Sunday, February 28, 2010

Eye injury and glaucoma

Question
QUESTION: I am 24 yrs old,I had a blunt trauma(hit with a ball) 2.5 yrs back, i had a goinio test done a week back , and it said all angles are open(grade 4) ,heavy pigmentation OU. I was told there is pigmentation in both eyes.I remember having a minor trauma in my left eye some 10yrs back(although im not sure left or right,thinkg its mostly left). They had my iop measured ,My eye pressure in morning were 14,15, but in afternoon it was 18 in both. They measured the pressure by contact tonometry(its lid gives a blue light ). I consulted a glaucoma specialist who told its normal now and tht pigmentation is seen in myopics also(my power is -0.5 cyl). I also have a choroidal scar in my right eye due to the injury. I was asked to follow up after 6 months.



My doubt is , is the pressure normal ? how risky am I to get high pressures ? how frequently shld i follow up? can i do exercises and what things i need to avoid



ANSWER: Dear Sriram,



The only thing that one could still do is a pachymetry test or corneal thickness. Reason?...many have a thicker than normal cornea which gives the 'false positive' of high eye pressure.



However, your seems normal.



Regards,

Dr Shroff



www.shroffeye.org



---------- FOLLOW-UP ----------



QUESTION: Thanks so much for replying ... is it enough to have the follow up test after 6 months ? or earlier than that ? does pressure increase in couple of months and cause any damage ? also can i do exercises(jogging,dumbells etc)?


Answer
Dear Sriram,



Repeating the check after 6 months is fine. Doing weights in a normal eye has no issue on increase pressure. But do go easy. Also avoid drinking a lot of water in one go as this also increases pressure.



SWAP is a Visual Field Test to check sensitivity for Glaucoma.



Hope this helps,



Best,

Dr Shroff