Pigmentary Glaucoma

[Idocanesthesia]

I am a 36 yo WM OTW , -5.00 SPH OU , wears CLs, no complaints other than vision w mild transient blurriness that I blamed on too much near work, history only moderate myopia, mother w history NT GLC
IOP 29,31
OCT some abnormalities w line mild dips into "yellow" OU
VF 30-2 some inferior defects
Pachymetry ~ 480s OU
Gonio 3-4 pigment
+ Kruks spindle w 3+ iris transillumination defects
C/D 0.40, 0.5


How do you proceed, 1 or 2 drops, what IOP am i shooting for realistically how quickly go to ALT/surgical intervention, prognosis estimate etc

any feedback is greatly appreciated, a little freaked out and exploring all opinions and options at this point. Also if anyone has any new GLC guru, treatments etc I am very interested.

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[Slide]

This forum is not for medical advice. If you really have an eye problem go see your optometrist/ophthalmologist. Mod please close this thread.

BTW I saw what you did in the optometry forums. Nice try.

 

[Idocanesthesia]

wow I am not asking for free medical advice... a little freaked out and looking for some opinions on my prognosis or if there are any treatments or "guru" Docs that I am unaware of so far. The reason I said a patient and not myself on the optometry forums is bc I wanted to get some opinions without any holdback etc. I got a "duh" answer so I thought I would just be honest on this forum. If you dont want to answer that is fine ,this is FAR from a troll thread of any kind.

 

[KHE]

wow I am not asking for free medical advice... a little freaked out and looking for some opinions on my prognosis or if there are any treatments or "guru" Docs that I am unaware of so far. The reason I said a patient and not myself on the optometry forums is bc I wanted to get some opinions without any holdback etc. I got a "duh" answer so I thought I would just be honest on this forum. If you dont want to answer that is fine ,this is FAR from a troll thread of any kind.

But you registered yourself as an optometrist. That's why I responded the way that I did.

Look.....I understand your concern. But there is plenty of information out there about that condition. If you are hesitant about the advice you are getting, seek a second and possibly a third opinion. One thing you did NOT include in your original posting was your C/D ratio. Or your medical history.

Glaucoma is one of those things that you can't really give an opinion on unless you actually examine the patient so even going BEYOND the fact that SDN is not a place ask for medical advice, you wouldn't get a relevant opinion on your question anyways.

So get a second opinion from a real live eye doctor.

 

[Idocanesthesia]

I have been an Optometrist for 8 years working in a MD/OD ( retina and K specialist)practice. The point of this thread was to leave no stone unturned as to my treatment options other than the usual obvious drops/SLT regimen. I dont presume and nor do my colleagues that we know everything about eyes on the planet ( apparently there are some are here that do) and since there are eye docs (OD and MD ) on here from everywhere I wanted to see if I was missing anything as far as new and possibly ways to go about treating pig GLC. Yes this may seem straightforward but I was thinking maybe someone on here works at a GLC cutting edge program that is privy to info that I am not. I have never posted on here before and maybe I went about seeking info the wrong way BUT I never thought I would run into so many internet tough guy know-it-alls. Amazing... at the scorn you get for asking a question about seemingly simple case. This thread was in no way shape or form meant to be a troll , or otherwise "free medical advice" play.

 

[orbitsurgMD]

I have been an Optometrist for 8 years working in a MD/OD ( retina and K specialist)practice. The point of this thread was to leave no stone unturned as to my treatment options other than the usual obvious drops/SLT regimen. I dont presume and nor do my colleagues that we know everything about eyes on the planet ( apparently there are some are here that do) and since there are eye docs (OD and MD ) on here from everywhere I wanted to see if I was missing anything as far as new and possibly ways to go about treating pig GLC. Yes this may seem straightforward but I was thinking maybe someone on here works at a GLC cutting edge program that is privy to info that I am not. I have never posted on here before and maybe I went about seeking info the wrong way BUT I never thought I would run into so many internet tough guy know-it-alls. Amazing... at the scorn you get for asking a question about seemingly simple case. This thread was in no way shape or form meant to be a troll , or otherwise "free medical advice" play.

You are asking for medical advice. Free or not does not matter; this is not allowed here.

Request moderator to close.

 

[Depakote]

sorry, this forum is not for medical advice. please speak with your healthcare professional. closing.