How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Rick Your Own Question

Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7906
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
48069651
Type Your Eye Question Here...
Dr. Rick is online now
A new question is answered every 9 seconds

My glaucoma was diagnosed 6 years ago at age 48 when I lost

Resolved Question:

My glaucoma was diagnosed 6 years ago at age 48 when I lost central vision. This vision loss occurred without previous loss of peripheral vision. I have a dark arc in my central vision left eye. My pressures had gone from 21 to 35 within a 3 year period. Have you seen this type of vision loss in your experience? All information I've read describes peripheral loss first. Do you have any explantions for this central loss? My pressures remained in low teens for 5 years following diagnosis with drops then began shooting up again causing some peripheral loss but lowered with further medication. What sort of prognosis would you give me with this extent of optic nerve damage. Also, are the MS and Parkinson treatments for optic nerve protection available now. Is there a reasonable chance of maintaining remaining vision over 30 yrs? I still have 20/20. Would you think it is realistic to still be driving in 5-10 yrs.? Thank you for your support. Debbie Gove
Submitted: 3 years ago via Glaucoma Research Foundation.
Category: Eye
Expert:  Dr. Rick replied 3 years ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

are you available to chat?

Dr. Rick :

wow! Lots of questions there.....

Customer :

Yes

Dr. Rick :

hi. Lets go through them in order, shall we?

Dr. Rick :

Yes, I've seen that happen in glaucoma.

Customer :

Is there a known cause for central loss first?

Dr. Rick :

There are many reasons for this central vision loss. It could be due to a nerve fiber layer infarct in the maculopapular bundle, damage to the macula, the visual area in the cortex....the list is very long and diverse -- depends upon the physical findings

Customer :

Does this indicate more adanced severe glaucoma or more severe prognosis?

Dr. Rick :

It is impossible to give you a prognosis on further vision loss, how long you will maintain 20/20 vison, or how well you will be able to drive in a decade from now (heck, I don't even know how you drive now :o) Even with all your data in front of me, even if I had been your treating doctor for years it would be impossible to give a meaningful answer to this question.

Dr. Rick :

central vision loss in glaucoma does indicate more advanced disease in the majority of patients

Dr. Rick :

MS and Parkinson medicine have no place in the discussion concerning glaucoma treatment.....

Dr. Rick :

Are you being treated by a glaucoma specialist?

Dr. Rick :

I think we got all the questions covered.....

Customer :

Are the Parkinsons and MS medications presently used to protect optic ner damage? I read about these treatments on the Gleams website. Yes I'm being treated by an opthomologist.

Dr. Rick :

no. They are not prescribed solely to protect the optic nerve in glaucoma. It would not be the standard of care to use these meds in this way.

Dr. Rick :

Is she a glaucoma specialist?

Customer :

No he is not - a general opthomologist.

Dr. Rick :

Ok. If you are worried you could consider obtaining a second opinion by a fellowship trained glaucoma expert. It does, however, sound like you are very informed about your disease and are getting good treatment with your current doctor.

Customer :

O.K. Thanks for your time. I often don't get the chance to ask many questions during my visit and the central vision question has been plaguing me for years. I wondered why I went straight to central loss with no peripheral. My new doctor told me yesterday I have extensive optic nerve damage which puts me at high risk for future vision loss, so I'm processing this and along with the anxiety about the future. Thanks again

Dr. Rick :

my pleasure. have a good evening and thanks for letting me help you tonight.

Dr. Rick :

And, now, the obligatory word from our sponsors: :o)


I hope that this information was helpful for you. Please, allow me get credit for my time and effort in assisting you and press the ACCEPT button for this assist. I will be glad to answer additional questions until you are satisfied. Thank you very much.

Positive Feedback and/or Bonus is welcomed and appreciated.


 

Expert:  Dr. Rick replied 3 years ago.
What Happens Now?

Your chat has ended, but you can still work with your Expert to get an answer to your question if you have not yet received one.

Come back to this page at any time to see additional information from your Expert.  You will also receive an email when your question is updated.  If you want to send a message to your Expert, use the box below.

If you have already received a satisfactory answer to your question, click the Accept button above.  Experts are credited for each accepted answer they provide.
Expert:  Dr. Rick replied 3 years ago.
k
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7906
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Dr. Rick and other Eye Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology