Managing Anxiety in High Myopia and Glaucoma Concerns

Anxiety related to glaucoma?

Hello Doctor, I am highly myopic with a prescription of -8.50 to -9.50 and a corneal thickness of 500 microns.
Two years ago, my intraocular pressure (IOP) rose to 26, which caused me a lot of anxiety.
I immediately went to a large hospital for visual field testing, fundus photography, and OCT.
Fortunately, there were no issues at that time, and the doctor advised me to return for a follow-up in a year.
During that year, the hospital replaced their OCT machine.
Although my visual field was fine during the follow-up, the OCT showed a depression in the red zone.
The doctor explained that due to the change in equipment, it was difficult to compare with the previous results and advised me to come back in another year.

I have been very anxious over the past two years, struggling to eat and sleep well, and I have lost several kilograms.
Friends who haven't seen me in a while say I look very different.
I am only 29, and I find it hard to imagine what my vision will be like when I am 40 or 50.
Over the past two years, I have been visiting the ophthalmology clinic almost every month to check my IOP and examine my optic nerve.
It feels like I have developed a panic disorder, as dozens of ophthalmologists have told me to just observe and that there doesn't seem to be any major issues, so I shouldn't worry too much.

Currently, I can only slightly forget about this issue by staying busy with work, but since I am constantly staring at a computer screen, I start to feel anxious again as soon as I get home.
I am unsure about what steps to take next.
Could you please give me some advice? Also, is it okay to apply warm compresses after using eye drops for fatigue relief? I have heard that warm compresses can help lower eye pressure.
Thank you.

John, 20~29 year old female. Ask Date: 2015/05/05

Dr. He Jianxian reply Ophthalmology

If you have already consulted numerous ophthalmologists and undergone various examinations, there is no need to worry too much.
In Taiwan's healthcare system, doctors generally tend to initiate early treatment if they suspect any issues.
Early treatment for glaucoma is quite simple and primarily involves eye drops, which are mostly effective.
In my opinion, you have not yet entered the treatment stage, so there is no need for excessive anxiety.
Furthermore, even if you do have glaucoma, it does not mean that it will continue to worsen after treatment.
As for the effects of warm compresses on lowering intraocular pressure, I cannot comment, but exercise is definitely effective.
I recommend that you engage in regular physical activity every day.
Wishing you good health.

Reply Date: 2015/05/05

More Info

Managing anxiety, especially in the context of high myopia and concerns about glaucoma, can be quite challenging. Your situation is compounded by the fact that you have been experiencing significant anxiety related to your eye health, which has affected your overall well-being, including your sleep and appetite. It’s important to address both the physical and psychological aspects of your condition.

Firstly, it’s understandable to feel anxious about your eye health, especially with a history of high intraocular pressure (IOP) and the changes observed in your OCT scans. High myopia and thin corneas can increase the risk of glaucoma, and it’s natural to worry about the long-term implications for your vision. However, it’s crucial to remember that many patients with similar conditions lead normal lives without significant vision loss, especially when they are under regular monitoring by eye care professionals.

From a medical perspective, the management of anxiety related to health concerns often involves a combination of strategies. Here are some recommendations:
1. Regular Follow-ups: Continue to follow your eye doctor’s recommendations for regular check-ups. Knowing that you are being monitored can help alleviate some anxiety. If your doctor has reassured you that your condition is stable, try to focus on that positive aspect.

2. Cognitive Behavioral Therapy (CBT): Consider seeking help from a mental health professional who specializes in CBT. This type of therapy can help you develop coping strategies to manage your anxiety, particularly the irrational fears that may arise from your health concerns.

3. Mindfulness and Relaxation Techniques: Incorporate mindfulness practices, such as meditation or deep-breathing exercises, into your daily routine. These techniques can help reduce anxiety and improve your overall mental health. Apps like Headspace or Calm can guide you through mindfulness exercises.

4. Physical Activity: Regular physical activity can significantly reduce anxiety levels. Engaging in exercise releases endorphins, which can improve your mood and help you manage stress. Aim for at least 30 minutes of moderate exercise most days of the week.

5. Healthy Lifestyle Choices: Ensure you are eating a balanced diet and getting enough sleep. Avoid excessive caffeine and alcohol, as these can exacerbate anxiety symptoms. If you’re struggling with sleep, consider establishing a calming bedtime routine.

6. Support System: Talk to friends or family about your feelings. Sometimes, just sharing your concerns can lighten the emotional load. You might also consider joining a support group for individuals dealing with similar health anxieties.

Regarding your question about using eye drops for fatigue followed by warm compresses, it is generally safe to use lubricating eye drops to relieve dryness or fatigue before applying warm compresses. Warm compresses can help improve circulation and may provide relief from eye strain. However, it’s essential to ensure that the compress is not too hot to avoid any risk of burns or further irritation.

In conclusion, while it’s understandable to feel anxious about your eye health, focusing on proactive management of both your physical and mental health can help you regain a sense of control. Regular communication with your healthcare providers, combined with effective anxiety management strategies, can lead to improved well-being. Remember, you are not alone in this journey, and seeking help is a sign of strength.

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