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Eye Care  (Expert Forum)
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IOP-increased
Answered by
Discover Vision Centers Kansas City - MO
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.

IOP-increased

by Lady312, Oct 25, 2007 12:10PM
Will be seeing an ophthamologist soon r/t eye exam revealing IOP on two different occasions. Question: Could having worn hard contacts for 15 years followed by retinal keratotomy 17 years ago contributed to a thickened cornea thereby giving possible false readings of IOP?

by John C Hagan III, MD, FACS, Oct 25, 2007 12:20PM
The contact lens probably not. A cornea that had radial keratotomy (RK) definitely. The scars of RK alter the corneal properties that are used for both Goldman Applanation Tonometry and tono-pens. Usually it raises the IOP.

I would suggest you have a visual field, optic nerve photographs, gonioscopy and most important Optic Nerve OCT.  All should be done by an Eye MD physician ophthalmologist.

JCH III MD
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