Recently Answered Questions
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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 »
Dr. Hussein Mohamed Sherif Ahmed Ayoub
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 »
Does increased intraocular pressure in eyes indicate glaucoma?
Query: Hi doctor,I am a 31-year-old male. I was referred to an optometrist when my eye pressure was high during the eye examination. The optometrist conducted a variety of tests such as visual field test, dilated eye exam, and took photographs of the back of my eye. In the end, she concluded that everythin... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity). Please mention your intraocular pressure. The reports suggest that you have a large cup to disc ratio in both the eyes and it indicates glaucoma. It is also seen in normal circumstances ca... Read Full »
Can long term use of steroids induce OHT and allergic conjunctivitis?
Query: Hi doctor, I am a 31-year-old male. I have been having blurry vision and photophobia for the past year and have been getting my eyes checked every six months (dilated). Recently I was diagnosed with steroids induced OHT and allergic conjunctivitis. But the doctor has prescribed me two tests OCT and ... Read Full »
Answer: Hello, Welcome to icliniq.com. The steroid-induced intraocular pressure rise is a real entity. You have just sent the latest prescription, but what about the earlier ones? Steroid drop use can lead to intraocular pressure rise after two weeks of the start of the drops, which generally drops on dis... Read Full »
Can anterior uveitis be idiopathic?
Query: Hello doctor, Two years ago, I have an inflammation in my right eye. I went to an ophthalmologist who diagnosed as anterior uveitis combined to low IOP of 9 mmHg. He described an eye drops Optired, five times a day for one week. Then the dose is reduced in the next two weeks until stopped. The effec... Read Full »
Answer: Hello, I have gone through your blood reports (attachment removed to protect patient identity). They are quite extensive and have covered most of the routine uveitis workup. As your ophthalmologist has said, majority of anterior uveitis cases are idiopathic and need to be treated as and when it fla... Read Full »
My intraocular pressure has risen to 16, to 21. Will it continue to increase?
Query: Hello doctor,Over the past six years or so, my intraocular pressure (both eyes) has risen to 16, to 19, and now to 21. Will it continue to increase still? Kindly help. Read Full »
Answer: Hello, Welcome to icliniq.com. As you might have been informed, increased eye pressure is mainly associated with the disease called glaucoma. This chronic symptomless disease is very drastic to the optic nerve and might lead to irreversible damage, and in the end, cause blindness. However, this ey... Read Full »
My father has been detected with glaucoma. Do we need to take urgent action?
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 »
Are my eye pressure values normal?
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 »
Can you compare two images of fundus and tell me if there is 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 »