chronic ACG attacks missed???

[TORIE328]

How are chronic angle closure glaucoma attacks seen or diagnosed by an eye Dr. and how many attacks does it take before the eye doctor realizes that you've experienced an attack? Is there something they see in your eyes to deteremine it?
Thank You

[John C Hagan III, MD, FACS, FAAO]

You are welcome and good luck

JCH MD

[TORIE328]

Again, Dr. Hagan thank you for taking the time to answer my questions. They are seeing an opthalmologist now rather then the optomestrist that I had been seeing since I was 17 (I am now 48) and they are 22 & 23.  

[John C Hagan III, MD, FACS, FAAO]

Yes it does although the risk is very small when they are younger than 40, if they are nearsighted its very unlikely they will have it. If they are over 40 they should see an ophthalmologist and have a gonioscopy done.

JCH MD

[TORIE328]

Im sorry I should have put this question in my last post. Since I have closed angle glaucoma, does that now predispose my 2 daughters to closed or open angle glaicoma also?
Thank you for taking the time to read & respond to my questions.

[John C Hagan III, MD, FACS, FAAO]

It means the patient is unaware of the problem, this occurs because the pressure builds up slowly and the eye gets use to it. (like getting use to breathing in the mountains). In acute and subacute ACG the pressure builds up so fast symptoms occur (pain, blurred vision, smokey vision, red eye, fixed pupil, reduced vision, nausea and vomiting, headache.

JCH MD

[TORIE328]

Thank you for answering my question but what do you mean by assymptomatic?

[John C Hagan III, MD, FACS, FAAO]

By definition chronic angle closure glaucoma is assymptomatic. Acute, subacute and intermittent ACG are symptomatic.

Diagnosis is made by doing a test called gonioscopy.

JCH MD