Good afternoon Dr Hagen
I just had my biannual eye exam and i happened to mention to the doc that I am a migraine sufferer. Hearing this, the opthalmologist (whom I hadn't seen before) took a very keen interest in my optic nerves. He told me I was a glaucoma suspect due to asymmetry of my optic discs and a high cup-disc ratio. He took some photos to use as a baseline, as he hadn't seen me before and therefore couldn't be certain it wasn't a physiological issue specific to me. I am to have a follow-up in six months, at which time he will test my visual fields.
i last had my visual fields done 2 years ago and there were no problems. during that visit my cup-disc ratio was notated at .4 OD and .45 OS (from memory). The opthalmologist said i may have a problem with glaucoma "in 20 years". She didn't seem too concerned and did not mention any asymmetry.
I am 41 years old, take no meds, am 5'4" and weight 115 pounds. My BP is 115/70. I guess my question is, at what point does glaucoma suspect become a diagnosis? Or is there no clear boundary? My IOP (at 3pm) was 17 in both eyes. I will have a diurnal check next visit.
The doc mentioned normal-tension glaucoma - how is that treated? Do pressure-lowering drops have any relevance here? Are there any lifestyle measures I can take to prevent this progressing? Also, I read migraine prophylatics can cause glaucoma, so am hesitant to start that kind of regimen ...
I have done internet searches, but there is soo much conflicting information and I am overwhelmed.
thank you soo much, dr o. for you prompt reply (on a sunday, no less!)
i did have my corneal thickness measured and it was normal, which makes the IOP accurate? i had an OCT about four years ago, but i think it was of the macular, not the optic nerve.
i had a look at the images of my optic nerves and they looked like eggs instead of circles. eek. can they change like that over a two-year period? no other doctor has mentioned it, and i have had my eyes dilated about 10 times in the past five years.
i'm really curious about the pathology, and really appreciate your input.
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.