Dr. Aditi Dubey
Ophthalmology (Eye Care)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I believe I may have a foreign object in my eye, resembling a hair, but upon examination, there is no visible obstruction. Researching my symptoms led me to consider a detached retina. I consulted a doctor, but I could not comprehend the diagnosis. The doctor mentioned elevated eye pressure during the examination. Kindly help.
Thank you.
Hello,
Welcome to icliniq.com.
I can understand your concern.
The optic nerve and fundus images (attachments have been removed to protect the patient's identity) reveal indications of glaucoma (vision loss due to nerve damage). The increased intraocular pressure has led to changes in the optic nerve head, aligning with a diagnosis of glaucoma. Fortunately, there is no evidence of retinal detachment. To address this, you will need to initiate antiglaucoma therapy in the form of eye drops.
Please provide your perimetry report and eye pressure values for a more tailored prescription. In the meantime, you can use lubricating eyedrops regularly. Additionally, consider taking a tablet of Acetazolamide 250 mg twice a day for three days to lower the pressure until further details are available.
Kindly consult a specialist, talk to them, and take the medications with their consent.
I hope this information will help you.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
Given my family history of glaucoma, I have been vigilant for decades. It seems it is time to revisit a specialist for a comprehensive evaluation. I understand that prescribing medications may not be possible through this platform. However, I seek guidance on my condition's next steps or recommendations. Kindly help.
Thank you.
Hello,
Welcome back to icliniq.com.
You will begin a mono or dual drug therapy tailored to your eye pressure and field defects, and it is crucial to adhere to the prescribed regimen consistently. Glaucoma is a progressive condition, but with proper management, it can be controlled to a significant extent.
I hope this information will help you.
Thank you.
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Ophthalmology (Eye Care)
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