Eye

Ask an Eye Doctor and Get an Answer ASAP

Ask a Doctor,
Get an Answer ASAP!

Eye
This answer was rated:

43 year old male had a CRVO approx 18 months ago. Received a

43 year old male had...
43 year old male had a CRVO approx 18 months ago. Received a steroid injection which seemed to clear up the edema, but resulted in steroid induced glaucoma. Had a trabeclectomy with a mini shunt approx a year ago. Pressure remains good. Have been regulalry checked by a retina specialist and glaucoma specialist. I also had a physical workup and blood workup done to make sure there are no underlying medical conditions that caused this.
Visual field is not so good. This unfortunately happened in my dominant eye and visual disturbances persist. Have suffered pretty severe depression and anxiety from this. Vision seems "splotchy". pretty good in some areas, not so good in others. When I close my eyes the areas of visual disturbances appear to be white clouds. Is it possible that the vision disturbances are caused by residual debris / hemohorrage? Is there any hope at all of recovery of vision? Should I be seeing a different type of doctor?
Show More
Show Less
Ask Your Own Eye Question
Answered in 1 minute by:
5/29/2013
Dr. A.S. Desai
Dr. A.S. Desai, Ophthalmologist
Category: Eye
Satisfied Customers: 2,453
Experience: MS Ophthalmology with 13 years of surgical expereince
Verified
Dr. A.S. Desai :

Hello, Thank you for the question.I am Dr.A.S.Desai and I look forward to assisting you .

Dr. A.S. Desai :

Are you available for chat now?

Dr. A.S. Desai :

Prior to 18 months, did you ever have any episode of raised intraocular pressure (IOP) or were you diagnosed with glaucoma suspect?

Customer:

No. The glaucoma was steroid induced.

Dr. A.S. Desai :

When you said that you were diagnosed with steroid induced glaucoma, were visual field tests done before and after trabeculectomy?

Customer:

Yes. The original visual field test was done following the CRVO event. The raised IOP occurred following the steroid injection. Visual field test was also done approx 4 months following the trab. It showed some improvement.

Dr. A.S. Desai :

It is to be noted that within 6 months of being diagnosed with steroid induced glaucoma , you underwent trabeculectomy with shunt surgery. This shows that the IOP was on the rise and probably not kep under control with eye drops alone. The fact that you needed surgery for the treatment of glaucoma shows that there was significant optic nerve damage ( glaucoma causes irreversible damage to the optic nerve) and surgery alone could have arrested the progress.

Dr. A.S. Desai :

Such glaucoma are called refractory glaucoma ( which finally require a shunt surgery). The subtle improvement in the visual fields after trabeculectomy is unlikely to be due to any improvement in the optic nerve status but rather due to improvement in the macular edema. Your present complaints regarding not so good visual field could be more to do with the glaucomatous optic nerve changes.

Dr. A.S. Desai :

The areas of visual field with not so good vision are probably scotomas ( non-seeing areas in the visual field).

Dr. A.S. Desai :

These scotomas are seen in glaucoma and they remain the same and do not progress if the IOP is well controlled.

Dr. A.S. Desai :

I must say that you are in good hands of your retina and glaucoma specialists and they are doing the best which can be done in your case. I don't think you need any other kind of specialist at this stage.

Customer:

Ok... So for the areas of scotomas - Is there chance for improvement or is this something I have to learn to cope with?

Dr. A.S. Desai :

If the scotoma ( these are seen in fixed areas of the visual field and they move the movement of the eye in the same direction) is definitely due to glaucoma, then they do not improve as they are due to irreversible damage to the optic nerve fibres as a result of raised IOP. However these scotomas canbe prevented from extending by keeping the IOP within the normal range ( 10 to 20 mm of hg). In your case trabeculectomy and shunt surgery have already been done to keep the IOP under control, so it is unlikely that the scotomas should worsen any further.

Customer:

Ok... So now I just need to figure out how to cope with this. Unfortunately the visual field disturbances seem to override the good vision in my non-dominant eye. Any information on coping techniques / resources would be appreciated. Thank you

Dr. A.S. Desai :

I have a small question here- do you feel that the not so good vision areas of the visual filed keep floating just like floaters? Or are they pretty fixed and are always seen in the same spot ?

