I was recently diagnosed with low/normal tension Glaucoma. I'm under 40. I have 70-80% cupping in my eyes. It's worse on the left eye.
Lt eye test showed peripheral vision loss with nerve damage in the area that correspondended to the area of peripheral vision loss).
They have not started me on treatment because my pressures were low. Pressures were never above 15 on multiple test and has been tested as low as 10. (puff test and the test where they put the flourescent drops in your eye - not sure what that's called). I actually have to go back for ALL day testing to get an average of my eye pressures. (goody!)
At any rate, my question is this:
I'm under 40 with evidence of obvious optic nerve damage and loss of peripheral vision. I know Glaucoma is "supposed" to progress slowly but with my current level of damage, what will progression look like? Will I progress faster? How quickly does Glaucoma deteriorate the optic nerve? I can't find answers on a "timeline", if you will, of progression.
BTW - I do have MS and have had 1 -2 courses of steroids per year for the past 10 years - 3 day infusions of 1000mg solumedrol. Never an episode of Optic Neuritis. Opthamologist said any increase in IO pressure during/after the steroids probably wouldn't have been sufficient to cause the damage I have....
Progression with glaucoma is very variable, and cannot be predicted for sure. However, you are very young, and have a long life span, so you must be controlled at a consistently low eye pressure. This means faithfully taking the drops every day and following up with your ophthalmologist on a regular basis. I would also see a glaucoma specialist. You need a pachymetry (measurement of your corneal thickness), as well as intraocular pressure measurements and visual fields. Optic nerve imaging such as OCT can be helpful for following your status. Your eye pressure needs to be lowered by at least 30% from baseline to protect the optic nerves from further damage, based on a national study of normal pressure glaucoma.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
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. MedHelp 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.