Question 1

how is normal tension glaucoma treated?

Accepted Answer

Lower eye pressure: Normal tension glaucoma exists when the pressure in the eye, despite being what we call normal, causes changes that mimic ordinary glaucoma damage.  Treatment is with drops and surgery to get the pressure even lower.  The goal is the same, to get the pressure lower to a level that allows the eye to function but causes no pressure damage. It is not very common.

Question 2

do people with normal tension glaucoma progress to vision loss sooner than regular tension patients.

Accepted Answer

Regular tension?: Do you mean those with regular (normal ) tension and no glaucoma vs. Normal tension glaucoma.  All glaucomas progress at variable rates depending upon age, severity and type of treatment.  It is not possible to predict an individual case although predictions can be made when a case is followed for several years and the pattern is known for that case.

Question 3

if open angle glaucoma is uncontrolled despite a reduction in pressure from 31 to 12 is it considered normal tension glaucoma.

Accepted Answer

No: Because your IOP was considerably higher than the "normal upper range", your glaucoma would be considered high tension open angle glaucoma (presumably your angles are open). Your IOP did decrease nicely, but you indicate that your disease is progressing. Despite medications, laser &amp; incisional surgery are possibly helpful at producing a 'more' stabilizing effect. ?results of ur Neuroophtho eval?

Question 4

i had pars planitis 30  years ago. now i  have normal tension glaucoma. very advance i am under treatment but could it be a relation between both ?

Accepted Answer

Yes: Intra-ocular inflammation over a period of time (as in pars planitis or peripheral uveitis can cause decrease in outflow of aqueous fluid from the eye(s).  This may lead to elevated intra-ocular pressure and optic nerve damage (glaucoma).  There is no evidence that ntg is more likely than poag due to the prior history of pars planitis.

Question 5

my father had normal tension glaucoma. is it possible for me to have congenital glaucoma? (i'm 30 years old)

Accepted Answer

Possibly: Family history of open-angle glaucoma is a significant risk factor in many studies. It is quoted to be between 2-3 times risk for someone who has an affected parent or sibling.  An opthamologist would be an excellent resource for you to see.

Question 6

i am type2 dm having normal tension glaucoma with 40% optic nerve damage. is it due to my diabetics or hereditary?

Accepted Answer

Tension glaucoma: Probably both but worthwhile checking with your eye doctor.

Question 7

after drops & laser mother has uncontrollable glaucoma with severe vision loss but is still functional. will now try trab. what would her prognosis be?

Accepted Answer

Trabecuectomy: Will control pressure, requires close post operative fools up. This will not reverse the vision loss she already has. Other possibilities are the istent, this is a relatively new procedure. Ask your ophthalmologist about it.

Question 8

glaucoma 30 percent optic damage in 58 year old. what is prognosis? can progression be stopped so that i won't notice peripheral vision loss.

Accepted Answer

Yes : Glaucoma treatment is aimed at preserving your remaining vision. With the proper treatment and follow up, most cases can be stabilized. Make sure you follow closely with your ophthalmologist.

Question 9

58-year old recently diagnosed w/glaucoma, 30% nerve damage & some peripheral vision loss. what is long term prognosis? can surgery be avoided?

Accepted Answer

Good & usually: Acceptable iop control with careful monitoring and testing is quite successful in preventing functional  vision loss in 85% or more of patients. I think it is also reassuring that if medical treatment fails to stabilize your glaucoma, that there are excellent procedures that can have great  outcomes. Laser treatment would likely be first on the list with incisional surgery later. Surg. Gen not req.

Question 10

advanced macular pucker & stable glaucoma in 1 eye. 2nd eye mild erm. what is prognosis for adequate vision. concerned that both eyes have disease.

Accepted Answer

Close follow up: Macular pucker can occur as a consequence of spontaneous pucker.  There are procedures that can be done to help eliminate this but they carry some risk so usually the retinal surgeons who do this will wait for a level of lowered vision that is significant or note progression as a reason to intervene.  The glaucoma is a separate issue for both eyes.  These conditions should be closely monitored.

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Doctor answers about:

Normal tension glaucoma prognosis

A member asked:

How is normal tension glaucoma treated?

A member asked:

Do people with normal tension glaucoma progress to vision loss sooner than regular tension patients.

A member asked:

If open angle glaucoma is uncontrolled despite a reduction in pressure from 31 to 12 is it considered normal tension glaucoma.

A member asked:

I had pars planitis 30 years ago. now i have normal tension glaucoma. very advance i am under treatment but could it be a relation between both ?

A member asked:

My father had normal tension glaucoma. is it possible for me to have congenital glaucoma? (i'm 30 years old)

A member asked:

I am type2 dm having normal tension glaucoma with 40% optic nerve damage. is it due to my diabetics or hereditary?

A member asked:

After drops & laser mother has uncontrollable glaucoma with severe vision loss but is still functional. will now try trab. what would her prognosis be?

A member asked:

Glaucoma 30 percent optic damage in 58 year old. what is prognosis? can progression be stopped so that i won't notice peripheral vision loss.

A member asked:

58-year old recently diagnosed w/glaucoma, 30% nerve damage & some peripheral vision loss. what is long term prognosis? can surgery be avoided?

A member asked:

Advanced macular pucker & stable glaucoma in 1 eye. 2nd eye mild erm. what is prognosis for adequate vision. concerned that both eyes have disease.

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