Eye Pressure and Its Impact on Vision Health - Ophthalmology

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Intraocular pressure and optic nerve?


Hello, doctor.
I have high myopia around -9.00.
1.
Recently, I've been feeling something unusual around my eyes, and at night, things appear particularly bright.
Is this a problem with my optic nerve? 2.
If I have high myopia along with diabetes and high intraocular pressure, am I certain to develop glaucoma in the future? 3.
Can I go to a regular ophthalmology clinic to check my intraocular pressure?

Xiao Chen, 10~19 year old female. Ask Date: 2016/10/26

Dr. Gao Pilin reply Ophthalmology


Hello, Xiao Chen:
1.
Sometimes when intraocular pressure is high, you may see halos around lights, which could also be due to dilated pupils, making you more sensitive to light.

2.
Prolonged high intraocular pressure can lead to nerve damage, resulting in glaucoma.

3.
Most general ophthalmology clinics should be able to assist you.
The ophthalmology department at Puzi Hospital in Taiwan operates from Monday to Friday, 8:00 AM to 12:00 PM, and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to serve you.

Gao Pilin

Reply Date: 2016/10/26

More Info


Hello! Thank you for your questions regarding eye pressure and its impact on vision health, especially in the context of high myopia and diabetes. Let’s address each of your concerns in detail.

1. Unusual Sensations Around the Eyes and Brightness at Night: The sensation of discomfort around the eyes, particularly at night when you notice things appearing unusually bright, could be related to several factors. High myopia can lead to changes in the retina and the overall structure of the eye, which may cause visual disturbances. Additionally, conditions such as retinal detachment or macular degeneration are more common in individuals with high myopia and can lead to symptoms like light sensitivity or visual distortions. It’s essential to consult with an eye care professional to rule out any serious underlying conditions, especially since you are experiencing these symptoms regularly.

2. High Myopia, Diabetes, and Risk of Glaucoma: Having high myopia and diabetes does increase your risk of developing glaucoma, but it does not guarantee that you will develop it. Glaucoma is often associated with elevated intraocular pressure (IOP), which can damage the optic nerve over time. Diabetes can also lead to diabetic retinopathy, which may complicate the management of eye health. Regular eye examinations are crucial for monitoring your eye pressure and assessing the health of your optic nerve. If you have elevated eye pressure, your eye doctor may recommend treatments or lifestyle changes to help manage your risk.

3. Checking Eye Pressure at a General Eye Clinic: Yes, you can certainly have your eye pressure checked at a general eye clinic. Most eye care professionals, including optometrists and ophthalmologists, have the necessary equipment to measure intraocular pressure accurately. It’s advisable to have regular eye exams, especially given your history of high myopia and diabetes. These exams can help detect any changes in your eye health early on, allowing for timely intervention if needed.

In addition to these points, it’s important to maintain a healthy lifestyle to support your overall eye health. This includes managing your blood sugar levels if you have diabetes, eating a balanced diet rich in antioxidants (like leafy greens and fish), and protecting your eyes from excessive sunlight with UV-blocking sunglasses. Regular exercise can also help improve circulation and reduce the risk of various eye conditions.

Lastly, if you notice any sudden changes in your vision, such as flashes of light, floaters, or a significant decrease in vision, seek immediate medical attention. These could be signs of more serious conditions that require prompt treatment.

In summary, while your concerns are valid given your medical history, regular monitoring and proactive management can significantly reduce the risk of complications like glaucoma. Always feel empowered to discuss your symptoms and concerns with your eye care provider to ensure the best possible outcomes for your vision health.

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