Intraocular pressure issues?
Hello, I measured my intraocular pressure a week ago, and it was 24 in both eyes, with a normal fundus examination.
Today, I measured it again and found that my cornea is thicker, and after calculation, my intraocular pressure is around 20.
Is this still considered normal? Isn't it close to the critical point? The doctor didn't say much; I think it's because I'm young, so they didn't consider the possibility of glaucoma.
Should I still be concerned about this?
Niming, 10~19 year old female. Ask Date: 2017/03/24
Dr. Cai Wenyuan reply Ophthalmology
Hello: Based on the corrected intraocular pressure, it is considered normal.
There is no need for concern; regular check-ups will suffice.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2017/03/24
More Info
When it comes to understanding eye pressure, it's essential to recognize that the measurement of intraocular pressure (IOP) is a critical factor in assessing the risk of glaucoma and other ocular conditions. Your recent measurements of 24 mmHg and 20 mmHg, especially in the context of a thicker cornea, warrant a nuanced understanding.
Firstly, the normal range for intraocular pressure is generally considered to be between 10 and 21 mmHg. However, this range can vary based on individual factors, including age, corneal thickness, and overall eye health. In your case, while a reading of 24 mmHg is above the normal range, your subsequent reading of 20 mmHg is within the acceptable limits. The fact that your eye doctor did not express concern may indicate that they are considering your age and overall eye health, which can be reassuring.
Corneal thickness plays a significant role in interpreting eye pressure readings. A thicker cornea can lead to higher IOP readings, which may not necessarily indicate an increased risk of glaucoma. This is because the pressure inside the eye can be influenced by the structural properties of the cornea. Therefore, when evaluating your eye pressure, it’s crucial to consider both the IOP and the corneal thickness. In your case, if your cornea is thicker than average, the 20 mmHg reading might not be as concerning as it would be for someone with a thinner cornea.
It's also important to note that a single measurement of eye pressure is not sufficient for diagnosing glaucoma. Eye care professionals typically look at a combination of factors, including the optic nerve appearance, visual field tests, and the overall health of the eye, to make a comprehensive assessment. If your eye doctor has not indicated any immediate concerns, it may be a sign that they believe your readings are not indicative of glaucoma at this time.
However, it is always wise to remain vigilant. If you experience any symptoms such as vision changes, eye pain, or persistent discomfort, you should seek further evaluation. Regular eye exams are crucial, especially if you have risk factors for glaucoma, such as a family history of the disease, high eye pressure, or other ocular conditions.
In summary, while your readings of 24 mmHg and 20 mmHg are noteworthy, the context of your corneal thickness and the absence of concerning symptoms are positive indicators. It is advisable to continue with regular eye examinations to monitor your eye health and IOP. If you have any lingering concerns or if your symptoms change, do not hesitate to consult with your eye care provider for further evaluation and peace of mind. Regular monitoring and open communication with your healthcare provider are key to maintaining good eye health and addressing any potential issues early on.
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