Eye Pressure

[Michael38]

I am a 38 year old Caucasian male who is physically fit and is healthy in all respects.  I was recently diagnosed as being "glaucoma suspect".  The pressure in my left eye was 18 and in my right eye was 26 ( this is after the pressure was reduced by two because of the thickness of my cornea).  There was no optic nerve damage and I passed my visual field test with flying colors.  I am going back to the doctor three times over three separate days at three different hours to measure my pressures.  Notwithstanding, my ophthalmologist is recommending SLT treatment as a first course of treatment over drops.  I know this coincides with the European philosophy on treatment, but deviates from American doctors.  The second opinion recommended drops and third (to hopefully break the tie) recommended nothing but routine biannual check ups.   I'm totally confused by this and do not know the best course.  Does SLT work?  The MD recommending it says it's efficacy diminishes if drops are used first?  Thank you for any guidance.

[Michael38]

Thank you Dr. McGarity.  Much appreciated.  Just out of curiosity, would you treat me based upon the information provided, or simply monitor me?  

[Timothy D McGarity, M.D.]

Hi Michael,
That is confusing and may represent each doctor's different opinion. I don't think either is wrong. My recommendation would be to go with the doctor which you feel most comfortable. I tend to be the drop first type of doctor, but I also don't have access to the SLT.
Best wishes,
Tim