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Medical Forum / Diseases and Disorders / Glaucoma / June 2003

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Ocular Hypertension a Lifelong Condition or Disease?

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Nancy Rushing - 29 Jun 2003 03:37 GMT
Is having "ocular hypertension" (in other words, being a glaucoma
suspect) a LIFELONG CONDITION OR DISEASE, just like glaucoma? Or could
people no longer be a glaucoma suspect, and never have glaucoma?
    I am just curious. Thanks to any of you who can answer my
questions.

Nancy
Rick Cohn, M.D. - 30 Jun 2003 01:19 GMT
> Is having "ocular hypertension" (in other words, being a glaucoma
> suspect) a LIFELONG CONDITION OR DISEASE, just like glaucoma? Or could
[quoted text clipped - 3 lines]
>
> Nancy

Hi, Nancy...the short answer is "Yes."  Once a suspect, always a
suspect.  You may never go on to develop glaucomatous optic nerve
damage (I certainly hope you don't), but suspects based on elevated
IOP (also called ocular hypertensives) do run an increased risk over
lifetime of developing nerve damage.  The only condition in which a
suspect might no longer be considered a suspect is if he/she was found
to have elevated IOP and then the central corneal thickness was
measured and found to be somewhat or very much higher than normal.  If
the nomogram we use in the office showed that, once corrected for
corneal thickness, the IOP was well within normal, then I might
reverse my opinion regarding that patient's level of suspicion (a
thick cornea can give a falsely elevated IOP reading).  Hope that
helps.
Rick Cohn, MD
Glaucoma Specialist
Winter Park, FL
 
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