Eye Pressure: Symptoms and Concerns About Glaucoma - Ophthalmology

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Strange phenomenon


Dear Doctor, hello! I have been experiencing a feeling of pressure in my left eye for the past 5 to 6 years (it seems to be getting worse).
It feels swollen and strange.
I previously visited an ophthalmologist, who mentioned that my "right eye" has elevated intraocular pressure.
Isn't elevated intraocular pressure a sign of glaucoma? I'm not sure what to do.
Thank you for your response!

Xiao Ming, 10~19 year old female. Ask Date: 2004/01/13

Dr. Wang Zhangji reply Ophthalmology


Hello! Common causes of eye discomfort and pressure include ciliary muscle fatigue.
Prolonged near work, such as using a computer, watching television, or reading, can increase the workload on the ciliary muscles.
Regarding your mention of elevated intraocular pressure, it's unclear whether it is merely high or exceeds the normal range.
In fact, the diagnosis of glaucoma requires abnormalities in three aspects: intraocular pressure, the optic nerve, and visual fields for a more accurate determination.
Sincerely, Dr.
Wang Zhang-ji, Department of Ophthalmology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/01/13

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding eye pressure and the potential implications for glaucoma. Your symptoms, particularly the feeling of pressure in your left eye, combined with the previous diagnosis of elevated eye pressure in your right eye, warrant careful consideration and follow-up.

Firstly, it’s important to understand that elevated intraocular pressure (IOP) is indeed a significant risk factor for glaucoma, but it is not the sole determinant. Glaucoma is a group of eye conditions that damage the optic nerve, often due to high eye pressure. However, not everyone with high eye pressure will develop glaucoma, and some individuals with normal eye pressure can still experience glaucoma (known as normal-tension glaucoma).
The sensation of pressure or a "full" feeling in the eye can be caused by various factors, including but not limited to elevated IOP, eye strain, dry eyes, or even sinus issues. It’s crucial to differentiate between these potential causes through comprehensive eye examinations. If your previous eye doctor noted high pressure in your right eye, it is essential to monitor this closely, as untreated high IOP can lead to optic nerve damage over time.

Regarding your left eye, the increasing sensation of pressure should not be ignored. It’s advisable to return to your eye care provider for a thorough examination, including measuring the IOP in both eyes, assessing the optic nerve head for cupping, and performing visual field tests. These tests will help determine if there is any damage to the optic nerve and whether you are at risk for glaucoma.

If you are experiencing discomfort or pressure in your left eye, it is prudent to schedule an appointment sooner rather than later, especially if the symptoms are worsening. Early detection and treatment are key in managing glaucoma effectively. Treatment options may include prescription eye drops to lower eye pressure, laser treatments, or surgical options, depending on the severity and type of glaucoma diagnosed.

Additionally, if you have a family history of glaucoma or other risk factors such as high myopia (nearsightedness), it is even more critical to stay vigilant with regular eye exams.
In terms of lifestyle adjustments, consider the following to help manage your eye health:
1. Regular Eye Exams: Schedule routine check-ups with your eye doctor to monitor your eye pressure and overall eye health.

2. Healthy Diet: Incorporate foods rich in antioxidants, omega-3 fatty acids, and vitamins A, C, and E, which are beneficial for eye health.

3. Hydration: Stay well-hydrated, as dehydration can affect eye pressure.

4. Limit Screen Time: If you spend long hours in front of screens, take regular breaks to reduce eye strain.

5. Manage Stress: Stress and anxiety can exacerbate physical symptoms, including those related to eye discomfort. Consider relaxation techniques or speaking with a mental health professional if anxiety is a concern.

In conclusion, while elevated eye pressure is a significant concern, it is essential to approach your symptoms holistically and seek timely medical advice. Your eye health is paramount, and addressing these symptoms early can lead to better outcomes. Please do not hesitate to reach out to your eye care provider for further evaluation and peace of mind.

Best wishes for your eye health,
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