Some issues related to glaucoma?
Hello Doctor: Due to high work pressure while working abroad, I experienced visual disturbances and nausea during my recent trip back to Taiwan.
After diagnosis, I was found to have acute glaucoma, which felt like a death sentence.
I immediately underwent medication treatment, and both my vision and intraocular pressure returned to normal.
However, I still have a few concerns: 1.
Given the nature of my work, I am accustomed to prolonged screen time and irregular sleep patterns.
Considering my current age, will this condition worsen as I reach middle age or old age? 2.
The doctor prescribed a long-acting glaucoma eye drop for me, instructing me to use it once a day.
If my condition improves, can the frequency of the medication be adjusted? 3.
With eye drops as the primary treatment, do methods such as warm compresses or acupressure also help in lowering intraocular pressure? 4.
Does glaucoma inevitably lead to complete blindness? I am very scared.
Thank you, Doctor.
Bao Gan, 20~29 year old female. Ask Date: 2017/06/02
Dr. Gao Pilin reply Ophthalmology
Hello,
1.
Glaucoma is a chronic condition that can gradually worsen with age.
2.
Long-acting medications are designed for your convenience, allowing the effects to last longer.
Please consult your physician for any adjustments; do not change the dosage on your own.
3.
Heat compresses and massages are generally not very effective.
4.
Early treatment and management should prevent complete blindness, but it is essential to adhere to treatment and follow-up examinations.
It is best to stay relaxed.
Taiwan E-Hospital, Puzih Hospital, Ophthalmology Department: Monday to Friday, 8:00 AM to 12:00 PM; Wednesday, 1:00 PM to 4:30 PM.
Online responses are for reference only; it is necessary to seek medical care at a healthcare facility.
We hope to have the opportunity to serve you.
Dr.
Gao Pilin
Reply Date: 2017/06/02
More Info
Acute glaucoma, particularly acute angle-closure glaucoma, is a serious condition that can lead to permanent vision loss if not treated promptly. It occurs when the drainage angle of the eye becomes blocked, leading to a rapid increase in intraocular pressure (IOP). Your experience of seeing halos around lights and feeling nauseous are common symptoms of this condition. It's understandable to feel anxious about your diagnosis, but let's address your concerns one by one.
1. Long-term Outlook and Risk Factors: Given your current lifestyle, which includes prolonged screen time and irregular sleep patterns, it is indeed possible that these factors could contribute to the worsening of your eye health as you age. While acute glaucoma can be triggered by specific events, chronic conditions like open-angle glaucoma can develop over time, especially if there is a family history of eye diseases. It is crucial to have regular eye examinations, especially as you approach middle age, to monitor your eye health and IOP.
2. Medication Frequency: The medication prescribed to you, likely a prostaglandin analog or a beta-blocker, is typically effective in managing IOP. If your condition improves, it is essential to follow your doctor's advice regarding medication frequency. While some patients may be able to reduce the frequency of their eye drops, this should only be done under the guidance of an eye care professional. Regular follow-ups are necessary to ensure that your IOP remains within a safe range.
3. Complementary Therapies: While medications are the primary treatment for managing IOP, some complementary methods, such as warm compresses and eye massages, may provide temporary relief and comfort. However, these methods should not replace prescribed treatments. They may help in reducing eye strain and promoting relaxation, but they are not proven to significantly lower IOP. Always consult your eye doctor before trying any new methods to ensure they are safe and appropriate for your condition.
4. Risk of Blindness: The fear of going blind due to glaucoma is common among patients. While glaucoma can lead to vision loss, it is not an inevitable outcome for everyone diagnosed with the condition. Early detection and proper management are key to preserving vision. With regular monitoring and adherence to treatment, many individuals with glaucoma maintain good vision throughout their lives. It is essential to stay informed about your condition and to communicate openly with your healthcare provider about any concerns you have.
5. Regular Monitoring: Given your diagnosis of acute glaucoma, it is vital to have regular check-ups with your ophthalmologist. They will monitor your IOP, assess your optic nerve health, and adjust your treatment plan as necessary. This proactive approach can help prevent the progression of the disease and mitigate the risk of severe complications.
In summary, while a diagnosis of acute glaucoma can be daunting, it is manageable with the right treatment and lifestyle adjustments. Regular eye exams, adherence to prescribed medications, and open communication with your healthcare provider are essential components of effective glaucoma management. If you have any further questions or concerns, do not hesitate to reach out to your eye care professional for personalized advice and support. Remember, you are not alone in this journey, and there are resources available to help you navigate your condition.
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