Glaucoma examination issues?
The family member has had glaucoma issues for many years and has undergone laser treatment.
They are currently on a regular follow-up and medication because their previous doctor has left.
During today's appointment with the new doctor, the examination room lights were turned off, and a strong light was used to shine into the eyes, which the doctor said was for examination purposes.
The doctor then prescribed eye drops to lower intraocular pressure three times and advised that if there is any eye pain at home, they should go to the emergency room.
Is this type of examination reasonable? The previous doctor never conducted an examination like this, and after the appointment, the eyes still feel very uncomfortable.
H, 20~29 year old female. Ask Date: 2023/06/26
Dr. He Jianxian reply Ophthalmology
Hello Mr.
H: It seems that you underwent a dilated fundus examination, which can indeed potentially trigger acute glaucoma, but the likelihood is quite low.
The new physician is likely just informing you of the precautions to take after the examination.
Director He Jianxian, Ophthalmology Department, Nantou Hospital.
Reply Date: 2023/06/26
More Info
When it comes to glaucoma checkups, safety and the methods used are paramount. Your experience with the new doctor raises several important points regarding the examination practices and the implications for your eye health, especially considering your family's history of glaucoma.
Firstly, the practice of turning off the lights during an eye examination is not uncommon. It is often done to enhance the visibility of the retina and other structures in the eye when using specialized equipment. However, the use of strong light to illuminate the eye can be uncomfortable, especially for patients with sensitive eyes or existing conditions like glaucoma. The rationale behind this method is to allow the doctor to observe the optic nerve and retina more clearly, which is crucial in diagnosing and monitoring glaucoma.
1. Safety of the Procedure: Generally, the examination methods used in glaucoma checks, including the use of bright lights, are considered safe. However, if you experience significant discomfort or pain during or after the examination, it is essential to communicate this to your healthcare provider. Pain can sometimes indicate an underlying issue that may need immediate attention.
2. Use of Eye Drops: The administration of pressure-lowering eye drops during your visit is standard practice in managing glaucoma. These drops help to reduce intraocular pressure, which is crucial in preventing further damage to the optic nerve. However, if you notice persistent discomfort after receiving these drops, it is advisable to contact your doctor. They may need to adjust your treatment plan or investigate other potential causes of your discomfort.
3. Follow-Up Care: The instruction to seek emergency care if you experience pain after the examination is a precautionary measure. While discomfort can be a normal response to certain procedures, it should not be ignored, especially in patients with a history of glaucoma. If the pain persists or worsens, it is crucial to seek immediate medical attention to rule out any complications.
4. Comparison with Previous Doctors: It is understandable to feel uneasy about the differences in examination practices between your previous doctor and the new one. Each ophthalmologist may have their own preferred methods based on their training and experience. However, if the new approach causes you discomfort or anxiety, it is within your rights as a patient to discuss your concerns with the doctor. You can ask for clarification on why certain methods are employed and express your discomfort with the examination process.
5. Importance of Communication: Open communication with your healthcare provider is essential. If you feel that the examination methods are not suitable for you, or if you have concerns about the safety and comfort of the procedures, do not hesitate to voice these concerns. A good doctor will take your feedback seriously and may adjust their approach accordingly.
In conclusion, while the methods used in glaucoma checkups, including the use of bright lights and pressure-lowering medications, are generally safe, your comfort and safety should always be a priority. If you experience ongoing discomfort or have concerns about the examination practices, it is crucial to discuss these with your healthcare provider. Regular monitoring and open communication are key components in effectively managing glaucoma and ensuring your eye health remains stable.
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