Should I Recheck My Vision? Glaucoma Concerns - Ophthalmology

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Hello, doctor?


Hello doctor, two years ago I felt like my visual field had become smaller, so I went to St.
Martin to see a doctor who performed a visual field test.
Everything was fine, but they suggested there might be some issues with my brain, so I underwent an MRI, which also showed no problems.
Then I was referred to Chang Gung, where the doctor mentioned that I might have glaucoma and prescribed glaucoma eye drops, although the visual field test was normal (I did it again).
The eye pressure was also normal (the doctor at St.
Martin wanted me to go to Chang Gung for some kind of fluorescent test, but I didn't go).
He said that the photos showed some optic nerve damage and advised me to use glaucoma medication.
I then went to Hsu Chuan and brought my examination records from Chang Gung.
They performed another visual field test (it felt like it took a long time during the procedure, and I was getting impatient...) and said it was normal.
The doctor at Hsu Chuan said I did not have glaucoma and that everything was normal, so I haven't thought about it for the past two years.

Now, I suddenly remembered that although I feel like my visual field might have changed, it also feels like it hasn't changed, but I have a strange feeling about it.
I want to ask the doctor if it is necessary to do another visual field test.
If I were to pay for it myself, how much would it approximately cost?

Wei, 10~19 year old female. Ask Date: 2009/05/22

Dr. Ke Meilan reply Ophthalmology


Hello: Please pay attention to your typos! I believe there is no need to perform a visual field test at this time.
If it is necessary, the out-of-pocket cost will be $1000.
Wishing you peace and good health.

Reply Date: 2009/05/22

More Info


It sounds like you have been through quite a journey with your eye health, and it's understandable to feel concerned about your vision, especially with the history of potential glaucoma and the symptoms you've described. Let's break down your situation and address your concerns regarding whether you should recheck your vision.

Firstly, it’s important to recognize that glaucoma is a serious condition that can lead to irreversible vision loss if not properly managed. The fact that you have had previous evaluations, including visual field tests and eye pressure measurements, is a positive step in monitoring your eye health. The conflicting opinions from different specialists can understandably lead to confusion and concern.
From your description, it seems that you have undergone multiple tests, including visual field tests and imaging of the optic nerve, which are crucial in diagnosing glaucoma. If these tests have consistently shown normal results, it is a good sign. However, the perception of a narrowing visual field or changes in your vision should not be taken lightly.
Given that you have not had a check-up in two years, it may be wise to schedule another comprehensive eye examination. This should include a visual field test, intraocular pressure measurement, and an assessment of the optic nerve. These tests can help determine if there have been any changes in your eye health since your last visit.
As for the cost of a visual field test, it can vary depending on the facility and whether you have insurance coverage. In the United States, the cost for a visual field test can range from $100 to $300 if you are paying out of pocket. It’s best to contact the eye clinic or hospital where you plan to have the test done to get an accurate estimate.

In addition to the visual field test, consider discussing your symptoms with your eye care provider. If you feel that your vision has changed or if you are experiencing any new symptoms, such as headaches or eye discomfort, these should be communicated to your doctor. They may suggest additional tests or a different approach based on your current symptoms.

Moreover, if you have a family history of glaucoma or other eye diseases, this may warrant more frequent check-ups. Regular monitoring is crucial, especially for individuals at higher risk.

In summary, while your previous tests have shown no signs of glaucoma, your ongoing concerns about your vision and the changes you perceive warrant a follow-up examination. It’s always better to err on the side of caution when it comes to eye health. Schedule an appointment with your eye care professional, discuss your symptoms, and undergo the necessary tests to ensure that your vision remains healthy. Taking proactive steps now can help prevent potential issues in the future.

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