Eye Health: Corneal Issues and High Eye Pressure Concerns - Ophthalmology

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Optic nerve examination


Hello, Doctor.

1.
I was lying down at midnight when my phone rang, and later the corner of the phone hit my eye, which still hurts the next day.
The doctor at the clinic examined me and said there was corneal abrasion, but there were no signs of bleeding.
Should I request any further examinations from the doctor, or what should I pay attention to?
2.
The doctor mentioned that my intraocular pressure is very high, and the normal data for optic nerve examination should be 0.2, but mine is already 0.5 at the age of 35.
The doctor said there is some degeneration.
What treatment should I pursue, or what actions should I take? Is there a dietary approach I should consider? Should I request any additional examinations? Is this related to the high intraocular pressure, and will it have significant consequences in the future? Thank you!

Awei, 30~39 year old female. Ask Date: 2021/09/20

Dr. Gao Pilin reply Ophthalmology


Hello, Avi: 1.
For a corneal abrasion, if you rest and keep your eyes closed, it should heal quickly.
2.
If the intraocular pressure is very high and there is degeneration of the optic nerve, you should have regular follow-up appointments.
If necessary, the doctor will prescribe tests and medication for treatment.

Reply Date: 2021/09/20

More Info


Hello! Thank you for your questions regarding your eye health, particularly concerning corneal issues and high eye pressure. It’s understandable to be concerned about these matters, especially given your age and the symptoms you are experiencing. Let’s break down your concerns one by one.

1. Corneal Issues: You mentioned that you experienced pain after hitting your eye, and the doctor indicated that there was corneal peeling but no bleeding. Corneal peeling can occur due to trauma, and while it may not always lead to serious complications, it’s essential to monitor your symptoms closely. If the pain persists, or if you experience increased sensitivity to light, blurred vision, or any discharge from the eye, you should definitely follow up with your eye doctor. They may consider additional tests such as a corneal topography or a more detailed examination of the cornea to assess for any potential damage or irregularities. It’s also important to avoid rubbing your eyes, as this can exacerbate any existing issues.

2. High Eye Pressure and Vision Nerve Health: Regarding your eye pressure and the condition of your optic nerve, it’s crucial to understand that elevated intraocular pressure (IOP) can be a risk factor for glaucoma, especially if there are changes in the optic nerve. The fact that your optic nerve head (the point where the optic nerve enters the eye) shows a cup-to-disc ratio of 0.5 at the age of 35 is indeed a concern, as a ratio of 0.2 is generally considered normal. This indicates that there may be some degree of optic nerve damage or atrophy, which can be associated with glaucoma.

To address high eye pressure, your doctor may recommend several approaches:
- Medications: There are various eye drops available that can help lower eye pressure. It’s essential to adhere to the prescribed treatment plan and attend regular follow-up appointments to monitor your condition.

- Lifestyle Modifications: While there is no specific diet that can cure high eye pressure, maintaining a healthy lifestyle can contribute to overall eye health. This includes a balanced diet rich in antioxidants (such as leafy greens, fish, and fruits), staying hydrated, and avoiding excessive caffeine and alcohol, which can potentially raise eye pressure.

- Regular Monitoring: Regular eye exams are crucial. Your doctor may recommend more frequent checks of your IOP and optic nerve health. Tests such as visual field tests and optical coherence tomography (OCT) can provide valuable information about the health of your optic nerve and help in monitoring any changes over time.

3. Potential Impact: If left untreated, high eye pressure and optic nerve damage can lead to glaucoma, which can result in vision loss. However, with proper management, many individuals with elevated eye pressure can maintain their vision and quality of life. It’s essential to communicate openly with your eye care provider about your concerns and any symptoms you experience. If you feel that your current treatment plan is not addressing your concerns, don’t hesitate to seek a second opinion or ask for additional tests.

In summary, it’s important to stay vigilant about your eye health, especially given your current symptoms and the findings from your eye exams. Follow your doctor’s recommendations, maintain regular check-ups, and consider lifestyle changes that promote eye health. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider. Your vision is invaluable, and proactive management is key to preserving it. Thank you for your inquiry, and I wish you the best in your eye health journey!

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