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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Visited My Retina Specialist. Confirmed Cupping Of My Optic Nerve. Advised To Glaucoma Specialist. On Plaquenil. Caused By Glaucoma?

I have just finsihed visiting with my Retina Specialist and he confirmed cupping of my optic nerve. I am slated to have cateract surgery in Oct and my Cateract Surgeon told me there is nerve damage. I have had a macular pucker in Oct, operated on, and 5 years ago I had a CRAO. This is all in my right eye. My Retina Doctor has referred me to a Glaucoma Specialist. I was on Plaquenil for the past 5 years. Do you think the glaucoma would be causing all this?
Tue, 20 Aug 2013
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Ophthalmologist,  's  Response
Glaucoma is basically a disorder that slowly and progressively damages the optic nerve. In the early stages this progression can be stopped with drops. But it needs detailed evaluation that includes checking the intraocular pressure, gonioscopy, visual field test and any other test based on the results of these. These tests are simple and not alarming in fact done as a routine in many patients after 40yrs of age. So going to a glaucoma specialist would help to know if you really have glaucoma. Glaucoma normally would not cause macular pucker or CRAO. So getting glaucoma evaluated before the cataract surgery would be the best option
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Visited My Retina Specialist. Confirmed Cupping Of My Optic Nerve. Advised To Glaucoma Specialist. On Plaquenil. Caused By Glaucoma?

Glaucoma is basically a disorder that slowly and progressively damages the optic nerve. In the early stages this progression can be stopped with drops. But it needs detailed evaluation that includes checking the intraocular pressure, gonioscopy, visual field test and any other test based on the results of these. These tests are simple and not alarming in fact done as a routine in many patients after 40yrs of age. So going to a glaucoma specialist would help to know if you really have glaucoma. Glaucoma normally would not cause macular pucker or CRAO. So getting glaucoma evaluated before the cataract surgery would be the best option