What does glaucoma suspected patient mean?

Hello,

Welcome to icliniq.com.

I went through your query and understtod your concern.

Glaucoma is a very slowly progressive disease. You are a glaucoma suspect, meaning you are at risk of glaucoma or have many predisposing factors, but there is no conclusive evidence to diagnose glaucoma. Predisposing factors present in you are as follows:1.Family history of glaucoma (your mother).2.Borderline high IOP (intraocular pressure).3. Little thin CCT (central corneal thickness ). A low CCT underestimates pressure meaning your actual IOP is one millimeter more than is recorded by machines.4. Borderline OCT (optical coherence tomography).All these factors make you susceptible to glaucoma, but it is inconclusive. You should not worry about glaucoma or loss of eyesight. So, I suggest you use Timolast eye drops (beta blocker) twice daily. There is no harm in using this eye drop. Some doctors give Bimatoprost (prostaglandin analog). There is no harm in using eye drops, but I suggest you use only one. Timolast is the cheapest and best for the initial stage. I suggest you use it for prophylaxis and get yourself examined every six months to rule out progression. I also suggest you take a perimetry test next time. After six months, get OCT from the same machine as it is very difficult to compare OCT reports from two machines.I hope this has helped you. Thank you.

Hello,

Welcome back to icliniq.com.

You have reported only reliable parameters of perimetry which shows that your perimetry report is trustworthy. I suggest you attach the perimetry reports also. Once it is done, I will interpret them and discuss that with you.Thank you.

Hello,

Welcome back to icliniq.com.

You are a glaucoma suspect person, as I said earlier. In glaucoma suspects, it becomes difficult to say with 100 % confirmation that the patient has glaucoma, so prophylactic antiglaucoma medicines are started, and the patient is kept under regular follow-up. I reviewed your reports (the attachment removed to protect the patient's identity), and my conclusions are as follows.1. Perimetry is the most sensitive test for glaucoma. OCT supplements the findings of perimetry, but it can never replace perimetry. So I suggest you get a perimetry test also done.2. Both the OCT reports are the same. There has been no progression of glaucoma in the last year.3. OCT of the right eye suggests glaucoma suspect, which means that the damage due to glaucoma is not there. In the left eye, yes, there is damage to the optic nerve due to glaucoma, but that damage is stable and has not progressed over the last year.4. As I suggested, Timolol is a very safe and cheap medicine. In my opinion, you should start Timolast twice daily.5. Yes, glaucoma eyedrops are for lifetime usage. Moreover, you have a positive family history, so I suggest you take eye drops.6. If you do not want to use a medicine, you should be under regular follow-up. I think not starting eyedrop will do more harm than starting eyedrop and missing the dosage.Last of all, please do not worry. Do not be afraid of glaucoma. You will not lose your eyesight.I hope this has helped you.Thanks and regards.