Welcome to the message board forum for Krukenbergs Spindle and Pigment Dispersion Syndrome.
Here you will be able to post messages or reply to messages posted by other people... share your experiences of PDS or Krukenbergs.
Tracy's Message Board Forum
Welcome to the message board forum for Krukenbergs Spindle and Pigment Dispersion Syndrome. Here you will be able to post messages or reply to messages posted by other people... share your experiences of PDS or Krukenbergs. |
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| Author | Comment |
Douglas
 IP: 216.220.118.226 Sep 17, 07 - 10:23 PM |
Diagnosed 2.5 years ago
I got my annual visual field exam and thorough look-over at the excellent clinic offered by SUNY Optometric (State University of NY) last week. The resident on call during my visit had a trenchant wit about her--grilling the intern and so on--so I sought her advice on pressure increases and possible subjective diagnosis it should they occur. First question: "is PDS-related glaucoma particularly rapid in development compared to open angle glaucoma?" To which she assured me it was not, and that yearly examinations would catch pressure changes well before any damage could occur to the optical nerves. Second Question: "should my pressure increase substantially, will my peripheral field be a useful thing to pay attention to?" She seemed pretty insistent that I'd never get to that point with yearly exams, and that damage could occur well before any personally obvious visual impairment, so it's not a very useful indicator. Do those answers jibe with the current assumptions about the syndrome these days? |
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Dave
IP: 193.62.251.16 Sep 18th, 2007 - 1:23 PM |
Re: Diagnosed 2.5 years ago
1st question: Absolutely consistent with the state of research today. 2nd question: Not so much. It used to be thought that you could lose 50% of your nerves at the back of the eye before a visual field test would detect damage. Thus you would use IOP & optic nerve head appearance more early in the disease & visual fields later. But that study has been outdated by data indicating it's much more like 20%. Coupled with better protocols, visual fields is useful in the early stages. It just gets more useful later on. Maybe just my opinion but that's the way the large glaucoma organisations are calling it. |
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