Need some help/advice

[Glaucoma]

I do regular eye check up with my eye MD. He is moving to a different city for some fsmily reason. So, he asked me to do my regular eye check up with another eye MD in my city. But my eye MD told me always say following whenever you are going to see your new eye MD. I did not understand why. Could you please explain:-

(a) You have a 0.7 C/D cup  ratio and you have for years.  Your OCT looks normal. VF test normal. Ask him to get the picture from your old clinic

(b) You have an wide open angle

(c) You  IOP range from 18 to 22 mm HG

[Michael J Kutryb, MD]

Understand, I cannot make that diagnostic decision for you.  I am not your physician.
It is definitely a case worth looking very closely at.  You should consider seeing a glaucoma specialist. Look at aao.org to find one.
MJK MD

[Glaucoma]

Thanks for your help. I talked to my Doc and he will give me all the documents.

Another question:-

He did OCT, GDX every year and OCT came normal and RNFL index value in GDX was 14/17 ( cut off value is 39).

(1) So, does it mean i have glaucoma or i am at a risk and i should do yearly check up?

(2) Hope with modern technology and medicine if doc find out glaucoma in eary stage vison  loss could be prevented.

Thx

[Michael J Kutryb, MD]

This basically means that your optic disc looks suspicious for glaucoma but it has remained stable for years which means it has not acted like glaucoma .  You have open angles and your pressure is borderline abnormal.  You are a glaucoma specialist.  Your doctor should have given you copies of the notes which would be have been more appropirate to take to your new doctor along with copies of previous visual field tests and optic nerve photos/scans.

MJK MD