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eye pressure

My 17 yo was seen 1 week ago by opthalmologist.  Was told his eye pressure was 19-20.  Also that his right optic nerve did not look nomal.  He was seen again today.  Eye pressure jumped to 30 in both eyes.  What would cause such a jump in only 7 days.  No new medication.  Takes Fiorinal for migraines.  By the way, he has had severe HA daily for over 2 months now.
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233488 tn?1310693103
MEDICAL PROFESSIONAL
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Avatar universal
Dr Hagan,
Thank you for the information.  He has f/u appt next week.  
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233488 tn?1310693103
MEDICAL PROFESSIONAL
The IOP varies from hour to hour with most "normal" people having perhaps a 6-8 point variation between high and low (which varies in time from person to person). In glaucoma patients and glaucoma suspects the IOP can vary over 20 points in a 24 hr period.

In any case a true IOP of 30 is very concerning and a full blown glaucoma work up is indicated: Full medical eye exam, visual fields, gonioscopy, disk photos, OCT of nerve fiber layer, central corneal thickness and close follow up.

JCH MD
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