Managing High Eye Pressure: Concerns for Teens with Allergies - Ophthalmology

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High intraocular pressure emergency?


Hello, I recently visited a clinic due to eye allergies and found out that my intraocular pressure is 28.
What should I do? I'm 16 years old and have no myopia, so how could this happen? Could it be related to the allergies? Are there any methods to lower the eye pressure? The doctor only prescribed two bottles of anti-inflammatory eye drops, and I'm really anxious about possibly having glaucoma.
They also mentioned something about ocular hypertension syndrome.
Thank you for your help.

Xiao Ting, 10~19 year old female. Ask Date: 2016/05/04

Dr. He Jianxian reply Ophthalmology


In general, for young individuals under the age of twenty, the measurements obtained from a pneumotonometer can be prone to bias.
This is due to the heightened sensitivity of young people's eyes, which may lead to forceful eye closure during the air puff measurement, resulting in a false elevation of intraocular pressure.
To accurately diagnose glaucoma or elevated intraocular pressure, it is essential to consider additional factors.
This information is provided for your reference!

Reply Date: 2016/05/04

More Info


Managing high eye pressure, especially in teenagers, can be a concerning issue, particularly when allergies are involved. It's understandable to feel anxious about the possibility of developing glaucoma, especially at a young age. However, let's break down the situation and address your concerns.

Firstly, it's important to note that elevated eye pressure, or ocular hypertension, can occur for various reasons, and allergies can indeed play a role. Allergic reactions can lead to inflammation and swelling in the eyes, which may temporarily increase intraocular pressure (IOP). In your case, an eye pressure reading of 28 mmHg is considered elevated, as normal eye pressure typically ranges from 10 to 21 mmHg. However, the measurement can be influenced by various factors, including anxiety during the examination, which can lead to transient increases in eye pressure.

Your doctor prescribed anti-inflammatory eye drops, which are commonly used to reduce inflammation and alleviate symptoms associated with allergies. These medications can help manage your eye condition and potentially lower your eye pressure. It's essential to follow your doctor's instructions regarding the use of these drops and to attend any follow-up appointments to monitor your eye pressure over time.

Regarding your concerns about glaucoma, it's crucial to understand that while elevated eye pressure is a risk factor for glaucoma, it does not automatically mean you have the condition. Glaucoma is characterized by damage to the optic nerve, often associated with high eye pressure, but it can also occur in individuals with normal eye pressure. The diagnosis of glaucoma typically involves a comprehensive eye examination, including visual field tests and an assessment of the optic nerve.

Since you mentioned that you are 16 years old and do not have myopia, it is less common for teenagers to develop glaucoma. However, it is not impossible, and your eye care provider's recommendation for further testing is prudent. They may suggest additional tests, such as a visual field test or imaging of the optic nerve, to assess for any signs of damage or changes that could indicate glaucoma.

In the meantime, managing your allergies is crucial. Avoiding allergens, using prescribed medications, and maintaining good eye hygiene can help reduce symptoms and potentially lower eye pressure. Staying hydrated and taking regular breaks from screens can also alleviate eye strain, which may contribute to discomfort and perceived pressure.

If you continue to experience elevated eye pressure or symptoms such as blurred vision, headaches, or eye pain, it is essential to communicate these concerns with your eye care provider. They can provide further evaluation and adjust your treatment plan as necessary.

In summary, while elevated eye pressure can be concerning, especially in a young individual, it is essential to approach the situation with a comprehensive understanding. Follow your doctor's advice, manage your allergies, and keep track of your symptoms. Regular follow-up appointments will help ensure that any potential issues are addressed promptly, allowing you to maintain your eye health and peace of mind.

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