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Dave


IP: 193.62.251.16

Sep 13, 07 - 4:10 PM
1st Hospital Visit

I just thought I'd post an update on my situation.

I had my first Hospital Eye Service appointment last week. This was to confirm a diagnosis that was identified over a yr ago in-house and then see what they said I should do.

My ophthalmologist (actually someone I'd knew from research symposiums) found all three of the three diagnostic signs of Pigment Dispersion Syndrome: pigment deposited on the back of the cornea, damage to the iris where the pigment has floated away & pigmented deposited in the drainage angle (the last of these had not been identified before).

Pressures were ok but uneven, and my Optic Nerve Heads are also asymmetric so I'm being reviewed in 4 months, along with visual fields. Actually I'm doing the visual fields at work because we have better kit.

They asked about exercise habits but not only to warn me about pigment liberation due to exercise resulting in pressure spikes. So they advised me to watch out for halos round lights, pain and red eye after exercise.

I was also shown to a couple of junior doctors as a sample case. One very good, one required some direction.

All in all, much as I thought. Which is good.
Douglas

33

IP: 216.220.118.226

Sep 17th, 2007 - 10:33 PM
Re: 1st Hospital Visit

"..I'm doing the visual fields at work because we have better kit."

I was wondering, having just completed my second ever visual field exam, if the newer machines muffle the mechanical audial cue when the light is ignited. I swear throughout most of the 2nd eye runthrough I was far too influenced by that cue (being pretty exhausted by then.)

Next time I'll be sure to have foamies in my ears if they haven't replaced it.
Dave


IP: 193.62.251.16

Sep 18th, 2007 - 1:28 PM
Re: 1st Hospital Visit

Well I don't know what machine they are using so can't tell you about that.

But the best/newest machines have a deliberate audio cue. It is designed to check reliability & patient co-operation, vital when looking at a test where there can be little or no practitioner based assessment of the patients response.

Maybe, leave the foamies (I assume ear plugs) at home...
Renee

46

IP: 97.97.80.251

Sep 18th, 2007 - 10:42 PM
Re: 1st Hospital Visit

Dave,

Please explain why you need to watch for red eyes and if you have red eyes what does that mean. Also, I'm glad you're happy/content with your results.

Take care
Dave


IP: 193.62.251.16

Sep 19th, 2007 - 10:29 AM
Re: 1st Hospital Visit

Chronic Glaucoma is essentially symptom free. We don't notice the gradual nibbling away of our vision & the Inter-Ocular Pressure being slightly high isn't enough to trigger a pain response.

However, if the IOP spikes suddenly to very high levels (certainly above 40mmHg), as in closed angle glaucoma, then four things happen.

1. The obvious one, visual damage can result.

2. The cornea (clear window at the front of the eye) becomes swollen as the raised IOP effects it's ability to regulate itself. This causes haze & multi-coloured halos around white lights.

3. The Iris goes into ischaemic shock, causing pain & medium sized but unresponsive pupil.

4. The vessels in the white of the eye will swell causing it to look red.

The IOP can spike in Pigment Dispersion Syndrome or Pigmentary Glaucoma due to something called reverse pupillary block, where the iris & the lens stick together blocking the drainage angle or possibly due to a sudden large increase in pigment being released.

This can happen after exercise. This is what my ophthalmologist wanted me to keep an eye out for (pun unavoidable).
Renee

46

IP: 97.97.80.251

Sep 20th, 2007 - 11:58 PM
Re: 1st Hospital Visit

Thanks for the explanation.


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