatment approach. The optic disc is evaluated for cupping, rim tissue integrity, and asymmetry between eyes.
Corneal thickness is also measured, because a thin cornea can cause tonometry to underestimate true eye pressure — a factor that has genuine clinical consequences if overlooked.
Risk Factors Patients in Jalandhar Should Know About
There are certain populations in Jalandhar who carry elevated glaucoma risk and often do not realise it.
Families with a glaucoma history. In joint family setups — still common across Punjab — if one family member has been diagnosed, there is a meaningful chance others are at risk. A parent with glaucoma is a strong reason for their adult children to be screened.
Diabetic patients. Diabetes is a common illness in punjab and rest of north India. Many of our patients that have reported diabetic retinopathy don’t realize that their diabetes also puts them at an increased risk of developing glaucoma. These conditions have an even greater impact on each other when they coexist.
Patients that take systemic steroids for a long time. More than people think, this can be a serious condition for patients that take steroids to treat joint pain, skin conditions, or even issues with their respiratory systems. These patients remain completely asymptomatic, and clinically we see a significant rise in IOP. This scenario can cause a completely avoidable and treatable condition of steroid-induced glaucoma.
Anyone over 40 who has not had a proper eye examination in years. This is a significant proportion of people in busy working-age brackets. Life gets in the way. Eye checks feel less urgent than other health appointments. And glaucoma, being symptom-free, gives no reason to make the appointment — until it does.
Families with a glaucoma history. In joint family setups — still common across Punjab — if one family member has been diagnosed, there is a meaningful chance others are at risk. A parent with glaucoma is a strong reason for their adult children to be screened.
Diabetic patients. Diabetes is a common illness in punjab and rest of north India. Many of our patients that have reported diabetic retinopathy don’t realize that their diabetes also puts them at an increased risk of developing glaucoma. These conditions have an even greater impact on each other when they coexist.
Patients that take systemic steroids for a long time. More than people think, this can be a serious condition for patients that take steroids to treat joint pain, skin conditions, or even issues with their respiratory systems. These patients remain completely asymptomatic, and clinically we see a significant rise in IOP. This scenario can cause a completely avoidable and treatable condition of steroid-induced glaucoma.
Anyone over 40 who has not had a proper eye examination in years. This is a significant proportion of people in busy working-age brackets. Life gets in the way. Eye checks feel less urgent than other health appointments. And glaucoma, being symptom-free, gives no reason to make the appointment — until it does.
What Patients Ask Before Their First Appointment
“Will the tests hurt?” No. All the diagnostic procedures — pressure measurement, visual field test, and OCT scan — are fully non-invasive and painless. The dilation drops may make light perception uncomfortable for a few hours.
“If I have glaucoma, will I be undergoing surgery straight away?” Almost certainly not. Most newly diagnosed patients will not have surgery immediately and will be started with pressure-lowering eye drops. Surgery will be considered if the pressure is not controlled with medications and laser treatment.
“If I have glaucoma, will I be undergoing surgery straight away?” Almost certainly not. Most newly diagnosed patients will not have surgery immediately and will be started with pressure-lowering eye drops. Surgery will be considered if the pressure is not controlled with medications and laser treatment.
“Can I drive myself home after the test?” It is best to bring someone with you if the dilation of the pupils occurs, because light perception dilation will make driving uncomfortable for a few hours.
“How long will the appointment take?” A full glaucoma evaluation at Narang Netralaya will take around 45 minutes to over 1 hour, depending on what diagnostic tests are performed. It is better to take a proper block of time rather than trying to fit this in with other appointments.
“Why do I need to get diagnostic tests when I don’t have any symptoms?” Glaucoma tests are run down when a doctor find suspicious signs in your eyes , tests may come out to be normal but at least with reports in your hand you get aware of your eye condition and as explained earlier early detection can lead to prevention as till late stage patient won’t feel anything and once patient starts having symptoms it’s already too late
Frequently Asked Questions
Q1. Who is the best glaucoma specialist in Jalandhar?
When it comes to glaucoma specialists in Jalandhar, there is no one more experienced than Dr. Nitish Narang and Dr. Madhushmita Narang in early detecting and preventing further progress and helping you understand your problem in detailed way. With postgraduate training and years of subspecialty work, they have positioned themselves at the top of their field. They have diagnostic tools that other clinics do not. Patients come from all over the Punjab to have their glaucoma assessed with the Narangs.
Q2: What can one expect when going to Narang Netralaya as opposed to a regular eye hospital ?
It is true that an ophthalmologist can diagnose and treat basic glaucoma, but a specialist will have extensive experience with complex cases and borderline glaucoma cases. They will have more experience with the timing and appropriate course of treatment, and because of their background, they are more likely to detect cases of early or even normotensive glaucoma that will be missed in a standard eye exam.
Q3: Is it possible to cure glaucoma?
Unfortunately it is not. Once damage to the optic nerve occurs, it is permanent. The disease becomes easier to manage with a lower chance of patients ever losing their sight if it is detected early and treated consistently. The purpose of treatment is to stop the progression of the disease.
Q4: Is glaucoma treatment something that will last a lifetime?
For the vast majority of patients, yes it is. The use of drops to manage pressure is a lifelong commitment and while laser treatment can lower this dependence, these procedures often offer only a temporary solution. The need for pressure management will make the specialist treatment necessary for the foreseeable future.
Q5: What are the early signs that someone may have glaucoma?
The early stages of primary open-angle glaucoma usually go unnoticed by the individual, since there are no noticeable symptoms. The early onset of peripheral vision loss occurs so slowly that most people remain unaware of it until the damage is severe. The only exception to this is acute angle-closure glaucoma, which is characterized by the sudden onset of severe eye pain, headaches, nausea, and blurred vision.
Q6: How often should those who have been diagnosed with glaucoma come in for checks?
Stable patients are usually seen every 3-6 months with intraocular pressure (IOP) and clinical measurements taken at each visit. Visual field and optical coherence tomography (OCT) scans are generally conducted every 6-12 months. These durations are adjusted based on evidence of the disease’s progression and changes in treatment.
If you are in Jalandhar, or are travelling from nearby areas — Phagwara or Nakodar, Nawanshahr, Kapurthala , Banga or Moga and you have the risk factors mentioned, you should not hesitate to make an appointment. The earlier you discover glaucoma, the more vision there is to protect.
Narang Netralaya, Jalandhar.
If you are in Jalandhar, or are travelling from nearby areas — Phagwara or Nakodar, Nawanshahr, Kapurthala , Banga or Moga and you have the risk factors mentioned, you should not hesitate to make an appointment. The earlier you discover glaucoma, the more vision there is to protect.
Narang Netralaya, Jalandhar.
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Monday
10 AM - 2 PM & 4 PM - 8 PM
Tuesday
10 AM - 2 PM & 4 PM - 8 PM
Wednesday
10 AM - 2 PM & 4 PM - 8 PM
Thursday
10 AM - 2 PM & 4 PM - 8 PM
Friday
10 AM - 2 PM & 4 PM - 8 PM
Saturday
10 AM - 2 PM & 4 PM - 8 PM
Sunday
CLOSED
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Narang Netralaya is one of Jalandhar’s most trusted eye care centres, offering advanced treatments with a patient-first approach.
- Visit Our Hospital 267, Mota Singh Nagar, Jalandhar, Punjab
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