Open-angle glaucoma is painless and causes no early symptoms. Both eyes usually are affected but typically not equally. The main symptom of open-angle glaucoma is the development of blind spots, or patches of vision loss, over months to years. The blind spots slowly grow larger and merge together. Peripheral vision is usually lost first. People may miss stairs, notice portions of words missing when reading, or have difficulty with driving. Vision loss occurs so gradually that it is often not noticed until much of it is lost. Because central vision is generally lost last, many people develop tunnel vision: they see straight ahead perfectly but become blind in all other directions. If glaucoma is left untreated, eventually even tunnel vision is lost, and a person becomes totally blind.
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