borderline glaucoma

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Dr. Michael L. Ham answered:

I have borderline glaucoma. how much vision loss will I have?

Glaucoma

Vision
Borderline is not really correct. Either you have damage to the optic nerve making glaucoma, or you do not have damage. You may have risk factors or finding that suggest you have or may develop glaucoma. the amount of vision loss will be determined by how well it is controlled, if you do have glaucoma.
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I have borderline glaucoma, how long will it be before it gets really bad?

Borderline glaucoma

Glaucoma
diagnosis from your Ophthalmologist indicates you have risk factors coupled with suspicious results on your glaucoma tests that do not meet the criteria for the actual diagnosis of glaucoma. Some individuals never go on to develop overt glaucoma while others do progress. Regular follow up visits and testing will help develop a clearer answer over time.
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Have borderline glaucoma with ocular hyper tension . no heart related issues . when i use timolol maleate 0.5% it hurts in the heart region. Advise ?

Side effect

Open-uri20140321-21740-7bswmt
If you notice chest pain or tightness or breathing difficulty, you should discontinue timolol and call your Eye doc about your symptoms. He/she will more than likely switch you to a different class of medication.
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Dr. Richard Carlin answered:

What does a borderline oct rnfl classification in an eye exam mean in a non glaucoma patient.

Probably nothing

Eye
In the absense of other findings, it probably doesn't mean anything. I would just repeat it in the future.
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Define glaucoma?

Ongoing nerve damage

Glaucoma
group of eye diseases characterized by progressive damage to the optic nerve, typically with an eye pressure too high for the given eye, leading to slow visual loss over time. at end stage disease, all patients have a "cupped" out nerve due to degeneration of the retinal nerve fiber layer with corresponding loss of visual field.
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What is glaucoma?

Eye disease

Glaucoma
there are many types of glaucoma, but the final common pathway is the progressive loss of ganglion cells (faster than age-related loss) and resultant increase in "cupping" of the optic nerve, leading to loss of vision. the cause of glaucoma can be multifactorial and is typically divided into mechanical and vascular issues
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Does glaucoma hurt?

It can

Glaucoma
There are 2 main types of glaucoma, closed-angle (acute) and open-angle (chronic). Acute glaucoma is less common, but can present with sudden eye pain due to an increase in intraocular pressure. Chronic glaucoma commonly does not present with eye pain as the process of the disease is more gradual. Be sure to see your doctor if you are experiencing any eye symptoms or are concerned about glaucoma.
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Is glaucoma genetic?

Multifactorial

Aging
some glaucoma types have been mapped to specific genes through genetic linkage analysis and genome wide association studies, but this is a small percentage of glaucoma cases. glaucoma is likely an interplay of genetic susceptibility as well as aging and other factors especially since there are many types.
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Is glaucoma painful?

Not ordinarily

Congenital_cataract
The two main types of glaucoma are open angle & angle closure. The former is painless and progressive, if not stabilized. The latter also tends to be slow and progressive, but usually gradually closes the drainage angle of the eye. If acute angle closure of the angle occurs, considerable pain results and loss of vision ensues, if not urgently treated by medicine and laser or incisional surgery
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Is glaucoma curable?

No

Glaucoma
The answer depends on how you define curable. We don't eliminate glaucoma with today's therapies, and we currently cannot restore vision that is permanently lost due to glaucomatous damage. However, we lower the intraocular pressure through medications, laser, or surgery in order to slow down or halt the rate of glaucoma progression so that you can outlive losing your sight.
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