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24 year old with iop of 18-22 on average for every yearly visit the last 5 years?

Isn’t that much higher than the average for my age?

No glaucoma I know of. Do yearly eye exams with dilation. My pressures are as follows the last 5 years 18/19 20/19 17/22 17/21 20/19 20/22 (went twice one year)

I’m just very concerned here. I keep reading that eye pressures are normally below 20 and for young people the average is more like 12-14. I’m so far above that though.

Should I be asking more about this?
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233488 tn?1310693103
The short answer is yes. The longer answer is:  1. you need to be seeing an Eye MD ophthalmologist not a non-physician optometrist.  2. You need parameters other than just your IOP including family history (do you have a blood relative with glaucoma? If so you are a glaucoma suspect), your cup/disk ration, a baseline visual field, a baseline macula and nerve fiber layer OCT, a measurement of corneal thickness (pachymetry) and possibly a gonioscopy.   IOP alone is not a way of diagnosing glaucoma.
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I do see an an ophthalmologist, he does dilated exams every year. No OCT but he may be checking for the disc ratio or the other factors through his exam. He does a pretty comprehensive workup and I know he said my nerves look very healthy.

The reason I see him every year is due to childhood eye surgery, I had mild cataracts as a child, now they found the gene responsible and can definitely say that the gene is only know to cause cataracts (no systemic issues and no glaucoma association) as it’s a more common CRYAA mutation. My surgery was at 4 years of age going on 5 so I know I dodged the major risk presented in surgery before a year old. Implanted IOL so was never aphakic

Still I know that gives me an increased risk factor for glaucoma. I guess I’m just confused, are my pressures higher than normal for my eyes? My ophthalmologist keeps saying that 10-22 is normal and that I’m within that range so he’s not worried. I know they say Icare and puff tests (what they have used) are very prone to overestimating a couple points. Every time I ask him about it he says I’m not a glaucoma suspect by any means but I take it you think my pressures are concerning?
The range of IOP you quoted is what most surgeons use.  I suggest you discuss with your ophthalmologist next time. Ask what your cup/disc ration is. Should be .4 or less. I would ask that he perform a nerve fiber layer and macula OCT, not expensive and gives a wealth of information. Should also measure at least one time corneal thickness. If you have a very THIN cornea than the IOP is more troublesome, if THICK cornea less troubling.  So at this point, you need to discuss with your eye MD.
By ‘range surgeons use’ what do you mean? You mean my pressures are abnormally high if taken alone? In your opinion is that unusually high for a young person? Or are numbers in the high normal common in all ages?
Spartan, I'm signing off.  You have enough information to evaluate your situation.
I appreciate your input but I’m just confused, if my iop is within normal why would more testing be necessary? That implies to me my iop is very much not normal
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