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Medical Forum / Diseases and Disorders / Glaucoma / December 2004Can you have relatively high IOP without having glaucoma?
Hi, I have a IOP of about 20 in both eyes, but my cornea is thinner than the average and I was told that this brings my "real" IOP up to about 23-24: does this mean that I have glaucoma? In general, can you have relatively high IOP without having glaucoma? Thank you very much Alberto Yes, you can. We got into that last summer when I asked about someone with diabetes and IOP in the mid-20's who wasn't taking glaucoma meds. Dr. Rick Cohn confirmed that elevated IOP doesn't necessarily translate to glaucoma. There has to be damage resulting from the IOP too. That's why the doctor needs to watch your optic nerves. Laura >I have a IOP of about 20 in both eyes, but my cornea is thinner than the >average and I was told that this brings my "real" IOP up to about 23-24: >does this mean that I have glaucoma? >In general, can you have relatively high IOP without having glaucoma? Thank you Laura May I ask if the doctor advised you to take drops in order to lower IOP? I wish you Merry Christmas and a Happy New Year Alberto > Yes, you can. > [quoted text clipped - 5 lines] > > Laura MC to you too. It wasn't me. I'm not diabetic and take drops in one eye for secondary open-angle glaucoma. This was someone I had recently met. It sounded like her doctor had taken a "watchful waiting" approach. As long as her eyes showed no evidence of damage, there was no reason to put her on drops. I haven't seen her since, so I don't know if anything has changed. However, my impression was that this had been going on for a few years. Laura >Thank you Laura > [quoted text clipped - 3 lines] > >Alberto > Yes, you can. > [quoted text clipped - 5 lines] > > Laura Laura, You took the words right out of my mouth. Well done. It certainly is possible to have either eleveated IOP or borderline IOP with thin corneas and still be only a glaucoma suspect or ocular hypertensive. In order to be defined as having glaucoma, one must have evidence of optic nerve damage. --Rick Cohn, MD Thank you! Alberto |
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