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Medical Forum / Diseases and Disorders / Glaucoma / February 2004

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Glaucoma only in 1 eye

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Christine Geary - 01 Feb 2004 00:13 GMT
I would like to know how common it is to only have glaucoma in 1 eye.  You
see, when I was a child, I developed glaucoma in my left eye that rendered
me blind in that eye; so far I haven't had it in my right eye, thank
goodness.

Any information is appreciated; thanks in advance.

Christine
Rick Cohn, M.D. - 02 Feb 2004 04:14 GMT
> I would like to know how common it is to only have glaucoma in 1 eye.  You
> see, when I was a child, I developed glaucoma in my left eye that rendered
[quoted text clipped - 4 lines]
>
> Christine

It is actually fairly common to develop glaucoma in only one eye.
--Rick Cohn, MD
Glaucoma Specialist
Winter Park, FL
MC - 02 Feb 2004 11:30 GMT
> It is actually fairly common to develop glaucoma in only one eye.

Are people (such as myself) who get it in one eye at greater risk for
eventually getting it in the other?
Rick Cohn, M.D. - 03 Feb 2004 03:33 GMT
> > It is actually fairly common to develop glaucoma in only one eye.
>
> Are people (such as myself) who get it in one eye at greater risk for
> eventually getting it in the other?

yes, but  I can't tell you precisely how much greater the risk is.
--Dr. C
MC - 03 Feb 2004 03:37 GMT
> > Are people (such as myself) who get it in one eye at greater risk for
> > eventually getting it in the other?
>
> yes, but  I can't tell you precisely how much greater the risk is.

Thanks. More or less what I figured -- and my ophthalmologist is
(obviously) monitoring both eyes -- so far so good.
Dave - 04 Feb 2004 21:24 GMT
> > > It is actually fairly common to develop glaucoma in only one eye.
> >
[quoted text clipped - 3 lines]
> yes, but  I can't tell you precisely how much greater the risk is.
> --Dr. C

I don't know how accurate this info is, but I found it at

http://www.sutterhealth.org/health/healthinfo/index.cfm?page=article&seq_id=6&sg
ml_id=hw158191


For open angle glaucoma:

Prior loss of vision in one eye from glaucoma.  Damage in one eye from
glaucoma is associated with a higher risk of future damage in the
other eye. If untreated, the risk that damage will occur in the other
eye within 5 years is about 29%.

If I'm reading their citations correctly, this came from

American Academy of Ophthalmology (2000). Primary Open-Angle Glaucoma
(Preferred Practice Pattern). San Francisco: American Academy of
Ophthalmology.

For closed-angle glaucoma

Having closed-angle glaucoma in one eye.  Having closed-angle glaucoma
in one eye increases the risk of developing the condition in the other
eye. About one-half of the people develop closed-angle glaucoma in the
second eye within 5 years after they have had acute closed-angle
glaucoma in one eye.

American Academy of Ophthalmology (2000). Primary Angle Closure
(Preferred Practice Pattern). San Francisco: American Academy of
Ophthalmology.
Eric Wright - 11 Feb 2004 22:06 GMT
what about the odds of developing glaucoma in the other eye after being
diagnosed with traumatic glaucoma, I was diagnosed with traumatic
glaucoma in my right eye after a botched surgery, should I really worry
about now developing glaucoma in my left eye as well.

Sincerely, Eric R. Wright
http://community.webtv.net/EricRWright/EXPLORATIONS
Rick Cohn, M.D. - 13 Feb 2004 00:20 GMT
> what about the odds of developing glaucoma in the other eye after being
> diagnosed with traumatic glaucoma, I was diagnosed with traumatic
[quoted text clipped - 3 lines]
> Sincerely, Eric R. Wright
> http://community.webtv.net/EricRWright/EXPLORATIONS

Eric,
   I'm not sure how you got glaucoma as a result of "botched
surgery."  I have seen one patient develop angle closure glaucoma as a
result of a difficult cataract surgery...I wouldn't have called that
"botched."  I've seen elevations in intraocular pressure in someone
with open angles after simple cataract surgery.  These are not usually
considered "traumatic glaucoma" which is another term for "angle
recession glaucoma."  In angle recession, blunt force trauma tears the
tissue in the drainage angle, causing scarring and eventual elevation
in IOP.  Eye surgery would seldom lead to tearing the angle, though
excessive inflammation in the eye after a difficult surgery can "clog"
the drain.  If your drainage angle had borderline function and surgery
pushed it over the edge into the elevated IOP group, then yes, your
fellow eye might be at risk with age.  Nevertheless, if you're already
being followed for glaucoma in one eye, it's pretty easy to get your
doc to check the IOP in the fellow eye simply to keep a watchful eye
(no pun intended) on it.  Hope that helps.
Rick Cohn, MD
Glaucoma Specialist
Winter Park, FL
Eric Wright - 14 Feb 2004 06:19 GMT
sorry, I did not clarify what I meant by a "botched surgery"  by that I
meant that I woke up and tried to sit up on the operating table while
the doctor was operating, this happened several years ago and was
diagnosed within a few months after it occured.

Sincerely, Eric R. Wright
http://community.webtv.net/EricRWright/EXPLORATIONS
 
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