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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11414
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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Since my last appointment 3 years ago (bad) my eye pressure

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Since my last appointment 3 years ago (bad) my eye pressure is 16 in one eye and 21 in the other eye. My Dr. was concerned not just because of the pressure but because of the difference in the pressure in the eyes. I will be returning in two weeks to get another test.
Since 21 is high but not out of range why is the difference between the eyes so important?
My eyes feel fine and the doctor says they are healthy, too. Nearsighted but healthy.
I am 67 years old and will never again wait more than 1 year for a checkup.
Dr. Rick :

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

Dr. Rick :

Are you available to chat?

Dr. Rick :

Is the eye doctor who is treating you an ophthalmologist or an optometrist?

Dr. Rick :

I looked at the eye drop website......none of their claims are truthful. Matter of fact, I would have to call them bold face lies. If you like putting the drops in your eyes, it probably won't hurt anything (other then your pocketbook) but it sure won't treat any of the conditions they say it will. You would get the same effect from simple salt water drops.

Dr. Rick :

That being said just having the pressure be 16 in one eye and 21 in the other -- with all other parameters (optic nerve cup/disk ratio, optic nerve color, angle structures, nerve fiber layer, vision and visual field) being normal -- is nothing to really be concerned about.

Dr. Rick :

eye pressure can vary from moment to moment and one measurement in and of itself doesn't mean much. The "normal" range of eye pressure is from 10 to 21 mmHg, however all the other parameters mentioned above are taken into account when deciding if there is a problem.

Dr. Rick :

Has you doctor mentioned any problems with any of the other indicators of glaucoma I've listed above?

I am still available to help you with your question.
Customer: replied 6 years ago.

thank you Dr. Rick

I couldn't access your answer yesterday as it was in chat mode and it wouldn't allow me to type anything.

My Dr. is an optomerist. I haven't had any treatment nor has he suggested any. He told me to come back in 2 weeks to retest.

His only concern with my test was the DIFFERENCE in pressure - not the amount of pressure.

Sorry about that.....there have been gremlins in the chat system lately.
Dr. Rick and other Eye Specialists are ready to help you
It should be illegal for optometrists to even think about treating glaucoma but, unfortunately in many States, it is not.
Optometrists don't know enough about this potentially blinding disease to even know what they don't know.
As I said before I would not be worried just because there is a difference between the pressures of the eyes during one test. I would suggest that you run, don't walk, run out of the optometrists office and go see an ophthalmologist for real evaluation and diagnosis of any potential problem you may have. At his point, from what you have told me, I do not believe it is an emergency -- you just need to see someone who knows what they are doing.
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