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Glaucoma.

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The other day I got out of the shower laid down in my bed and went blind in my right eye for about 5 minutes or so. It was like someone had completely blocked my vision. The room was partially dark but enough light for me to see out of my left when I covered the right to figure out what was happening. I went to the ER and had a clear ct scan of my brain and good bloodwork as well I passed an EKG. I am 38 and have had high intraocular pressure via the puff test between 24-30 everytime I've had it tested. Today when I came home it happened again I lost vision on my dark hallway that returned when light was turned on. I am on levoxyl .2 and 100mg of topamax daily as well as 300 mg of Wellbutrin xl daily. Please help!! Thanks. - in addition my eyes hurt. It's like a full pain that covers my whole eye ball. The kind of pain that makes I wanna cover it with a warm wash rag.


Category: Ophthalmologist

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Category: Ophthalmologist
Dr. Manish Malhotra is online now

Expert:  Dr. Manish Malhotra replied 4 Days.

Thankyou for approaching DoctorSpring with your query.
From your symptoms and the fact that your intraocular pressure is high, you have glaucoma.
Glaucoma is a disease where the intraocular pressure of the is raised. This causes optic nerve damage which results in the symptoms of loss of vision, If the intraocular pressure rises gradually the patient may not notice symptoms initially. Patients usually complain of the following, Halos around light, headache, decreased vision, severe eye pain, nausea and vomiting.
Glaucoma can either be open angle or closed angle glaucoma, primary angle closure or secondary angle closure depending on the anterior chamber angle of the eye.

I would suggest you visit an Opthamologist who is a glaucoma specialist AT THE EARLIEST to avoid and complications like permanent loss of vision.
You will have get the following tests done
Visual acuity, evaluation of the pupils, Intraocular pressure, Slit lamp examination, Visual field testing, Gonioscopy, Fundus examination.

Once the tests are done, and type of glaucoma is identified, treatment will be started. Prognosis are good once treatment is started.
Hence I suggest you get yourself examined right away and get treated for the same.
I hope this has helped.
Thankyou.



Patient replied :

I have made a follow up appointment with my Opthamologist he couldn't get a picture of my optic nerve in that office due to not having the equipment. He was concerned about the eye pressure as well. Since having seen him it's been nearly a week and it seems to be getting steadily worse. The glaucoma specialist that excepts my insurance doesn't have an appointment till April. But I went ahead and made it anyway. Thanks so much for your time. I had feared this might be going on and a bunch of studies of people who took topamax ending up with glaucoma. A couple years too late it looks like.


Expert:  Dr. Manish Malhotra replied 3 Days.

Hello, I understand your problem, but if there is any way that you can see another glaucoma specialist at the earliest would be good.
Topomax is known to be associated with glaucoma, but typically within a month of initiation of the medication. But we cannot say that your high intraocular pressure is only because of Topomax.
However I would suggest you speak to your physician about putting you on an alternative drug instead of Topomax.

Do try and visit a glaucoma specialist at the earliest possible for you.

I hope this has helped.
Wishing you good health.
Thankyou


Patient replied :

One more ??? if you have pigment on your eye after a retinal scan what does that mean. He said we just need to keep an eye on it over the years and make sure it doesnt get normal but for the most part its normal. Have you seen this often?


Expert:  Dr. Manish Malhotra replied 2 Days.

Can you be more precise? I think you are talking about a pigmented nevus, if yes then that has to be seen and followed up all through lifetime to see whether the size increase. If the size of the nevus increases it can be a sign of malignant change . Thank you


Dr. Manish Malhotra
Category: Ophthalmologist
Experience: 
Fellowship: L. V. Prasad Eye Institute, Hyderabad
Fellow Pediatric Ophthalmology & Squint (L.V. Prasad Eye Institute, Hyderabad)
Medical School, Residency: MBBS, DOMS, FLVPEI, Nagpur university, 1995
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