Eye Pressure: Concerns About Vision Changes and Glaucoma Risk - Ophthalmology

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Consult a physician about intraocular pressure issues?


Hello, Doctor: I am currently a master's student with a heavy academic workload.
Over the past two years, my vision has rapidly deteriorated by 200 degrees.
My current vision is 250 in one eye and 350 in the other.
Sometimes I feel high eye pressure, which causes discomfort and pressure in my eyes, and I often need to take off my glasses to feel better.
Previously, during outdoor sports, my right eye was hit by a badminton shuttlecock (the impact was quite strong).
Could this lead to glaucoma?

Annie, 20~29 year old female. Ask Date: 2004/03/04

Dr. Ke Meilan reply Ophthalmology


Hello, regarding your question, you haven't informed me of your current intraocular pressure.
If you feel a sense of pressure in your eyes, it would be advisable to measure the intraocular pressure to confirm.
Most patients do not feel any symptoms with slightly elevated intraocular pressure.
Is the sudden increase of 200 degrees in myopia based on data obtained after dilation? You may use a dilating agent to prevent rapid increases, especially if you are at risk of being hit by a badminton shuttlecock, which could cause anterior chamber bleeding; in that case, please monitor changes in intraocular pressure.
Sincerely, Dr.
Komeilan.

Reply Date: 2004/03/04

More Info


Understanding eye pressure and its implications for vision changes and glaucoma risk is crucial, especially for someone like you who is experiencing significant changes in vision and discomfort.
Firstly, it’s important to clarify what glaucoma is. Glaucoma is a group of eye conditions that damage the optic nerve, often due to high intraocular pressure (IOP). This condition can lead to vision loss if not detected and treated early. The optic nerve is essential for transmitting visual information from the eye to the brain, and any damage to it can result in irreversible vision impairment.

In your case, you mentioned a rapid increase in your prescription over the past two years, which indicates a progression of myopia (nearsightedness). High myopia is a known risk factor for developing glaucoma, as it can lead to changes in the structure of the eye, including the optic nerve. The increase in your prescription could be a sign of worsening myopia, which may also contribute to your concerns about eye pressure and discomfort.

You also noted experiencing discomfort that feels like high eye pressure, which can be concerning. It’s essential to differentiate between subjective feelings of pressure and actual measured intraocular pressure. Anxiety and stress, particularly related to academic pressures, can also contribute to sensations of discomfort in the eyes. It’s not uncommon for individuals under stress to perceive their eye pressure as higher than it is, especially during routine checks.

Regarding the incident where your eye was struck by a shuttlecock, while it’s unlikely that this specific event would directly cause glaucoma, any trauma to the eye can lead to various complications, including elevated eye pressure. Trauma can result in conditions such as traumatic iritis or even a retinal detachment, which can indirectly affect your vision and eye health.

To address your concerns about glaucoma risk, regular eye examinations are crucial. These exams typically include measuring your intraocular pressure, assessing the optic nerve, and conducting visual field tests. If your eye pressure is consistently elevated or if there are signs of optic nerve damage, your eye care provider may recommend further testing or treatment options.

In terms of what you can do to protect your eyes and manage your symptoms, consider the following:
1. Regular Eye Exams: Schedule comprehensive eye exams at least once a year, or more frequently if advised by your eye care professional. This will help monitor any changes in your vision and eye health.

2. Manage Eye Strain: Given your heavy academic workload, ensure you take regular breaks from screens and reading. The 20-20-20 rule is helpful: every 20 minutes, look at something 20 feet away for at least 20 seconds.

3. Protective Eyewear: If you participate in sports or activities where your eyes could be at risk of injury, consider wearing protective eyewear to prevent trauma.

4. Healthy Lifestyle: Maintain a balanced diet rich in antioxidants (like vitamins A, C, and E), stay hydrated, and engage in regular physical activity. These factors can contribute to overall eye health.

5. Stress Management: Since you mentioned feeling overwhelmed with coursework, incorporating stress-reducing activities such as mindfulness, yoga, or regular exercise can be beneficial for both your mental health and your eye comfort.

6. Consultation: If you continue to experience discomfort or have concerns about your vision, don’t hesitate to seek a second opinion or consult a specialist, particularly one who focuses on glaucoma or retinal health.

In summary, while your symptoms and recent vision changes are understandably concerning, they do not definitively indicate glaucoma. However, proactive monitoring and care are essential to ensure your eye health remains stable. Regular check-ups and a healthy lifestyle can significantly contribute to maintaining your vision and overall well-being.

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