Hello, Thank you for the question.I am Dr.A.S.Desai and I look forward to assisting you .
Please give me a moment to type my answer.
To begin with, cataracts would not have been the cause of the blurring of vision.
If the IOP was high, it is likely to be due to glaucoma.
But it would be important to identify the type of glaucoma such as primary or secondary.
Further it is to be identified If it is due to angle closure or not. The angle closure type og glaucoma causes corneal edema and cloudiness of vision.
There to some problem with the chat system. I will be switching over to the Q &A mode. Please bear with me.
Dear Dr. Desai,
Thank you for your reply and I am sorry your chat system failed us.
> But it would be important to identify the type of glaucoma such as primary or secondary.
Is that information not available in the reports?
> Further it is to be identified If it is due to angle closure or not. The angle closure type og glaucoma causes corneal edema and cloudiness of vision.
Again is that information here. Is it due to angle closure?
> I did go through the reports sent and it does look like there has been glaucoma for quite sometime now as there are visual field defects seen.
That is interesting to know. Are you able to say how quickly this problem needs to be tackled as I understand gloucoma can result in blindness if not dealt with quickly.
> However the fine details of the fundus picture are not clear on magnification
Can you confirm which image this is and I will resent in greater detail.
> If medical line of treatment is unable
May I ask what you mean by this? Is there an alternative to surgery?
> The decision would solely depend on the ophthalmologist and the result of the initial treatment.
What initial treatment would you expect to be prescribed here?
Could I also ask you to comment on the following numbers:
but no diagnosis other then that on 20 May the pressure in his eyes were:left eye 28right eye 25and on 22 May they were:left eye 18right eye 20
are they high? on the border... normal?
Many thanks, James
Thank you very much Dr. Desai, I will get hold of a better scan for you + ask the questions and return to you on Monday. Much appreciated and will be acknowledged when I close this consultation out!
Thank you very much for your detailed reply; much appreciated. I have obtained a better copy of the fundus photographs as requested
and look forward to your comments. As to your question:
> I was wondering how your father never had symptoms which
> are otherwise very typical of angle closure glaucoma (PACG)
> such as acute pain in the eye/redness/watering/photophobia
> apart from the clouding of vision.Has he ever mentioned these
His initial response is no. However he did say that he has never used Optrex before but about 6 months ago bought a bottle (no 1/4 left) which he has used on an off since - he says this to illustrate that something must have changed as he never felt the need to use it before. If he pushes the eye he says it does feel a painful and probably more so than previously.
I am assuming that you would be happy for him to wait until 22 June to repeat the exams before taking any further action.
Thank you for your time in this matter.
Kind regards, James
Thank you Dr. Desai. At worst I have paid in advance for your kind authority in a months time! Kind regards, James