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Glaucoma and blindness - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Vision and Eye Disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   hi
Doctor :  
How can i help you?
User :   i need assistance for glucoma
Doctor :   ok

Doctor :  
proceed with your Q
User :   i have open to narrow AAAAAAA glucoma
User :   my iop is 14/15
Doctor :   ok

User :   i want to now will i be able to retain my eyessight till i live?
Doctor :   ok

User :   as i have zero knowledge of the same
User :   i am 33
Doctor :  
i shall provide you the assistance
User :   please
Doctor :  
glaucoma is a condition where it revolve around the aqueous humor dynamics
User :   ok
Doctor :   in the eye the intra ocular tension is maintained by the Aqueous humor
Doctor :   it is produced and constantly drained
User :   i am not a doctor
User :   so these terms i dont understand
Doctor :   ok
User :   i just wanna know how can i retain the vision
User :   if you wish i can type you
User :   my report
User :   if you can help
Doctor :   i was trying to explain you in detail as you will have the disease for life

User :   ok
Doctor :  
ok i shall provide you simple tips
User :   please go ahead
User :   brief me of the diesese
User :   i am sorry
User :   please help
Doctor :   ok

User :   please help
Doctor :  
see the fluid produced drains in a very narrow angle
User :   ok
Doctor :  
and any blockage of the small angle will cause retention of fluid causing pain
User :   ok
User :   and
Doctor :   and it will cause pressure on the retina and will cause blindness over a long period of time
Doctor :  
so it the appropriate control of the IOP which is essential
Doctor :  
Are you on any medications for this?
User :   yes
User :   combigan and travacom
Doctor :   ok
Doctor :  
how are you consuming them?
Doctor :  
how are you presently consuming the tablets?
User :   combigan at 10am and 5pm and travacom at 11pm both eyes
User :   neurobion forte and gloeye after bf
Doctor :   Do you have hypertension problem?

User :   no
Doctor :   do you have thyroid problem?
User :   no
Doctor :   ok

Doctor :   The IOP you said is in control only
User :   ok
Doctor :   do not stop the drugs or skip them
User :   ok
User :   please help me to know how to retain my vision lifelong
Doctor :  
if you forget the dose than take them as soon as you remember
User :   and how does
User :   optic nerve affect it
Doctor :   yes
Doctor :  
that is what i am telling you
Doctor :  
it is the control of the IOP
User :   so please help me know of the same
Doctor :  
that will help you to retain your visison
User :   shall i give u readings of my optic nerve test
Doctor :  
and the only way you can control the IOP is
User :   will u be able to help me
Doctor :   yes please provide me
Doctor :  
i will help you
User :   1st i will see or right eye
User :   it goes as
Doctor :  
ok
User :   rim area 0.052mm square
Doctor :  
ok
User :   average nerve width @disk 0.25 mm
User :   disk diameter 2.14mm
User :   cup diameter 1.66mm
Doctor :   ok

User :   rim lenght hrizontal 0.48mm
Doctor :  
ok
User :   cop offset microns 150
User :   optic nerve haed analysis
Doctor :  
ok
User :   vert integrated rim area 0.089
Doctor :   ok

User :   horizontal intergrated rim area width 1.028mm
User :   now tell me how is my left eye
User :   i mean vision
User :   and the optic nerve
Doctor :   can you also provide me the visual acuity testing reprot

Doctor :  
it is like 6/6. or 6/36 like that
User :   yup
Doctor :  
what reading you have got in left eye?
User :   6/6
Doctor :   ok

User :   r 6/6
User :   and presently it is
User :   6/9
Doctor :   ok
User :   6/6p-1
User :   pleae tell me my correct eye state
User :   please
User :   presently
Doctor :   i am there to help you
Doctor :  
plz relax
Doctor :  
first tip and advise
Doctor :  
never get tensed
User :   i hope you understand my anxiety
User :   i just want to know my current eye state
Doctor :   i understood your concern
Doctor :   Plz be relaxed
User :   ok iam waiting
Doctor :   if your anxious or tensed it will affect the eye
Doctor :   so be relaxed
Doctor :  
ok
User :   ok
Doctor :   the report is fairly with in the normal limits
User :   please doctor try and step in my shoes and tell me a true picture
Doctor :   please relax

