Thanks. I will get it checked out at Dr Harris Loo in Sentosa Medical
Center next week.
I was examined by him a few years ago. If I remember correctly,
I believe he actually measured the IOP in the same eye at about
19 or 20 at that time, but found no problems with my fundus or
retina, or any visual problems, so he said I did not need treatment.
Regarding your daughter who tested 24 on the puffer, what did
the eye specialist find out when she saw him ?
On calling the optometrists at that place today to enquire whether
a reading of 20 was common and normal with their other customers,
they replied correct - many in fact, and they did not have glaucoma !
The surgery which the glaucoma specialist advised you to do -
trabeculotomy - does not last very long, typically 5 years.
My late mum had glaucoma. She had a trabeculotomy done by
Hardeep Singh in Ipoh Road in the early 80s. Results were not
very good and did not last anyway.
Hardeep and Shukri Eye Center was one of the more well-known
eye specialists in Ipoh Road in those days, if you check around.
While waiting for the surgery in his ward, Hardeep gave her
indomethacin, knowing very well she was a gastric ulce patient.
Needless to say, she went into severe gastric pain and complications,
and we nearly had to transfer her to a better equipped hospital
for treatment.
Hardeep's place was just a small ward on the upper floors for
eye surgery.
Common sense would tell anyone, even a layman like me, that
indomethacin would be the last drug you give to a gastric ulcer patient.
Indomethacin must have been the strongest NSAID at that time.
They didn't have COX-2 selective drugs like Celebrex or even
meloxicam in those days.
It's like giving strong steroid eye drops to a glaucoma patient.
(That is why you read so often of iatrogenic deaths being causd
by doctors.)
They didn't have the newer prostaglandin drops which you are likely
on now, nor the newer carbonic anydrase inhibitors like dorzolamide
- all she has was Timoptol and Propine (dipivefrin), a prodrug
of adrenalin.
Before that, one hopeless elderly Singh opthalmologist in Campbell
Road placed her on antique pilocarpine eye drops, which caused spasms
in her eyes.
Basically my daughter is still young and we just have to monitor. I was actually warned that I will have Glaucoma more than 25 years ago by an Optometrist while I was doing my undergraduate in USA. I then returned to KL and went to Husein Onn Eye Center and the doctor told me not too worry... fast forward 20 years, one of my eyes 70% damaged.
Actually my eldest son also has high eyes pressure readings and took him to see my specialist in SG. She said that some people are more tolerant that others, and having reading of 20 and above does not necessarily means one will have Glaucoma. So for the last few years my son have been performing vision tests to monitor.
Yeah, like I said, always get a second opinion. The so called top specialist in Glaucoma here said I needed to go for an operation where as the specialist in SG just changed on of the eye drops (I use 2 types daily) that was prescribed by the KL doctor. With the new eye drop ( that can be bought from any Pharmacy in Malaysia) prescribed by the SG specialist, the pressure in my eyes drop and has been maintaining for the last 5 years. However, FYI, I did do a Laser Treatment by the SG specialist about 2 years ago on my right eye and it only took 5 minutes and within 1/2 hour I can walk to the train station to be on the way to the airport to go catch my flight back to KL. And since my pressure has been stabilizing within 14 to 17 in the last 5 years, and no further deterioration to my vision since the first day I saw her, the SG doctor told me to only visit her every 6 to 8 months!!
The first eye doctor I went to here in Malaysia, worst still, the eye drop he prescribed caused my eyes to turn red and damn freaking sensitive to light. He said it was normal and I will get use to it. And he did not even ask me to go for a vision test... so I had no idea how bad my eyes were damaged!!!
Had to suffer for about 1 year before I finally switch to the so called top Glaucoma Specialist in KL where he changed the eye drop and the suffering stopped; but after about a year he said I got to go for an operation (the pressure in my eyes less than 20)!! I asked him about Laser Treatment and he gave me some excuse that we Asians are not suitable for it!!! I was not going to do any operation and therefore seek another opinion... in SG.
Anyway Bro, since your mum has Glaucoma, just check your eyes every other year and your children's (if you have any) too. Better to be safe than sorry.