Customer:

They have the appearance of floaters but I think they are pretty much in fixed locations. If they are indeed floaters they move so slowly that it is impossible for me to tell. If I look at an amsler grid, just above the center dot is missing, the top / right hand side is missing (not black - more greyed out) there are several little spots disbursed throughout the grid, and the lines are all wavy.

Dr. A.S. Desai :

Well this could possibly point towards persistent macular edema ( but I cannot be very certain about this) as glaucoma tends to start around the physiological blind spot and not at the fixation point. Morever wavy lines on amsler grid are indicative of retinal problem and not glaucoma. Your visual problems are probably multifactorial rather than due to a single cause. Glaucomatous visual field defects and persistent macular edema are the likely causes.

Customer:

Ok... Thanks. I guess its a "wait and see" type of scenario. This has been extremely difficult to deal with.

Dr. A.S. Desai :

I can understand your difficulty and I guess you do need to wait and observe and follow the advise of your eye specialists. I wish you well.

Dr. A.S. Desai :

Is there anything else that I can answer for you ?

Customer:

No. Thank you for your help.

Dr. A.S. Desai :

You are most welcome.

Dr. A.S. Desai :

If you need more help, please use the reply tab to continue our conversation. If you do not require further assistance, kindly rate my service.

Thank you and best wishes.

It was a pleasure to have answered this question.

Views expressed are for information purpose only and cannot substitute a visit to an ophthalmologist


Dr. A.S. Desai
Dr. A.S. Desai, Ophthalmologist
Category: Eye
Satisfied Customers: 2,453
Experience: MS Ophthalmology with 13 years of surgical expereince
Verified
Dr. A.S. Desai and 87 other Eye Specialists are ready to help you
Ask your own question now
Ask Dr. A.S. Desai Your Own Question
Dr. A.S. Desai
Dr. A.S. Desai
Dr. A.S. Desai, Ophthalmologist
Category: Eye
Satisfied Customers: 2,453
2,453 Satisfied Customers
Experience: MS Ophthalmology with 13 years of surgical expereince

Dr. A.S. Desai is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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

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!!!!

AlexLos 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.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, 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.

EstherWoodstock, 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.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Dan B.

Dr. Dan B.

Board Certified Ophthalmologist

3,334 satisfied customers

Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology

Dr. Stan

Dr. Stan

Ophthalmologist

905 satisfied customers

Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon

Dr. Stevens

Dr. Stevens

Ophthalmologist

629 satisfied customers

Board Certified Ophthalmologist

Dr. Susan

Dr. Susan

Ophthalmologist

217 satisfied customers

Board Certified & Fellowship trained eye surgeon.

Dr. JP

Dr. JP

Ophthalmology, Oculoplastic Surgery

28 satisfied customers

Harvard Medical School, Massachussetts Eye and Ear

Dr-Trace

Dr-Trace

Board Certified Ophthalmologist

26 satisfied customers

Board Certified in General Ophthalmology

Dr. Daniel Jewelewicz

Dr. Daniel Jewelewicz

Board Certified Ophthalmologist

11 satisfied customers

Glaucoma Specialist, Associate Professor FAU, Teaching Faculty Bascom Palmer Eye Institute

