Question:
I've had my eye pressure taken twice- one eye is 26 and the other was 16. Field of vision normal. No family history of glaucoma. diagnosis ocular hypertension. recommended I put a drop of tiloptic .5% in the 26 eye twice a day. I have read that you are doing a study on treatment for ocular hypertension and would like to know if you recommend I start treatment or wait and go for frequent review of the condition?
Answer:
Yes we are involved in a multicenter study of ocular hypertension but the study is not yet concluded so the results are not available. You did not give me other information such as the look and size of your optic nerves. Have you had an injury to this eye as a child? You certainly do not have to treat a pressure of 26 as long as you follow the optic nerve, pressures, and field, but sometimes the whole clinical picture may make me more likely to treat. I know some glaucoma specialist who treat any pressure over 27 regardless of the picture because there is some risk of vascular oclusions and increase risk of glaucoma over time with such pressures. If you were to use drops, I personally would recommend a non-beta blocker or a 0.25% solution than can be used once a day.
Good luck. This information was provided for educational purposes o
