Recently Answered Questions
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My intraocular pressure is 20 to 24 mmHg. Is it glaucoma?
Query: Hi doctor, I am 39 years old. My ocular pressure has been measured three times within the last month and values vary from 20 to 24 mmHg. The field vision test is fine. OCT shows some damage to the RNFL. Do I have glaucoma? What treatment do you suggest? Read Full »
Answer: Hello, Welcome to icliniq.com. In my opinion, we can still keep you in the category of 'glaucoma suspect' rather than labeling you with the diagnosis of glaucoma. The most sensitive and specific test for glaucoma is the field test. If field test is normal, then we cannot label you as glaucoma pati... Read Full »
Please review my fundus photos for signs of progression.
Query: Hello doctor, I need a comparison analysis of two fundus photos to check whether they show signs of progression or not. Patient is on Xalatan, Timolol, and Dortas. Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. I had gone through the photographs (attachments removed to protect patient identity). There seems to be a very slight progression. But to conclude based on fundus photographs alone would be incorrect. One of the most accurate ways to judge progression is field analys... Read Full »
I am concerned about my eye pressure values. Please help.
Query: Hello doctor, I went to see my optician; my left eye had an IOP of 22, and the right had 20. These seem to be the average numbers going back six years at two-year intervals. He dilated the eyes and inspected and took photos of the optic nerves. He said everything looked healthy and said to come bac... Read Full »
Answer: Hello, Welcome to icliniq.com. The pressure readings you told me about are within normal limits. Since the ophthalmologist you saw did a detailed fundus examination and told you everything was fine and also your fields are fine. So, I think you do not have anything to worry about. Also, if nobody... Read Full »
I have ocular hypertension. Will it lead to glaucoma?
Query: Hello, I would like to have a remote eye view on a question related to glaucoma. I am 35 years old and I am being followed for 5 years for ocular hypertension. I have between 23 and 26 mmHg by applanation tonometer. My field of vision is good. Optical Coherence Tomography (OCT) examinations are good... Read Full »
Answer: Hello, Welcome to icliniq.com. I reviewed your history. It seems from the history that you are having ocular hypertension. Since the results of visual field, optic disc changes and OCT are normal, there is no glaucoma. But treatment of ocular hypertension is necessary for you to prevent developmen... Read Full »
My father is having constant pain in his head after eye surgery. Why?
Query: Hi doctor,My father, who is 53 years old, is suffering from diabetic retinopathy and has undergone vitreoretinal surgery. After the surgery, his eye (right) responded well. But now, there is a constant pain in his head. The doctors said that there is some pressure in the eye, which increases and res... Read Full »
Answer: Hello, Welcome to icliniq.com. The eye has got pressure known as intraocular pressure (IOP) just like your blood pressure. The normal eye pressure range is 10 to 21 mmHg. Beyond this pressure, the neurons present in the optic nerve (a nerve that connects eye to the brain) starts damaging leading t... Read Full »
Query: Hi doctor, I spend nine hours daily in front of a computer for the last five years. I have developed dry eye problem before two years and consulted a doctor. The doctor suggested Omega 369 tablets (Fultos 369) for 15 days and an eye drop (Softdrops) daily. The dry eye problem cured after taking tabl... Read Full »
Answer: Hello, Welcome to icliniq.com. First of all complete the duration of treatment with Osmega capsule (Omega-3 fatty acid) for three months continuously on once a day basis. Eye drop that you are using is a lubricant eye drop, which you can use it as long. Lubricant eye drops as such have no side eff... Read Full »
My father has glaucoma. Please help.
Query: Hello doctor, My father has been detected with glaucoma. The problem started about two months back. There is some irritation in eyes and vision is hampered in one eye. I wanted to get an opinion on how serious. What should be done? Do we need to take urgent action? Can we cure it completely? Read Full »
Answer: Hi, Welcome to icliniq.com. The thing with glaucoma is that it is a progressive condition and we can arrest its progress to a level that it does not cause further damage. The vision loss that has already been done by the disease is not reversible. Our goal here is to lower the pressure to such a l... Read Full »
Query: Hello doctor, I am a middle-aged male with type 2 diabetes. I consulted an ophthalmologist following a referral from an optician with a bilateral elevated IOP of 28 mmHg. The consultant determined I had corneal thickening. He discharged me with no recommendations for monitoring. I was diagnosed wit... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. If a patient is a glaucoma suspect, then it is imperative to follow-up meticulously. The following tests may be performed on an annual basis. Intraocular pressure using GAT (Goldman applanation tonometer) or DCT (dacryo... Read Full »
How to get cured of my flickering vision and eye floaters?
Query: Hello doctor, I am a 39-year-old female. I am diabetic and taking Glycomet, Empagliflozin, and Vildagliptin. My HbA1c level is about 7.3. I have been taking a calcium channel blocker (25 mg) for three years now to control tachycardia. I do not take any other medications. I have never had vision prob... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your history, and it is a very common concern I see in my day-to-day practice, most probably due to muscae volitantes. Seeing floaters, after images of objects, etc., is very common, and these are usually self-resolving, like in your case as well. I would have... Read Full »
Will CXL raise intraocular pressure?
Query: Hi doctor, I had my CXL procedure done for my right eye one month ago, and my vision is even worst than before. I was prescribed Tobradex (Tobramycin) eye drops a day thrice. My IOP, when recently checked, was raised to 30.5, and I am labeled as a steroid responder. Therefore, my medication is chan... Read Full »
Answer: Hello, Welcome to icliniq.com. Are you a keratoconus patient? For what reason did you get CXL (corneal cross-linking) done? Tobradex (Tobramycin) is a very weak steroid antibiotic combination. You have not taken much of it, even if you are a responder to steroids. That would be odd to have this IO... Read Full »