Normal course for glaucoma surgery

Discussion in 'Laser Eye Surgery' started by beachbum, Nov 21, 2007.

  1. beachbum

    beachbum Guest


    I am writing on behalf of my father-in-law, who is about 70. He
    recently (3 days ago) had his intraolcular pressure checked and it was
    quite high- high enough that his opthamologist reccomended emergency
    surgery (he said it was over 70, sorry but I don't know the units used
    in this measurement....I doubt it's mm Hg!) In any case, the pressure
    in his other eye tested normal, but his doc has suggested prophylactic
    surgery for that eye.

    I know this is no substitute for a second opinion by an MD who is
    examining the guy- trust me, that will be happening. And this morning
    I have found out that there's more than one type of glucoma, and
    different techniques are used on the various manifestations.
    Unfortunately I cannot reach anyone right now to find out which popped
    up in my dad-in-law...and I realize that can also muddy the situation.

    That being understood, is it routine to do both eyes, even if one
    tests normal?

    Thanks for the help, and have a great Thanksgiving!

    Chris Thompson
    PS: The email address is a spam trap and I never check it.
    beachbum, Nov 21, 2007
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  2. beachbum

    Dr Judy Guest

    Yes, the units are mmHg, his pressure is very high and likely he has
    chronic angle closure glaucoma which is treated by surgery.

    In any case, the pressure
    Not "routine", but if the other eye has a narrow or closable angle
    which can be determined during examination, then that eye is at risk
    of having the same thing happen. It is common for the other eye to
    have a closable angle if one eye has already closed. The surgery is
    prophylactic and will prevent a similar problem.

    With acute angle closure the patient has pain and blurred vision which
    drives them to the eye doctor and to treatment. With a slowly
    developing chronic angle closure, there is little pain and often
    little blur so the optic nerve may suffer considerable irreversible
    damage resulting in permanent vision loss. The prophylactic treatment
    carries little risk.

    Dr Judy
    Dr Judy, Nov 21, 2007
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  3. beachbum

    Chris Guest

    Thanks so much for a clear, concise explanation. It helps
    tremendously, as did the refs you provided.

    Have a great Thanksgiving if you're in the US, and a great weekend in
    any case!

    Chris, Nov 21, 2007
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