User :   your silence and no clear replies from my
User :   doctor is only making my state worse
User :   so please be honest
User :   waiting for your reply
Doctor :   relax
Doctor :  
i have understood your concern
Doctor :  
there is nothing to hide here
User :   ok
Doctor :  
the reports are very much with in the limits readings
Doctor :   and you dont panic
User :   does it mean that if i keep my iop and health in control i can see till i live
User :   because every where in my reports i can see red markings
Doctor :   the disease of yours type open angle type
User :   and that denotes danger
Doctor :  
will usually not cause blindness
Doctor :  
it has the best possible good prognosis
User :   it is open to narrow AAAAAAA
Doctor :  
and the best treatment
Doctor :  
yes
Doctor :  
it is open to narrow types
Doctor :  
it is having the best prognosis
User :   than those black and red area in
User :   field test
User :   wat it states
Doctor :   these are the mild changes which will resolve
Doctor :  
if the treatment is continued
Doctor :  
so the primary goal is
Doctor :  
good control of the IOP
User :   ok
Doctor :  
if it is maintained below 21
Doctor :  
than your vision will be there for life
User :   and what precaution apart from medicine ?
Doctor :   ya i shall continue that

Doctor :  
cough and straining at stools will increase the IOP
Doctor :  
so if you have cough or hard stools need to be treated
Doctor :   very early
User :   my other eye optic nerve report is quite alarming
User :   ok
Doctor :   i shall continue the precautions
User :   ok
Doctor :  
not to lift heavy weight
User :   ok
User :   ok
Doctor :   avoidance of coffee and tea

User :   ok
Doctor :   you can join yoga program for 4 weeks or so
User :   and
Doctor :  
this will help in reducing the tensions in you
User :   ok
User :   and
Doctor :   get the IOP checked in every two months at least
User :   ok
Doctor :   can you now provide me the right eye details

User :   yes
User :   rim area (vert cross section) 0.007mm square
User :   avg nerve width @ disk 0.15mm
Doctor :  
ok
User :   disk diameter 2.13mm
Doctor :   ok

User :   cup diameter 1.97mm
Doctor :  
ok
User :   rim length (hori) 0.16
Doctor :  
ok
User :   cup offset (microns) 150
Doctor :  
ok
User :   optic nerve analysis result
User :   vert integrated rim area (vol.) 0,037mm cube
Doctor :  
ok
User :   horiz integrated rim width (area) 0.83mm square
User :   disk area 4.168mm square
Doctor :  
ok
User :   cup ara 0.718 mm square
Doctor :   ok

User :   cup/disk area ratio 0.828
User :   cup/ disk horiz ratio 0.965
Doctor :  
ok
User :   cup/ disk vert ratio 0.844
Doctor :  
ok
User :   plot baground aligned and shaed
User :   cup offset for topo (microns) 150
Doctor :  
ok
User :   cup area (topo) 8.375
Doctor :   ok

User :   8.375mm squre
User :   cup vol 1.627 mm square
User :   now say
Doctor :  
ok
User :   waiting for your kind reply
User :   please say something
Doctor :   we have recieved your report which you have mailed. i shall look into it and get back to you
Doctor :  
few minutes plz
User :   okok
User :   i am waiting
Doctor :   I had a look of the report you have mailed

User :   ok
Doctor :   kindly mail us all the other reports you have
User :   iwill but not possible right now
User :   as of now wat u see
Doctor :   ok
Doctor :  
please mail us all the reports
User :   i will sir
Doctor :   as soon as possible
User :   but wat u see now
User :   please tell
User :   me waiting
User :   but i just checked these are the only reports
User :   that i have
User :   please doctor tell me what my reports say
User :   u there ?
Doctor :   yes
Doctor :  
i am here
User :   please say
User :   doctor i am an anxious patient but a brave one
User :   silence makes me nervous reply no matter wat
User :   makes me relaxed so plese say
Doctor :   kindly be relaxed
User :   yur true reply can only relax me
Doctor :  
your case requires a detailed interpretation of the report
User :   ok
User :   but wat it states at the present study
Doctor :  
it takes time for us to interpret the test report
User :   please doctor you are making me anxious and tense
User :   an honest reply can only help me
Doctor :  
our medical operation head will get back to you via mail
Doctor :  
nothing to worry we will give a honest opinion
Doctor :  
and the best possible solution
Doctor :  
not to panic
Doctor :  
we are with you
User :   well thanks doctor for raising my tensions your reply made things worse instead of calm
User :   thanks bye
Doctor :   not to worry relax
Doctor :  
we will get back to you very soon
User :   doc are suppose to make a patient calm by being honest
User :   you made it worse for me
User :   thanks
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
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