I have been treated for glaucoma for several years (eye drops to keep the intraocular eye pressure low (11-12 mmHg) for the better part of my treatment. About a year ago I had cataract surgery in 1 eye and post-surgery my vision was significantly reduced in that eye. I was seen by several glaucoma and retinal specialists at UCSF who noted that my optic nerve behind that eye had been "compromised." They suggested that I possibly had a temporary ischemic event that affected the nerve...I had MRI's and MRA's soon afterwords that showed no evidence of that supposed occurrence. Otherwise, they had no real shared awareness of what could have happened. Since my last visit to my opthalmologist a couple of months ago, the vision in that eye has been reduced even more (the doctor says that I have only about 5% vision remaining). At this point I'm mostly concerned about the other eye. The doctor suggested that a small tissue condition might be present, partly related to my recent cholesterol level of 259. I've read Uffe Ravnskov's and others' review of the literature about cholesterol effects but don't know if this level of cholesterol could have any effect on the possible small vessel condition related to my optic nerve. Comments or other direction would be greatly appreciated. Thanks!
The MRI or MRA would likely not show the type of damage that you may have. It sounds like you have possibly the combination of chronic glaucoma with a pale, ischemic, weakened optic nerve ALONG with a worsened circulation, worsened optic nerve health which occured around the time of your cataract surgery. You may even have had ischemic optic neuropathy which may be related to poor microcirculation (yes, definitely worsed by high cholesterol, smoking, hypertension.) Glaucoma in many cases has a circulatory component and the blood flow in the small vessels may be compromised for many reasons adding to the pressure effect and the possible congenital weakness of the nerve to begin with in certain individuals. It's quite complicated, but I'm sure your ophthalmologists will have a handle on it.
Is ischemic optic neuropathy measurable/ diagnosable or is it an inferred condition from other observations/symptoms? If treating my "high" cholesterol with statins or other medications is definitely conclusive, I would use it to possibly "save" the other eye; if not, I am very reluctant to use this type of treatment because of the definite side effects (liver problems, future cancers, etc.) observed in research by Ravnskov et al. Again, thanks for your advice and info.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
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.