I have seen the same doctor for 4 years now and have
had field vision tests, OCT tests and extensive exams
done each year and so far nothing has changed in
my eyes. My concern is that even though there has
been no change my optic nerves are larger than
normal and are slightly different from each other
in size and one of them has two small spots where
some thinning has occurred. My pressures are fine
and my field vision tests are fine. My doctor says
since there hasnt been any change in over 4 years,
she does not think I actually have glaucoma, instead
I am just considered a suspect for it. I did get a
2nd opinion who did not do all the tests but just
said based on the fact that there was no change
in 4 years it was probably just the way I was born
and not to worry. Do you agree or should I
pursue another opinion? I dont want them to be
wrong and suffer vision loss but I dont want to
be a chronic worrier either. Please advise.
As long as the doctor is an ophthalmologist with fellowship training in glaucoma, I would trust what they had to say. Unfortunately, many optometrists and even some ophthalmologists don't check carefully enough for less likely glaucomas that present with normal pressures in clinic. A glaucoma specialist should be able to perform gonioscopy to rule out intermittent angle closure glaucoma, pigment dispersion, pseudoexfoliation, normal tension glaucoma, and thin corneas leading to misreading of the pressures. If your current doctor is not a glaucoma specialist MD, get a third opinion from one. That being said, 4 years of stable exams is reassuring.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.