Glaucoma: Concerns and Next Steps for Patients - Ophthalmology

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Inquiry about glaucoma?


I had an OCT examination yesterday, and they told me that my values are just a little bit close to glaucoma.
What should I do? 1.
Will I wake up tomorrow with glaucoma? 2.
Once glaucoma develops, will I go completely blind? 3.
Is there absolutely no way to remedy a completely damaged optic nerve? 4.
Am I now just waiting to develop glaucoma? I'm really scared, and I apologize for my questions.

Yao, 20~29 year old female. Ask Date: 2021/11/16

Dr. He Jianxian reply Ophthalmology


The OCT database is compared with the general population, but due to significant individual variability, abnormalities shown on OCT may not necessarily indicate true abnormalities.
To accurately assess glaucoma, it is essential to consider intraocular pressure and visual field tests in conjunction.
Director He Jianxian, Nantou Ophthalmology.

Reply Date: 2021/11/16

More Info


It's completely understandable to feel anxious about the possibility of glaucoma, especially after receiving concerning test results. Let's address your questions one by one to help clarify your situation and provide some guidance.

1. Will I wake up tomorrow with glaucoma?
Glaucoma is a progressive eye disease that typically develops over time rather than suddenly. If your OCT (Optical Coherence Tomography) results indicate that you are close to the threshold for glaucoma, it does not mean you will develop it overnight. It’s essential to have regular follow-ups with your eye care professional to monitor your eye pressure and the health of your optic nerve. Early detection and management are crucial in preventing the progression of the disease.

2. If I have glaucoma, will I go completely blind?
While glaucoma can lead to vision loss, it does not necessarily mean you will go completely blind. Many people with glaucoma maintain their vision with proper treatment and regular monitoring. The goal of treatment is to lower intraocular pressure (IOP) to prevent damage to the optic nerve. With timely intervention, including medications or surgical options if necessary, you can manage the condition effectively.

3. Are there any remedies for damaged optic nerves?
Unfortunately, once the optic nerve is damaged due to glaucoma, it cannot be repaired. However, early detection and treatment can help prevent further damage. There are no known supplements or medications that can reverse optic nerve damage. The focus should be on controlling the disease to preserve the remaining vision. Regular check-ups and adherence to prescribed treatments are vital.

4. Should I just wait and see if I develop glaucoma?
It is not advisable to wait and see. If your tests indicate that you are at risk for glaucoma, you should take proactive steps. Schedule an appointment with your eye doctor to discuss your results and potential treatment options. They may recommend lifestyle changes, regular monitoring, or medications to help manage your eye pressure.
In addition to these points, it's essential to understand that glaucoma can be influenced by various factors, including family history, age, and other health conditions. Maintaining a healthy lifestyle, including a balanced diet, regular exercise, and avoiding smoking, can also contribute to overall eye health.

Lastly, if you are feeling overwhelmed, consider discussing your fears and concerns with your eye care provider. They can provide reassurance, answer your questions, and help you develop a plan to monitor and manage your eye health effectively. Remember, you are not alone in this, and there are many resources available to support you.

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