Eye Exam Results and Medication Concerns Before Studying Abroad

Questions about ophthalmic examination content and medications?

Hello Dr.
Liang.
I am currently 20 years old and will be going abroad for studies in a month.
I recently had my last routine eye examination before leaving, but I have some concerns and questions regarding the examination results and the prescribed medications.
Due to the high number of patients, I couldn't ask during the appointment, so I decided to consult you briefly before my next check-up.
1.
During the pre-examination, in addition to the standard refraction test, I underwent a puff test for intraocular pressure and a test called Microsonography, which I believe is related to the optic nerve and macula.
After the tests, the doctor reported that both my macula and optic nerve appeared normal.
However, due to my consistently high intraocular pressure (the doctor mentioned that my thicker cornea may cause higher pressure readings, which, even after correction, remained above normal), I need to undergo a visual field test to confirm whether I have glaucoma.
Dr.
Liang, what is the likelihood that I have glaucoma based on this information? (I understand if you cannot provide a definitive answer due to insufficient data; I apologize for that.)
2.
When I received my medications after the examination, I noticed one of them was "Corneal Unidrops," which is used for early-stage age-related cataracts.
However, the doctor did not mention any cataract issues during the report.
Dr.
Liang, does receiving this medication indicate that I definitely have cataracts, or could this medication have other uses or be used to prevent cataracts?
3.
In addition to the Corneal Unidrops, I also received two other eye drops: "Zhi Nong Min" and "Si Yan Kang." The doctor mentioned that "Si Yan Kang" contains steroids and is unnecessary for me, so I have only used it accidentally once and have not used it since.
I have been using the other medications as prescribed.
Recently, I have noticed some light sensitivity (bright sunlight and strong light are uncomfortable, but I do not have this issue as long as I am near buildings or other obstructions and do not stay in the shade).
Dr.
Liang, could this be a side effect of the medication? Should I quickly consult the doctor about possibly stopping the medication?
Thank you, Dr.
Liang, for taking the time to respond.
I appreciate your help.

Niming, 20~29 year old female. Ask Date: 2022/06/26

Dr. Liang Ce reply Ophthalmology

It is recommended that you discuss the above situation with your attending physician to determine if further examinations are necessary.
Thank you, and wishing you good health!

Reply Date: 2022/06/26

More Info

Hello! Thank you for your detailed questions regarding your recent eye exam and the medications prescribed. It’s great that you’re being proactive about your eye health, especially with your upcoming study abroad plans. Let’s address your concerns one by one.

1. Risk of Glaucoma: You mentioned that your eye pressure is consistently high, which can be a risk factor for glaucoma, especially if you have a thicker cornea. While elevated intraocular pressure (IOP) is a significant indicator, it does not automatically mean you have glaucoma. The next step, as your doctor suggested, is to perform a visual field test. This test will help assess whether there is any damage to your optic nerve, which is crucial in diagnosing glaucoma. If the visual field test shows no abnormalities, it may indicate that your high eye pressure is not causing any damage at this time. However, it’s essential to monitor your eye pressure regularly, especially since you have a family history of eye conditions or other risk factors.

2. Use of "Korin Youni" Eye Drops: The medication you received, "Korin Youni," is indeed often used in the management of early cataracts, but its prescription does not necessarily mean you have cataracts. Sometimes, eye doctors prescribe medications that may help in the early stages or as a preventive measure, especially if they suspect that you might be at risk due to age or other factors. It’s also possible that the doctor prescribed it to help with any early signs of lens changes that may not yet be clinically significant. If you have concerns about this medication, it’s best to discuss them with your eye doctor during your next visit.

3. Side Effects of Other Medications: Regarding the other eye drops, "Zhi Nuan Min" and "Si Yan Kang," it’s important to be cautious with any medication that contains steroids, as they can lead to increased sensitivity to light (photophobia) and other side effects. If you are experiencing discomfort in bright light, it could be related to the use of these medications, especially if you’ve been using "Si Yan Kang" frequently. It’s advisable to contact your eye doctor to discuss your symptoms. They may recommend adjusting your medication regimen or suggest protective measures for your eyes, especially if you are experiencing significant discomfort.

In summary, while there are some concerns regarding your eye health, it’s essential to follow up with your eye doctor for further evaluation and clarification on your medications. Regular monitoring and open communication with your healthcare provider will help ensure that any potential issues are addressed promptly.
Lastly, as you prepare for your time abroad, consider bringing your medications with you and ensuring you have access to eye care in your new location. Safe travels and best of luck with your studies! If you have any more questions or need further clarification, feel free to ask.

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