Managing Eye Pressure: Tips for Preventing Glaucoma and Eye Health - Ophthalmology

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If your intraocular pressure is at the upper limit of the normal range, how should you take care of your eye health?


Hello, Dr.
Ke! I underwent laser surgery for my myopia in 1990, originally having a prescription of 350 to 400 degrees.
At that time, the doctor recommended leaving a residual prescription of 50 degrees to prevent future presbyopia.
I recall that during that era, there weren't as many types of laser instruments as there are today.
After the surgery, I had 2 to 3 follow-up examinations, and I did not experience any discomfort.

A few years ago, I started experiencing presbyopia, and I need reading glasses to see small text.
In the past two to three years, every morning, within an hour of waking up, I find it somewhat blurry and straining to look at electronic news on my computer screen.
I must wear reading glasses, and only after an hour or two can I see the computer screen without them.
I'm unsure why this is happening.

During my recent health check-up, my vision was 1.0 in one eye and 1.1 in the other, with intraocular pressure readings of 19 and 20.
The technician informed me that my eye pressure is at the upper limit of normal, and I should seek immediate medical attention if I experience any discomfort or see halos.

Could you please advise me on how to maintain my eye health to avoid glaucoma or other potential eye diseases? Thank you!

Mao Mao, 50~59 year old female. Ask Date: 2008/05/21

Dr. Ke Meilan reply Ophthalmology


Hello! Presbyopia is related to the aging of the eye muscles.
For glaucoma, you can visit an ophthalmologist for a dilated eye exam and intraocular pressure measurement to confirm the diagnosis.
Wishing you peace and good health.

Reply Date: 2008/05/21

More Info


Managing eye pressure is crucial for maintaining eye health and preventing conditions such as glaucoma, especially as we age. Given your history of laser surgery for myopia and your current concerns about eye pressure and vision changes, it’s essential to adopt a proactive approach to eye care.


Understanding Eye Pressure and Glaucoma
Eye pressure, or intraocular pressure (IOP), is the fluid pressure inside the eye. Normal IOP ranges from 10 to 21 mmHg, and your readings of 19 and 20 mmHg are at the upper limit of this range. Elevated eye pressure can damage the optic nerve, potentially leading to glaucoma, a serious condition that can result in vision loss if not managed properly. However, not everyone with elevated IOP will develop glaucoma, and regular monitoring is key.


Tips for Managing Eye Pressure and Preventing Glaucoma
1. Regular Eye Exams: Schedule comprehensive eye exams at least once a year. These exams should include measurements of your eye pressure, visual field tests, and assessments of the optic nerve. Early detection is vital for effective management.

2. Medication Compliance: If your eye doctor prescribes medication to lower your eye pressure, ensure you take it as directed. Some eye drops can help reduce IOP and prevent damage to the optic nerve.

3. Healthy Lifestyle Choices:
- Diet: Incorporate a diet rich in fruits and vegetables, particularly those high in antioxidants, such as leafy greens, carrots, and citrus fruits. Omega-3 fatty acids found in fish can also promote eye health.

- Hydration: Stay well-hydrated, but avoid excessive fluid intake in a short period, as this can temporarily increase eye pressure.

- Exercise: Regular physical activity can help lower eye pressure. Aim for at least 30 minutes of moderate exercise most days of the week. Activities like walking, swimming, or cycling are beneficial.

4. Protect Your Eyes: Wear sunglasses that block UV rays when outdoors, as UV exposure can contribute to eye problems. Additionally, consider protective eyewear during activities that could cause eye injury.

5. Limit Screen Time and Take Breaks: Given your experience with difficulty focusing on screens, it’s important to practice the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds. This helps reduce eye strain and fatigue.

6. Manage Stress: Stress can contribute to increased eye pressure. Engage in relaxation techniques such as yoga, meditation, or deep-breathing exercises to help manage stress levels.

7. Avoid Smoking and Limit Alcohol: Smoking is detrimental to eye health and can increase the risk of developing glaucoma. Similarly, excessive alcohol consumption can negatively affect eye pressure.

8. Monitor Symptoms: Be vigilant about any changes in your vision or eye comfort. Symptoms such as blurred vision, seeing halos around lights, or sudden vision loss should prompt immediate consultation with an eye care professional.

9. Educate Yourself: Understanding your condition and the risk factors associated with glaucoma can empower you to take charge of your eye health. Discuss any concerns with your eye doctor and ask about the latest research and treatment options.


Conclusion
While your current eye pressure readings are at the upper limit of normal, taking proactive steps can help manage your eye health and reduce the risk of developing glaucoma. Regular check-ups, a healthy lifestyle, and being aware of your symptoms are essential components of effective eye care. If you experience any new or worsening symptoms, do not hesitate to reach out to your eye care provider for further evaluation and guidance. Your vision is invaluable, and taking these steps can help preserve it for years to come.

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