Dr. Rahul Vaswani
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.
Answered by
Medically reviewed by
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.
OCT is normal. Glaucoma is in very early stage (attachment removed to protect patient identity) but you have not mentioned your intraocular pressure for astigmatism. I would suggest these options like toric contact lenses. A non-surgical procedure but contact lenses require constant care LASIKsurgery 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 anyways. For glaucoma point of view please tell me your intraocular pressure readings.
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 bieng applanation tonometry.
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 here is your corneal thickness less than 400 which basically rules 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, six-monthly follow up to repeat glaucoma-related investigations.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Ophthalmology (Eye Care)
Related Questions
Diagnosed with Glaucoma: What Next?
What can be done to manage vision and headaches in glaucoma with astigmatism?
Can minimally invasive glaucoma surgery be done in sensitive eyes with glaucoma?
Other than specs, is there any option available to correct my cylindrical eye power?
What does glaucoma suspected patient mean?
How to get rid of glasses?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
