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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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I rather suddenly got a blur in the middle of my vision in

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I rather suddenly got a white blur in the middle of my vision in my left eye. The local opthomalogist [sic] diagnosed me with narrow-angle glaucoma and recommended prompt eye surgery; he also diagnosed me with stress-related retinal swelling, which he said would take months to go away even if I reduced my stress levels. Finally, he said I have cataracts not bad enough to need surgery yet. I went to a 2nd opthamologist [sic] to get a 2nd opinion and he could see no signs of retinal swelling and said while I had slight narrow angle glaucoma, he did not see the need for surgery; however, if I wanted to have it as a preventive measure (since both my sis and mother had that surgery done) he couldn't see that it would harm anything. Same cataract diagnosis as 1st eye doc. So my question is this: In your opinion, should I now get a 3rd opinion or just have the local eye doc (1st guy) retest my vision and if it's the same as it was when I first went to him on 6/19 just get new glasses and forget the surgery? Thanks for any help in having confidence in whether to spend more $ on a 3rd opinion or go ahead and spend the $ on new glasses (which is what I went in to accomplish in the first place).
Dr. Rick :

Hi. My name is***** and I have two decades of ophthalmology experience. I'm online and happy to answer your question today.

Dr. Rick :

If you have narrow angles that seem to be at risk for angle occlusion, even if you don't have glaucoma at this moment, I suggest you go ahead and have the laser peripheral iridotomy.

Dr. Rick :

As to the retina swelling from "stress" what they are talking about is a condition called central serous chorioretinopathy (CSR). As a retina specialist, I treat this condition all the time. If the second eye MD closely examined your retina (contact lens exam, possibly an OCT and/or fluorescein angiography) and found no evidence of edema/leakage -- and your vision is OK -- then you do not have retinal swelling.

Dr. Rick :

To answer your question: I would go with what the second ophthalmologist recommends: Get the laser iridotomy for narrow angles and buy new glasses.

Dr. Rick :

There is no need for a fourth opinion (Mine counts as number 3! lol)

Dr. Rick :

Is there anything else you would like to discuss at this point or have all your questions been answered to your satisfaction?

I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. You may also receive an email survey after our chat, if you don’t feel that I have earned a “10” rating in all areas, please let me know what I can do to meet your expectations.

Thanks in advance,

Dr. Rick MD FACS

Customer: replied 4 years ago.

So should I get the surgery before getting new glasses or will the surgery not change my prescription, meaning it's okay to get the much-needed new glasses now and schedule the surgery for next month? Thanks so much! The only tests done by either was to numb my eye and do the eye pressure test, look into it, and to put the drops in that dilate the pupil so they could see in it better. Both eye docs did those two things.

You can safely get your glasses now. The laser peripheral iridotomy will not significantly change your glasses Rx.
As a retina specialist I would have done a more extensive examination but, from what you have posted, I feel you got very good care and advice and can trust what you have been told.
Does this make sense to you?
Is there anything else you would like to discuss at this point or have all your questions been answered to your satisfaction?
It's safe for you to press the positive feedback button now if you so desire. And, never fear, even after you press that button I don't go up in a puff of smoke -- I'll still be right here to continue helping you, but, as I do work for tips, I want to make sure you are happy before rating me.
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