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Early Risers.


Mr.S.corn78
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That's the test where they surprise you with a blast of air to the eyeball and then measure the bounce?

 

;) Better than the old way; they used to pop-out the eyeball using two teaspoons as levers and check the inflation-pressure by hand! :mosking:

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;) Better than the old way; they used to pop-out the eyeball using two teaspoons as levers and check the inflation-pressure by hand! :mosking:

The optician I went to in the 1980s used a slightly more up to date method. You had to lie back back and he put a little tripod on your face. A small weight was dropped from the apex of the tripod onto your eyeball and he measured the bounce. His successor used the puff of air method and that seems to have been replaced with something more modern that involves a blue light.

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Just back from my hospital appointment.

I was referred to my doctors and then to the eye infirmary after routine tests at opticians. I felt a bit of a fraud as I felt nothing wrong myself. It turns out that I have ocular hypertension - increased pressure inside the eyeball which could well lead to glaucoma later. My right eye is worse than the left and there is a difference in the optical nerve which needs monitoring. The specialist said I had no need to 'feel a fraud' as these are just the sort of things they like to catch early as they should be able to prevent any further deterioration which will save a lot of hassle later.

It does, however, mean that I am likely to need lifetime treatment (daily drops). As someone who has to a large extent managed without medical intervention up to now this came as quite a shock. Still, if it stops me losing sight I'm up for it.

 

Hi! The main thing here is it's been caught early, daily drops of what will most likely be a prostaglandin IF taken daily will prevent future damage. The only drawback will be follow up apps for which I would always ask for the first one of the day as these clinics are full to capacity and run late. I have known them run 2 hours late in various parts of the country. The puff against the eye obviously measures the intraoccular pressure, there are many other ways of doing this but no way is better than another statistic wise. Brilliant of your optician to spot this in my opinion, not always the case early on. Having dealt with ophthalmology for years and supplying eye drops for the treatment of Glaucoma all I will say is take the drops daily and do try and go for the earliest appt you can get otherwise take a book!

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Evening all,  

 

Fortunately I never worked on Paxmans, sticking with Rolls Royce, Dorman, Rustons & Perkins,   but they were just as bad! (I've still got the scars, and the box of home made spanners!)

 

Only in Nigeria would you find a traffic light telling you to go straight on at a Tee junction. (I does go green, but as we were turning right we just ignored it!)

 

 

Enjoy the evening, if you can,

 

Trev. 

post-4282-0-01353000-1383585452.jpg

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You`re making it up! :laugh:

 

The triskelion free-fall retroreciprocal ocular pressure gauging technique. :lol:

The people who took over the opticians were really interested as they had only seen that apparatus in the historical section when they trained.

I used to be almost phobic about letting anyone near my eyes but after that nothing seemed too bad. I think our local opticians are wonderful but it can be scary when they email the latest picture of your cornea or retina and the image opens up on the big screen monitor. I like their thoroughness and knowledge. Aditi does too but she also likes the fact that one of the opticians thinks she has a perfect nose. I tell her in optician terms this means "big". 

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Just back from my hospital appointment.

I was referred to my doctors and then to the eye infirmary after routine tests at opticians. I felt a bit of a fraud as I felt nothing wrong myself. It turns out that I have ocular hypertension - increased pressure inside the eyeball which could well lead to glaucoma later. My right eye is worse than the left and there is a difference in the optical nerve which needs monitoring. The specialist said I had no need to 'feel a fraud' as these are just the sort of things they like to catch early as they should be able to prevent any further deterioration which will save a lot of hassle later.

It does, however, mean that I am likely to need lifetime treatment (daily drops). As someone who has to a large extent managed without medical intervention up to now this came as quite a shock. Still, if it stops me losing sight I'm up for it.

As a fellow sufferer of glaucoma I sympathise,  but the drops will probably make your eye lashes grow long thick and curly, which will make you the envy of any lady friends.

 

Mine grow so long, as I have previously related on ERs that I have to go and have them trimmed at the doctors surgery.

 

As an aside, I've heard that the medical profession are considering using the stuff used in the drops as a cure for baldness, which is probably why they advise you to wipe any excess fluid off your face and nose if you spill it...........and for heaven's sake don't get it on the palms of your hands!

 

Regards

 

Richard

 

aka Clarabelle Jersey

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Yes, a big thank you to the optician for referring me.

The opticians used the puff of air method. The nurse today numbed my eye then used a device that looked similar to a digital thermometer placed on the eyeball. If it was a thermometer I do hope she washed it first. In amongst all of the other lights the doctor used there was a blue one so I guess he was measuring the pressure too.

 

I'm delighted I didn't have to undergo the bouncing ball method. Like Tony my eyes are hypersensitive. If I see someone ellse doing anything to their eyes mine will start to water in sympathy and I can't bear to have them touched. Even putting the drops in will be a challenge.

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As a fellow sufferer of glaucoma I sympathise,  but the drops will probably make your eye lashes grow long thick and curly, which will make you the envy of any lady friends.

