Hi. My name isXXXXX and I have two decades of ophthalmology experience. I'm online and happy to answer your question today.
Great, thanks. I laid it out in my original message. Two additional notes--on the visual field test, the fixation losses were 0/14, 2% false positives & 0% false negatives. Don't know my corneal thickness. IOP is 15.Not sure if it matters or not, but I've noticed an increased sensitivity to light in recent years.
Are you still there?
Was your eye doctor an optometrist or an ophthalmologist (eye MD who does surgery)?
Hi, I'm still here. This was an opthalmologist.
I've never reviewed an visual field test using the stats and a general description before -- thanks for the new experience :)
:) I try.
Well, after reviewing the data you have posted, it doesn't seem like you have damage from glaucoma at this point....however....
if you really have a .5 cup on one eye and a .8 cup on the other that is very suspicious.
Yes, I know those are supposed to be the same. I have to find out what the other number is. It definitely doesn't look like the .5 (which is very clear), but .5 & .8 would be a huge difference, right? Also, I meant to say it was .5 for the left. The right is the one I'm not able to decipher.
Also, if the highest your IOP has ever been measured at, your gonioscopic and nerve fiber layer analysis is normal you would -- if you had any type of glaucoma-- have low (also called normal) tension glaucoma.....
Yes .3 difference is significant....although no comment seems to have been made about the morphology of the cup, which is an important data point.
Two things that are obvious to me from your post:
1. you are concerned.
2. You are well informed. :)
Normal tension glaucoma can be difficult to diagnose, even for the most experienced ophthalmologist......
If I were in your place, I would make an appointment with a fellowship-trained glaucoma specialist, bring your clinical notes, have a complete exam and see what she has to say.
I'm trying to be well-informed and, with that, trying not to be concerned. Like I say, if it appears that there is a potential for glaucoma, that's fine, I'd rather know that & start dealing with it, maybe see a specialist, etc. But I also don't want to be hypochondriac, so I'm trying to be MORE informed. So, I'd appreciate if you could let me know your overall opinion.... Oh, you answered that while I was typing. That's what I was thinking but didn't want to be an alarmist either.
Thanks so much--I'll do that. Anything else you think I should know/ask/look into...?
I do not think that this is an emergency, nor do I feel that your eye care to date has been substandard. I only suggest this course of action as a way to make sure that nothing is being missed and to put your concerns to rest.
Does this make sense to you?
You are not being an alarmist :)
Ok, thanks. That works. :)
My pleasure. Have a good weekend.
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Nice of you to follow up. I'm scheduled to see a specialist tomorrow morning. I did find out that the doctor lists the C/D ratios as the same in both eyes (he says both are .5, even though he said both were .7 last year...weird....). But knowing that the C/D ratios are allegedly the same has been a bit calming too. So, fingers crossed for tomorrow. :)