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Medical Forum / General / Vision / January 2005Low-Tension Glaucoma
I was recently diagnosed with low-tension glaucoma in my left eye, and was prescribed Timolol GFS with punctal occlusion. I am 46 years old and my eyeglass prescription is as follows SPH. CYL AXIS R -12.00 +2.25 143 L -13.75 + .75 43 Both eyes have +2.75 added for reading. I am posting to find out if anyone has experienced a similar diagnosis, and to see if anyone has any idea what kind of prognosis I can expect. Thanks. G. Dear Gita, Please provide the "pressure" reading you were given. Pressure is given in mm of mecury. 15 mm would be a reasonable pressure. Please have your eye doctor explain exactly what he means by "low tension". Best, Otis Engineer > Dear Gita, > Please provide the "pressure" reading [quoted text clipped - 9 lines] > Otis > Engineer Otis, Otis, why are you even responding to this post?? This is a type of post that is way beyond your scope "sic" and are doing a dis-service to the poster. You are totally out of your league. You should have done at least a google search on low tesion,normal tension glaucoma to know that there is such an entity. frank Dear Frank, This is an "open forum". What don't YOU ANSWER her question -- rather than giving me a hard time about it? Best, Otis Engineer > Dear Frank, > This is an "open forum". What don't YOU ANSWER [quoted text clipped - 5 lines] > Otis > Engineer It may be an open forum but you have ABSOLUTELY NO MEDICAL BACKGROUND AND NOTHING to contribute to this poster other than causing her confusion. You didn't even have a clue that ltg/ntg even exists for crying out loud. Immed after responding to you I did post to Gita to help her. Check it. You are getting into dangerous territory when you respond to posts like these - it's frightening to me because it seems like you ACTUALLY believe you know the answers to now even eye care MEDICAL issues. If you had responded to her post by stating that you're not an eye provider but that one of the eye docs on this ng can answer your questions I would not have gotten on your case. NOT the best, frank > > Dear Frank, > > This is an "open forum". What don't YOU ANSWER > > her question -- rather than giving me a hard time > > about it? Well, why didn't *you* anwer her questions? Her first question was: >>>I am posting to find out if anyone has experienced a similar diagnosis, and her second question was: >>>and to see if anyone has any idea what kind of prognosis I can expect. > You are getting into dangerous territory when you respond to posts like > these > - it's frightening to me because it seems like you ACTUALLY believe you > know the > answers to now even eye care MEDICAL issues. Welcome to life! We've all met people IRL (In Real Life) who have an answer to every question, even though they know nothing about the subject. Personally I believe that these people are attracted to newsgroups, because there are lots of questions.  SignatureDan Abel Sonoma State University AIS dabel@sonic.net : Please provide the "pressure" reading : you were given. The pressure in both eyes is 18. G. > Dear Gita, > Please provide the "pressure" reading > you were given. Exactly what are you doing here? Are you helping the Px with some advice or are you confusing her further. How would the presure reading change the diagnosis, unless of cause it it over 21mm/hg > Pressure is given in mm of mecury. > 15 mm would be a reasonable pressure. Which can well be seen in NTG Did you ask for visual fields? No Did you ask for corneal pachymetry results? No How about asking if an evaluation was done for other causes of optic neuropathy. > Please have your eye doctor explain > exactly what he means by "low tension". Explain to her so she can inturn explain to you. Come on Otis, you write here as if you are an authority. Regular visitors of this news group know and understand that your knowledge on the subject is poorly lacking. My concern is however for those new comers. In future please add at the end of your text. I am not a doctor, My knowledge on the subject is poorly lacking, please take my advice with a pinch of salt. > Best, > Otis > Engineer Philip D Izaac wrote (in response to Otis): > Exactly what are you doing here? Are you helping the Px with some > advice or are you confusing her further. > How would the presure reading change the diagnosis, unless of cause > it it over 21mm/hg [snip] > Did you ask for visual fields? No > Did you ask for corneal pachymetry results? No > How about asking if an evaluation was done for other causes of optic > neuropathy. [snip] > Explain to her so she can inturn explain to you. Come on Otis, you > write here as if you are an authority. Regular visitors of this news [quoted text clipped - 5 lines] > I am not a doctor, My knowledge on the subject is poorly lacking, > please take my advice with a pinch of salt. Seems to be, at least, a plurality here, Otis . . . if that means anything to you. > I was recently diagnosed with low-tension glaucoma in my left eye, and > was prescribed Timolol GFS with punctal occlusion. I am 46 years old and [quoted text clipped - 12 lines] > > G. Prognosis is usually good in most cases if treated in time and with the proper meds although I've have some cases of ltg/ntg (low tension/normal tension) that have been more challenging to control vesus primary angle glaucoma. The key for you is proper compliance to the treatment and follow-up care. frank : The key for you is proper compliance to the treatment and follow-up : care. Thank you. I tell you, I worry about having to use eyedrops for the rest of my life, and almost wish there was a surgery of some kind that would "fix" the problem. G. > Thank you. I tell you, I worry about having to use eyedrops for the rest > of my life, and almost wish there was a surgery of some kind that would > "fix" the problem. Surgery is an option, but it has its problems too. Sometimes it's only marginally effective and you wind up using drops anyway. There are several different medications used to lower pressure. Are you using drops once a day, or several times a day? Are you using one variety of medication, or two or more? Whatever the method, treating glaucoma usually requires reducing the pressure by 30% or more. Prognosis depends largely on compliance, so it's important to "have a talk with yourself" about determination and consistency. 43 is a little young for NTG. Roughly half the glaucoma among Japanese is NTG. Do you have Japanese ancestry? -MT, OD : There are several different medications used to lower pressure. Are you : using drops once a day, or several times a day? Are you using one variety : of medication, or two or more? Mine is a once-a-day drop, which I use in the morning. Sometimes I end up showering a couple of hours after I use the drop, which worries me. : Whatever the method, treating glaucoma usually requires reducing the : pressure by 30% or more. Prognosis depends largely on compliance, so it's : important to "have a talk with yourself" about determination and : consistency. Oh no, I'm the compliant type. I drop that sucker and then sit for three minutes with the eye closed, holding the tear duct closed as well. : 43 is a little young for NTG. Roughly half the glaucoma among Japanese is : NTG. Do you have Japanese ancestry? Heh, no. My doctor did say that I had the kind of damage he would have expected to see in someone 20 or 40 years older, though. Sigh. I got the impression that he thought it was related to my myopia, if such a thing is possible. G. I don't think my history would apply here but I had a glaucoma scare a few years ago. At an optometrist's appointment they used a new device (GRX? GNX?) to measure the optic nerve density. According to the OD, the test showed I had less than 20% of my optic nerve left. My pressures were normal. He wanted to start eyedrops for glaucoma. I went for a second opinion at a university. They found I had no glaucoma but said the LASIK surgery I'd had years before caused a false reading on the GRX. Doing a search on Medline I found abstracts showing the machine will cause false positives in LASIK patients. While waiting for the second opinion appointment I spent days online researching glaucoma. It seemed that doctors are evenly divided between surgical or medical treatments. I found no consensus on what's considered the best treatment but this was at least 3 years ago. Good luck. |
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