Eye Pressure and Glaucoma: Your Questions Answered - Ophthalmology

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Intraocular pressure and glaucoma?


Hello, doctor.
In the past two weeks, I have been experiencing frequent swelling and pain around my eyes, which has even led to headaches.
I have some questions to ask: 1.
My myopia is -6.75 and -7.25 diopters.
My last intraocular pressure readings were 19 and 20, but this time both eyes measured 22.
I also underwent a visual field test, and the results were acceptable, with central corneal thickness measurements of 518/523.
The doctor only provided me with lubricating eye drops and a mydriatic agent, and scheduled a follow-up for intraocular pressure in six months.
After researching online, I am increasingly concerned about glaucoma, so I would like to ask for your opinion.
Am I at risk for glaucoma, or is this simply due to eye strain? Should I seek an examination at a larger hospital? Also, could the headaches be caused by elevated intraocular pressure? Lastly, will I be able to undergo laser surgery for myopia in the future? Thank you, doctor.

Cai Xiaojie, 20~29 year old female. Ask Date: 2022/07/09

Dr. Liang Ce reply Ophthalmology


We recommend that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary.
Thank you, and wishing you good health!

Reply Date: 2022/07/09

More Info


Hello! Thank you for your questions regarding your eye health, particularly concerning eye pressure and the potential risk of glaucoma. It’s understandable to feel anxious about these issues, especially when experiencing symptoms like eye pain and headaches. Let’s address your concerns one by one.

1. Understanding Eye Pressure and Glaucoma Risk: Your recent eye pressure readings of 22 mmHg are indeed higher than the normal range, which is typically considered to be between 10 and 21 mmHg. However, it’s important to note that a single elevated reading does not automatically indicate glaucoma. Glaucoma is a complex condition characterized by damage to the optic nerve, often associated with elevated intraocular pressure (IOP). The fact that your visual field test results were normal is a positive sign, as it suggests that there is currently no significant damage to your optic nerve.

2. Symptoms and Causes of Your Eye Pain and Headaches: The symptoms you describe, including eye pain and headaches, could be related to several factors. While elevated eye pressure can contribute to discomfort, other causes such as eye strain from prolonged screen time, dry eyes, or even tension headaches could also be responsible. It’s essential to consider your overall eye health and lifestyle factors, such as screen time and the need for corrective lenses.

3. Follow-Up and Monitoring: Since your doctor has recommended follow-up in six months, it’s crucial to adhere to this plan. Regular monitoring of your eye pressure and visual fields will help determine if there are any changes that need to be addressed. If you continue to experience symptoms or if your eye pressure rises further, seeking a second opinion from a specialist or a larger medical facility may provide additional reassurance and thorough evaluation.

4. Laser Surgery for Myopia: Regarding your question about laser surgery for myopia (nearsightedness), it’s generally possible for individuals with elevated eye pressure to undergo such procedures, provided that their eye health is stable and there are no signs of glaucoma or other complications. However, the decision to proceed with laser surgery should be made in consultation with your eye care professional, who will evaluate your specific situation, including your eye pressure, corneal thickness, and overall eye health.

5. Managing Eye Health: To help manage your eye health, consider the following tips:
- Regular Eye Exams: Keep up with your scheduled eye exams to monitor your eye pressure and overall health.

- Limit Screen Time: Take regular breaks from screens to reduce eye strain. The 20-20-20 rule is helpful: every 20 minutes, look at something 20 feet away for at least 20 seconds.

- Stay Hydrated: Proper hydration can help maintain eye moisture and comfort.

- Use Artificial Tears: If you experience dryness, using preservative-free artificial tears can provide relief.

- Healthy Lifestyle: A balanced diet rich in antioxidants, regular exercise, and avoiding smoking can contribute positively to eye health.

In conclusion, while your elevated eye pressure is a concern, it does not necessarily mean you have glaucoma, especially with normal visual field results. Continue to monitor your symptoms, follow your doctor's advice, and maintain regular check-ups. If you have further concerns or if your symptoms worsen, don’t hesitate to seek additional medical advice. Your eye health is important, and staying informed will help you make the best decisions for your vision.

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