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Glaucoma related optic neuritis and optic nerve atrophy - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 641 Questions
User :   Its related to optical vision
User :   hi
Doctor :   Hi
Doctor :  
How can I help you?

Doctor :  
Ok
User :   and dicussed my dad vison problem
User :   and its basically related tio nerver
User :   may i know your name and location?
User :   Hi
User :   so i need assistance
User :   regarding same
Doctor :  
Sure
User :   ok
User :   and also i have send few details on slit test carried out last weekend
User :   what will you suggest?
Doctor :  
ok
User :   i really need help
User :   because my parents did lot for me and now its my turn to help them out
User :   I am only the son and have lots of resoponsibilities
User :   i will be very thankful to you and entire team if i will get any recommendations
Doctor :   I appreciate that

Doctor :   Let me put across you to the right doctor
User :   ok
Doctor :  
I shall close the chat now and the next doctor shall pick it up. Is it ok?
User :   hi
Doctor :   hi
User :   may know who is online?

User :   Hello Dr.
User :   I am very happy to see you online
User :   ok so i have send you details of slit examination
Doctor :  
yes i have gone through them
Doctor :  
thanks for sending
User :   ok so what is the conclusion or any recomendations?
Doctor :  
so when is his tests to check for diabetes, lipids due?
User :   by tomorrow
Doctor :  
since the slit lamp examination only suggests nerve involvement we need to further test foe the underlying condition that could have caused it
Doctor :   ok that is good
Doctor :  
so we shall wait for the blood test results for these tests
User :   whats is lipid testing does it rquires seperately or will it be covered in bloot test or dibeties test
User :   i have gone though some detials of sympotms related to that
Doctor :  
i shall give you the list of tests that needs to be done.
User :   Glaucoma Optic Neuritis Injury to the Nerve Papilledema Optic Atrophy
Doctor :   FBS, PPBS, Lipid profile, LFT
Doctor :  
the diagnosis that you have provided me now
Doctor :  
suggest that
User :   actully i asked my dad to carry out routine test along with diebitic test
User :   so will it be fine?
Doctor :  
the optic nerve, that carries the visual signals from the eye to brain to be interpreted is shrunken
User :   becuase he may not get those words
User :   yes
User :   this is what that eye specialist told to my dad
Doctor :  
along with water collection in the place where the nerve exits the eye
Doctor :   and this is due to the glaucoma
User :   yes exactly
Doctor :  
the glaucoma once treated and brought back to control will slowly
User :   Symptoms - Sudden loss/ diminished vision, inability to see colours. There may be associated pain. It can occur in one/ both eyes simultaneously or after intervals. The eye needs a detailed exam. A CTScan/ MRI may be needed. Treatment consists of giving steroids as intravenous injections and monitoring the condition. A hospital admission may be needed.
Doctor :  
cause the optic nerve to come back to normal function if the nerve is not damaged permanently
User :   ok and how nerver gets damaged?
Doctor :  
may i ask you what medications your father is taking for glaucoma?
Doctor :  
if the pressure becomes more, the nerve can get damaged
User :   nothing no medicines so far
Doctor :   ok
User :   in case of this issue
Doctor :  
the glaucoma needs to be treated with medications
Doctor :  
and eye drops
Doctor :  
to bring back the eye pressure back to normal or near normal
User :   yes eye drop was there recommended by doctor
Doctor :  
to reduce pressure on the optic nerve
Doctor :  
is you father using the eye drop recommended?
User :   yes
User :   i am on call with my sister she is giving me jut right now
User :   Ofrolac
Doctor :  
ok
Doctor :  
that is fine
User :   nothing else
User :   one more eye drop
Doctor :  
ok
User :   Itis
User :   this is one
Doctor :  
both are to be used in glaucoma
User :   ok
User :   so any conclusions
User :   ciplox D
User :   was also used by my dad
Doctor :  
he might need oral medication in conjunction with the eye drops to get better control of the glaucoma
Doctor :  
also wait for the results of blood tests
User :   ok
Doctor :  
where is the current treatment going on?
Doctor :   in mumbai, Shroff eye hospital is well known
User :   ok
Doctor :  
you can continue the rest of treatment and follow up there
User :   ok sure
Doctor :   the main thing is to find out any underlying cause for the glaucoma
Doctor :  
and treat the glaucoma effectively with regular follow ups
Doctor :  
if the conservative treatments dont owrk out, there are operations that can be done to relieve the eye pressure
Doctor :  
and control damage to the optic nerve
Doctor :   glaucoma too is of 2 varieties
Doctor :  
1) open angle glaucoma
Doctor :  
2) closed angle glaucoma
Doctor :  
and depending on the type of the glaucoma, the treatment will vary accordingly in association with the present condition of the patient
Doctor :  
have you followed what i have said?
User :   yes
User :   i got it
Doctor :  
WWW.WWWW.WW Doctor :  
WWW.WWWW.WW Doctor :  
these links will help you understand the glaucoma better
Doctor :  
along with the types of it
Doctor :  
and the treatment part
User :   sure i will go through it
Doctor :   Is there any thing else I can help you with?
Doctor :   Please fill the feedback form, and comment box, and say done when done.
User :   i will definately get back to you once i have the test details in hand
Doctor :   sure you can definitely come abck with teh test results
User :   and also how you think whether its serious
Doctor :  
we will be glad to help you out 24/7
User :   or normal
User :   because i was little panic
Doctor :  
as i have told you we need to get to the cause
Doctor :  
and also control the glaucoma
User :   and can not concentrate on my work since morning today
Doctor :  
if not by teh medicines, then by surgery
Doctor :  
it is not that serious
Doctor :  
it can be controlled
Doctor :  
do not worry, do the necessary tests
Doctor :  
and the follow up near to you
Doctor :  
with supervision
Doctor :  
in mumbai
User :   ok i have asked them to go through deibeiteis test,Lipid profile test and routine test of blood and urine
Doctor :  
he needs regular follow ups to see for redcution in glaucoma and related symptoms
Doctor :  
with necessary changes in medications to be made from time to time
Doctor :  
sure
User :   nut i dont know whay that eye specialist strightforward told t8 its untreatable
User :   but
Doctor :  
i guess he meant that it is not curable
Doctor :  
but it is controllable
User :   ok
Doctor :  
as the progression and relief
User :   But i beileve doctors have some magic for my dada
Doctor :  
depends on how good the controll is
Doctor :  
it will not be magic, but i can say it can be conrolled with early and apropriate treatment
User :   and also one thing he smoke
User :   ok
Doctor :   to see that teh glaucoma does not damage the eye nerve anymore
Doctor :  
he has to stop smoking
Doctor :  
it will be the additive factor
Doctor :  
in damage to his eye nerve
User :   yes
Doctor :  
so he has to stop smoking
Doctor :  
as it directly damages optic nerve
Doctor :  
al well increases the glaucoma progression
User :   i can only ask but dont know will he control or not
Doctor :  
making it unable to respond to the treatment adequately.
Doctor :   you have to be behind him
Doctor :  
tell him he will lose his eyes completely if he does not stop smoking
User :   Yes but as i told you I work in Pune and they live in Mumbai-Thane
Doctor :  
ok
User :   so only weekend allows me too have word with them
Doctor :  
you can get the treatment done in Pune also under your supervision
Doctor :  
which will be more effective
Doctor :   is there anything else you want to ask me?
User :   no
User :   thanks a lot doctor
Doctor :  
have you filled the feedback form harish?
Doctor :  
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