How to diagnose vision problems in glaucoma?
Patient's Query
Hi doctor,
I am 48 years old, female. I have been diagnosed with starting glaucoma and I have all OCT scans and glaucoma screening results. I would like to know what precisely is happening with my eye. I had a bad vision already for 3 to 4 years and was wearing glasses but now it is not comfortable to wear. I also have astigmatism. I struggle to see now clearly and have constant headaches. Please let me know if you can diagnose and see what problems I am facing.
Hi,
Welcome to icliniq.com.
I understand your concerns.
Optical coherence tomography (OCT) is normal. You have glaucoma in a very early stage (attachment removed to protect patient identity), but you have not mentioned your intraocular pressure for astigmatism.
I would suggest these options, such as toric contact lenses. A non-surgical procedure, but contact lenses require constant care. LASIK surgery, preferably PRK LASIK surgery, is one of the best options now, but coming to my third option, phasic lens extraction and replacement with toric multifocal lenses.
Option 3 is preferable because 10 years down the line, you will be needing a cataract surgery anyway. From a glaucoma perspective, please provide your intraocular pressure readings.
I hope this helps you.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply. Can you please suggest what checks are required to see intraocular pressure?
Hi,
Welcome back to icliniq.com.
It can be checked through various small tests. The most accurate biometric explanation tonometry.
I hope this helps you.
Thank you.
Patient's Query
Thank you doctor,
Okay, I will try to do that test tomorrow. And send you the details. For now, please also check these following results. I also have other results which is cornea- transparent, norm of tear firm-7c and Shirmer- 35 mm, ocular fundus- excavation 0.5 to 0.6, keratometry OD- 42, 50-5, 43, 50-95, OS-42, 50-177, 43, 75-87, pachymetry OD- 394, OS- 368, macular and posterior pole degeneration (H 35.3).
Hi,
Welcome back to icliniq.com.
The only thing to worry about here is your corneal thickness being less than 400, which basically rules out the possibilities of LASIK surgeries. Astigmatism is there but it is not such a big thing to worry. I mean, corneal thickness is a bigger issue. Shrimmer is near normal and optic disc health is slightly above normal range but not something to worry. I advise you to get intraocular pressure done yearly or, if possible, a six-monthly follow-up to repeat glaucoma-related investigations.
I hope this helps you.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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