Posted By HFHS MD-JL on July 05, 1999 at 14:59:30
It sounds as though you have a complicated eye history. It is hard for us to comment on your remarks without seeing you. Hopefully you are in good hands.
There have been no long term studies on the effect of bilberry on the eye. I do not have any experience myself to report.
I have not used the term disk at risk, this is vague. If you have a pale nerve and an afferent pupillary defect there is certainly something wrong with your optic nerve. These include strokes, optic nerve compression, otic neuritis and many others. This need to be investigate thoroughly.
Swollen optic nerves are not typically a sign of glaucoma. Some people are born with nerves that look swollen but they are normal for them. A ct scan is usually recommended to rule out any problem in the head that could be causing swollen nerves. Given his age a stroke causing early swelling is not likely. This needs to be worked up.
The tiny dot of hemmorhage could be caused by many things including vascular retinal problems. An angiogram may help make the diagnosis.
Good luck. This information was provided for educaitonal purposes only.
Call 8003637575 to arrange to see a Henry Ford Ophthalmologist.
Posted By hfhs md ke on July 06, 1999 at 11:56:31
"disk at risk" refers to an optic nerve with a very small cup to disc ratio ( the amount of central cupping, or scooped out area, vs. the surrounding pink, healthy tissue ) these optic nerves, often seen in far sighted people, are felt to be most at risk for what is called an AION- anterior ischemic optic neuropathy- or a mini stroke to the nerve- the theory is that the large amount of optic nerve tissue "chokes" off the blood supply, thus causing a stroke- it is only a theory, though the correlation between AION victims and the"disc at risk" is quite striking. i hope this helped.
Posted By Thank you.... on July 06, 1999 at 20:44:22
Thank you so much for giving me that bit of information. It helps, even tho' it sounds scarey. I have never worried over a health issue before in my life. I have mitral valve prolapse, limb-girdle muscular dystrophy and osteoarthritis...and I've managed to cope just fine. But this eye problem without any kind of dx has been driving me absolutely nuts. I guess losing sight is much more frightening for me than any other disease. I love to read, to use the computer, still drive...so it's a real health risk for me. I realize it isn't easy to diagnose some of these complicated eye/brain problems, but if we keep looking for answers, we may be able to intervene in time. Thanks again...to all of you who have answered my many questions.
Posted By Informative Report Received....Please decipher... on July 08, 1999 at 13:17:29
My neuro-optho specialists just sent me a complete report of my 5 hr exam! Only trouble is, I can't decipher it!! I also can't get through to them for an explanation right now...so I was hoping you might explain a few things: OD disc has a C/D of 0.1 and is diffusely pale and flat with NFL dropout and no shunt vessels present. OS disc has a C/D of 0.1 and is pink and flat without any obvious pathology in the peripapillary area. The nerve fiber layer appears decreased OD, and normal OS. There is 3+ R.A.P.D. in OD Amsler grid testing reveals distortions and paracentral scotoma OD and normal OS. Color vision with the Ishihara plates is 11/14 OD and 14/14 OS. Humphrey automated perimetric test (24-2): OD-concentric contraction mostly nasal with arcuate flavor. OS-normal. No junctional defect and no hemianopsia. Slit lamp revealed trace crusts OU, frothy tears OU, inspissated glands OU. I've only written a small amount of the 3 page report but the evaluation with diagnostice impression says: Chronic optic neuropathy OD likely compressive in nature. What does NFL dropout and no shunt vessels present mean? Now they want me to go for a CT scan with bone windows for meningioma since the enhanced MRI with fat sat and contrast looked normal. Do you think they will ever find out what's up? Or will it be dx'd as idiopathic? Thanks again for being understanding and helpful. I don't know what I would have done all these months of worry and testing if I had not had this site to run to. It's scarey when doctors mention aneurysm, tumor, etc. Thanks for being there for all of us.
Re: Bilberry Supplements HFHS MD-JL 7/08/1999