 

Mine grow so long, as I have previously related on ERs that I have to go and have them trimmed at the doctors surgery.

 

Is that with Latanoprost Richard?

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Is that with Latanoprost Richard?

Mine's Travopost, but I suspect that these things are very similar.  Probably like Bachmann and Hornby 08 shunters. almost just a different brand name!

 

I think there is a slightly different chemical composition in them, because I was initially started on one that did not agree with my eyes, so they switched me over to the Travopost

 

Regards

 

Richard

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Re drops and eye lashes it can happen with latanaprost, remember a woman who only had raised IOP In one eye, was going through drops quicker than anticipated cos she put a drop in to the other eye trying replicate the eye lash growth she was experiencing.

 

Consultant not impressed!

 

As for baldness and hair growth there have been many studies done but nothing commercially viable yet.

 

Must admit eyes were the one area I felt a bit squeamish with at times. Others areas didn't bother me, once had to watch an injection into the eye for something else, didn't watch a second!

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My GP mentioned having my eyes x-rayed to look for excess blood vessels but I was beyond questioning her by then, how can that work.?

they use a machine which scans everything in your eye - when I had it the other week it was an interesting experience. Just watch out for the ultrasound eye wobbler(!) a bit different to the blast of air in the eye

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My GP mentioned having my eyes x-rayed to look for excess blood vessels but I was beyond questioning her by then, how can that work.?

Perhaps they inject X ray sensitive dyes or something? I had retinal photography and the camera takes lots of snapshots and computer generates them into a flat image so it simulates the eyeball opened flat liken some horrible Mercator projection. Apparently I stand a good chance of temporary blindness due to the way a blood vessel wraps round a nerve. I need to avoid getting high blood pressure!

The opticians think my eyes are interesting as I have a nice collection of corneal scars and a pterygium (sounds like an exotic pet tank). My eye problems don't seem to cause vision problems though, I wouldn't like to rely on Robbie as a guide dog, I would end up drowned.

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My GP mentioned having my eyes x-rayed to look for excess blood vessels but I was beyond questioning her by then, how can that work.?

 

 There are a couple of ways that Im aware of, might be new ones now but its a routine procedure and not a problem.

Can be done by

Fluorescein angiography

A special dye called fluorescein is injected into a vein in the arm. In a few seconds, the dye travels to the blood vessels inside the eye. A camera with special filters that highlight the dye is used to photograph the fluorescein as it circulates through the blood vessels in the retina and choroid.   I have seen this done numerous times.

CT (computerised tomography) scan

A CT scan takes a series of x-rays that build up a three-dimensional picture of the inside of the body. The scan is painless and takes 10-15 minutes. CT scans use a small amount of radiation, which would be very unlikely to harm you or anyone you come into contact with. You'll be asked to not eat or drink for at least four hours before the scan.

You may be given a drink or injection of a dye, which allows particular areas to be seen more clearly. This may make you feel hot all over for a few minutes. It’s important to let your doctor know if you are allergic to iodine or have asthma, because you could have a more serious reaction to the injection. Seen this and it was a drink the patient was given not injection

PET/CT scan

This is a combination of a CT scan and a PET (positron emission tomography) scan, which uses low-dose radiation to measure the activity of cells in different parts of the body. PET/CT scans give more detailed information about the part of the body being scanned. They are a newer type of scan, and you may have to travel to a specialist centre to have one.

You won't be able to eat for six hours before the scan, although you may be able to drink. A mildly radioactive substance is injected into a vein, usually in your arm. The radiation dose used is very small. The scan is done after at least an hour’s wait. It usually takes about 30 minutes and you should be able to go home after the scan. Never seen this.

 

Amazing what can be seen in the human body simply and quickly these days.

 

In short the procedures themselves are nothing to get worked about.

 

On that note Im opening a bottle of red and waiting for those with erectile dysfunction to come forward as I worked in that area for a time :yes:

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I wouldn't like to rely on Robbie as a guide dog, I would end up drowned.

 

Same for Collies: they`d make rubbish guide-dogs; always taking short cuts......... :yes:

 

:angel: "Plodding through a (boring) pedestrian underpass, or bolting diagonally across a six lane motorway?........easy-Collie-peasy!" :superman:

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One last point I forgot to mention, whatever the ailment/treatment ask your gp or pharmacist re any queries or look at patient support groups which are numerous ie International Glaucoma Asscociation for glaucoma.

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Marion has Occular Hypertension but to date no damage to the optic nerve. For ten years Latanoprost kept the pressure down but while living in the IOW the pressure went up. Stronger drops were suggested Lumigan which gave her blinding headaches then Timoptol a beta blocker which caused servere disgestive problems and seems to have cause a hiatus hernia. Saflutan which worked for a while but is currently back on Lantanoprost.

Apart from the pressure test there is also the field of vision test which checks for damages areas of vision, measurement of the thickness of the cornea and retinal photography. Although lately the specialist has just looked through a machine to view the retina.

Don

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