< Previous | Next >

Related Eye Questions
Adverse conditions of Glaucoma preventive drops. Nothing yet
Adverse conditions of Glaucoma preventive drops. JA: Have you seen a doctor about this yet? What medications are you taking? Customer: Nothing yet. JA: Anything else in your medical history you think … read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
639 satisfied customers
I have been seen by both Ophthalmologists & Neurologists but
I have been seen by both Ophthalmologists & Neurologists but have not had satisfactory answers. … read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
639 satisfied customers
I met with that other ophthalmologist in the same office
I met with that other ophthalmologist in the same office today, and she went into considerable detail about my present condition and what changes she recommended in all the steps I have been doing. He… read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
639 satisfied customers
My ophthalmologist says I have Dry Eye, but he isn't
My ophthalmologist says I have Dry Eye, but he isn't specific about how bad my condition is. It seems to have suddenly started to become a problem only about 4 months ago, and I'm currently using Xiid… read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
639 satisfied customers
What are the stages of glaucoma? I have seen at least two
What are the stages of glaucoma? I have seen at least two lists online as though they are redefining things. I moved and went to a new specialist. He said I have Stage 4 Glaucoma. Is that the worst st… read more
Dr. A.S. Desai
Dr. A.S. Desai
Ophthalmologist
2,453 satisfied customers
Can an ophthalmologist see a brain tumor in the front of the
Can an ophthalmologist see a brain tumor in the front of the head or eyes? Or any indication of one ? When the eyes are dilated ?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,951 satisfied customers
Is there an ophthalmologist available? I am having trouble
Hello, is there an ophthalmologist available? I am having trouble with continuing dry eye, red eyes, tight stiff eye muscles and blurry vision. Recently, my eyes have been watering mostly when I wake … read more
Dr Stan
Dr Stan
DO
2,578 satisfied customers
65 yr old male with glaucoma. Taking dorzolamid twice a day,
65 yr old male with glaucoma. Taking dorzolamid twice a day, and Latanoprost once at night. Also tapering off klonopin. Down to .25 mg twice a day. I am in the third week of tapering. Eyes are dry, so… read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
I have glaucoma, pressure in both eyes has been 12 to 15 for
I have glaucoma, pressure in both eyes has been 12 to 15 for last five yrs, and no nerve damage. Almost 2 1/2 mos ago I had laser surg to remove cataract on my rt eye. Ever since surg, press in rt eye… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,095 satisfied customers
Ophthalmologist I have had twitching in my upper eyelids for
OphthalmologistI have had twitching in my upper eyelids for the last two weeks everyday. From my understanding, this condition may be Myokymia. I read it is caused by dry eyes, fatigue or lack of slee… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,951 satisfied customers
Is their such a thing as "mild case of glaucoma"? Not that I
not that I canthink of, execpt age (75) - Dr.told me the above because of high ocular pressure , 1st time 27 was highest, at last visit/tests, he did scope and said 19 and 24 to the tech … read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
639 satisfied customers
I have glaucoma and experiencing lights in my peripheral
I have glaucoma and experiencing lights in my peripheral vision in my left eye, lasts about five minutes, is it due to lights in office at work and working on a computer or when I concentrate. just ha… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,323 satisfied customers
I have glaucoma and use dorzalamid and latanoprost to keep
I have glaucoma and use dorzalamid and latanoprost to keep my eye pressure down. I just started taking sertraline. Is the sertrailine going to interact with the eye drops. Also, I am getting dry, sore… read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
My mom went to an Ophthalmologist, he told her she has
My mom went to an Ophthalmologist, he told her she has cholesterol build-up behind one or both eyes, he told her if a blood clot would break free it could kill her if it went to her brain, stroke.. Tr… read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
639 satisfied customers
My glaucoma pressure rose to 40. My Dr. tried many drops and
My glaucoma pressure rose to 40. My Dr. tried many drops and all failed to lower my pressure. He then said I was going to need surgery to place a shunt in my eye. my pressure went from 40 to 2 after t… read more
Dr. Longo
Dr. Longo
Optometrist
Doctor of Optometry
42 satisfied customers
I have Glaucoma, 60 years old and have a halo in my left
I have Glaucoma, 60 years old and have a halo in my left eye, with what seems like a kind of swirling effect. … read more
Dr. A.S. Desai
Dr. A.S. Desai
Ophthalmologist
2,453 satisfied customers
I've had ongoing visual disturbances 24/7 for about 7 years
Hi,I've had ongoing visual disturbances 24/7 for about 7 years now. Symptoms include multiple ghosting around letters, starbursting, halos large floaters (that get dramatically smaller looking at thin… read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
639 satisfied customers
What is safe to take for a cold when you shave glaucoma?
What is safe to take for a cold when you shave glaucoma? Will Benadryl help? This is my 5th day. At first it was drainage in my throats producing a cough. The last 2 days my nose is running non stop. … read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,925 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x