Glaucoma: Addressing Your Fears and Concerns - Ophthalmology

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I am afraid I have glaucoma?


I recently had some dilation drops, but it seems like their side effects lasted until the next day.
My eyes feel a bit hard, and I know they feel hard because I read online about checking eye pressure by touching the side of the eyeball, so I’ve been convinced that I might have glaucoma.
I’m really scared because I’m a middle school student, and even though I don’t have any symptoms, just thinking about eye pressure makes me anxious.
I want to get an eye exam, but can I trust the results? My questions are a bit unclear, but I hope the doctor can answer them because I’m feeling very anxious.

14-year-old boy, 10~19 year old female. Ask Date: 2017/09/24

Dr. Cai Wenyuan reply Ophthalmology


Hello, there are claims online suggesting that pressing on the eyeball can measure intraocular pressure, which is not reliable and should not be done recklessly.
It is simple and trustworthy to measure eye pressure at a hospital or clinic, so there is no need for anxiety.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/09/24

More Info


Understanding glaucoma and addressing your fears and concerns is essential, especially when anxiety about health issues can exacerbate your symptoms. Glaucoma is a group of eye conditions that damage the optic nerve, often due to high intraocular pressure (IOP). It is one of the leading causes of blindness, but with early detection and treatment, the risk of vision loss can be significantly reduced.

Your concerns about glaucoma, particularly after experiencing the effects of a mydriatic agent (a medication that dilates the pupils), are understandable. It’s common for individuals to feel anxious about their eye health, especially when they read about potential conditions like glaucoma online. However, it’s important to differentiate between symptoms and fears. You mentioned that you have not experienced any symptoms of glaucoma, such as peripheral vision loss, eye pain, or seeing halos around lights. This is a positive sign, as many individuals with glaucoma do not notice symptoms until the condition has progressed.

The feeling of your eyeball being "hard" may stem from anxiety rather than an actual increase in eye pressure. Anxiety can manifest physically, leading to sensations that may feel unusual or concerning. It’s crucial to remember that self-diagnosing based on online information can lead to unnecessary fear and stress. The best course of action is to consult with an eye care professional who can provide a thorough examination and address your concerns.

Regarding the reliability of eye examinations, they are generally very accurate. Eye care professionals use a variety of tests to measure intraocular pressure, assess the optic nerve, and evaluate peripheral vision. These tests are designed to detect glaucoma early, allowing for timely intervention. If you are feeling anxious about the examination, consider discussing your fears with your eye doctor beforehand. They can help explain the procedures and what to expect, which may alleviate some of your anxiety.

If you are still feeling overwhelmed by your fears, it might be beneficial to explore relaxation techniques or cognitive-behavioral strategies to manage your anxiety. Mindfulness, deep breathing exercises, and grounding techniques can help you stay present and reduce the cycle of worry. Additionally, if your anxiety about health issues is significantly impacting your daily life, seeking support from a mental health professional could be beneficial. They can help you develop coping strategies and address the underlying anxiety that may be contributing to your fears.

In summary, while your concerns about glaucoma are valid, it’s essential to approach them with a clear understanding of the condition and the effectiveness of medical examinations. Trust in the expertise of your healthcare providers, and don’t hesitate to seek support for your anxiety. Early detection and treatment are key in managing glaucoma, and addressing your fears can lead to a more positive outlook on your eye health. Remember, taking proactive steps by consulting with professionals is the best way to ensure your well-being.

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