Suspected Glaucoma: Symptoms, Diagnosis, and Anxiety - Ophthalmology

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Suspected glaucoma


Hello Doctor: In May, I went to a clinic because I noticed something black in my vision and, after researching online, I was worried it might be a retinal detachment.
The doctor dilated my pupils and said there was no detachment, but he found some degeneration of my optic nerve.
He advised me to reduce my use of mobile phones and computers and to rest more.
He also mentioned that my eye pressure was slightly elevated (19-20 mmHg with a refractive error of over -500), so I should be cautious about glaucoma.
Later, I visited a larger hospital where the doctor noted some cupping of my optic nerve.
I underwent OCT and visual field tests, but after reviewing the results, the doctor said everything was within the normal range and couldn't definitively say whether I had glaucoma or not.
He mentioned that I could only be monitored and that if things remained the same, then that would be it (no medication was prescribed).
Now I feel a bit anxious...
I’m worried that if I have suspected glaucoma now, will it progress to actual glaucoma after three months of follow-up? I’m afraid of going blind, especially since I’m still young...
I’m really scared.

Shen Zi You Lan, 20~29 year old female. Ask Date: 2016/06/15

Dr. He Jianxian reply Ophthalmology


Glaucoma and blindness are not synonymous! Even if you have glaucoma, there are many pharmacological and non-pharmacological treatments available.
Additionally, you have not yet been diagnosed with glaucoma, so regular monitoring is sufficient; there's no need to worry too much!

Reply Date: 2016/06/15

More Info


It's understandable to feel anxious when faced with potential eye health issues, especially when it comes to something as serious as glaucoma. Let's break down your concerns regarding suspected glaucoma, its symptoms, diagnosis, and management.


Understanding Glaucoma
Glaucoma is a group of eye conditions that damage the optic nerve, often due to high intraocular pressure (IOP). It's one of the leading causes of blindness worldwide. The condition can be asymptomatic in its early stages, which makes regular eye exams crucial for early detection.


Symptoms and Diagnosis
You mentioned experiencing black spots in your vision, which understandably raised concerns about retinal detachment. However, your doctor ruled that out after a thorough examination. The presence of black spots can be attributed to various factors, including floaters, which are common and usually benign.

Your doctor noted some degeneration of the optic nerve and elevated eye pressure (19-20 mmHg). While these findings can be indicative of glaucoma, they do not confirm a diagnosis. The OCT (Optical Coherence Tomography) and visual field tests are essential tools in assessing the health of your optic nerve and detecting any functional loss in vision.

The fact that your test results were in the "intermediate" range means that while there are some concerns, they are not definitive for glaucoma. This uncertainty can be frustrating, but it is not uncommon in the field of ophthalmology. Your doctor’s recommendation to monitor your condition is standard practice, especially when the findings are not conclusive.


Managing Anxiety
It's natural to feel anxious about your eye health, especially with the potential implications of glaucoma. Here are some strategies to help manage your anxiety:
1. Stay Informed: Understanding your condition can help alleviate fears. Research glaucoma, its symptoms, and treatment options. Knowledge can empower you and reduce anxiety.

2. Follow-Up Appointments: Regular check-ups are crucial. Your doctor will monitor any changes in your condition. If you notice any new symptoms, such as changes in vision or increased eye pain, report them immediately.

3. Lifestyle Adjustments: Since your doctor advised reducing screen time, consider implementing breaks during computer or phone use. The 20-20-20 rule is a good guideline: every 20 minutes, look at something 20 feet away for 20 seconds.

4. Stress Management Techniques: Engage in activities that help reduce stress, such as meditation, yoga, or deep-breathing exercises. These can help calm your mind and improve your overall well-being.

5. Seek Support: Talking about your concerns with friends, family, or a mental health professional can provide emotional support and help you cope with your anxiety.


Future Considerations
Regarding your worry about the possibility of developing glaucoma over time, it’s important to remember that not everyone with elevated eye pressure will develop glaucoma. Regular monitoring and following your doctor's advice are key. If your condition changes or worsens, your doctor may recommend treatment options, which can include medications to lower eye pressure or other interventions.

In conclusion, while it’s normal to feel anxious about your eye health, staying informed, following up with your healthcare provider, and managing stress can help you navigate this situation more effectively. Remember, early detection and treatment are crucial in managing glaucoma, and your proactive approach to your eye health is commendable.

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