Glaucoma: Managing Fear and Eye Health - Ophthalmology

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Fear of Glaucoma


Hello, doctor.
Last time I asked you about glaucoma issues, and last week I successfully went to Cathay General Hospital in Taipei for a visual field test.
The doctor responded that both eyes are normal.
The optical coherence tomography showed that the left eye's cup-to-disc ratio is larger, while the right eye looks okay.
The doctor believes this is related to my high myopia.
The thickness of the retinal nerve fiber layer was reported as good.
The doctor mentioned that my corneal thickness is quite thin, which is rare: 483 micrometers in the left eye and 503 micrometers in the right eye.
On that day, my intraocular pressure was 15.
The doctor advised me not to worry and to have a follow-up examination in six months.
However, I am really concerned and fearful.
I need to use the computer for long hours at work, and I am truly scared of developing glaucoma before turning 30.
Doctor, if I have check-ups every six months and, unfortunately, do have glaucoma, would that be considered early detection for treatment? Can my eyes last another 20-30 years? What can I eat to maintain eye health and prevent glaucoma? I am extremely fearful.
Thank you.

Johnny, 20~29 year old female. Ask Date: 2013/06/17

Dr. He Jianxian reply Ophthalmology


Hello: Your test results appear to be quite normal.
A follow-up every six months is definitely sufficient, and there is no need for any supplements.
Basically, you don't need to worry.
Wishing you good health and peace.

Reply Date: 2013/06/17

More Info


Understanding glaucoma and managing the associated fears can be quite challenging, especially when you are dealing with the complexities of eye health at a young age. First and foremost, it’s important to acknowledge your concerns and understand that you are not alone in feeling anxious about your eye health, particularly when it comes to conditions like glaucoma.

Glaucoma is often referred to as the "silent thief of sight" because it can progress without noticeable symptoms until significant damage has occurred. However, early detection and regular monitoring can significantly improve outcomes. Your recent eye examination results, including normal visual field tests and a healthy thickness of the nerve fiber layer, are encouraging signs. The fact that your eye pressure was measured at 15 mmHg is also within the normal range, as elevated intraocular pressure (IOP) is a key risk factor for glaucoma.

Given your situation, it’s reassuring that your ophthalmologist has recommended regular check-ups every six months. This frequency allows for close monitoring of any changes in your eye health, particularly since you have a family history of high myopia, which can increase the risk of glaucoma. Early detection is crucial, and if glaucoma were to develop, it could be managed effectively with treatment, which may include eye drops, laser therapy, or surgery, depending on the severity.

In terms of lifestyle adjustments and dietary considerations, there are several strategies you can adopt to support your eye health:
1. Nutrition: A diet rich in antioxidants can be beneficial for eye health. Foods high in vitamins C and E, beta-carotene, and omega-3 fatty acids are particularly good. Leafy greens, fish, nuts, and citrus fruits can help maintain overall eye health.

2. Hydration: Staying well-hydrated is essential. Dehydration can lead to increased eye pressure, so make sure you drink plenty of water throughout the day.

3. Regular Exercise: Engaging in regular physical activity can help lower eye pressure and improve overall health. Aim for at least 30 minutes of moderate exercise most days of the week.

4. Limit Screen Time: Since your work involves long hours in front of a computer, it’s important to take regular breaks to reduce eye strain. The 20-20-20 rule is a good practice: every 20 minutes, look at something 20 feet away for at least 20 seconds.

5. Protect Your Eyes: Wearing sunglasses that block UV rays can help protect your eyes from sun damage, which is another risk factor for various eye conditions.

6. Stress Management: High levels of stress can exacerbate anxiety about health issues. Consider incorporating relaxation techniques such as mindfulness, meditation, or yoga into your routine.

7. Regular Check-ups: Continue with your scheduled eye exams. If you notice any changes in your vision or experience symptoms like headaches or eye pain, contact your ophthalmologist immediately.

It’s understandable to feel fear and anxiety about the possibility of developing glaucoma, especially at a young age. However, by staying informed, maintaining regular check-ups, and adopting a healthy lifestyle, you can take proactive steps to manage your eye health. Remember, many people live with glaucoma and maintain good vision for many years with appropriate treatment and monitoring.
Lastly, if your anxiety becomes overwhelming, consider speaking with a mental health professional who can help you develop coping strategies to manage your fears. Your eye health is important, but so is your overall well-being.

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