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Doctor insights on: Izabella Gokhman

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A reading of 3 on the Goldman tonometer dial indicates an iop of 30 correct? You multiply by 10 is that correct? Thanks

Correctamundo!: Yes. Multiply the drum reading by 10 to get the intraocular pressure in millimeters of mercury (mmHg). ...Read more

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In glaucoma annual exam I have Humphrey visual field test but not the Goldman test that measures wider field. Is it a good idea to have both tests?

In glaucoma annual exam I have Humphrey visual field test but not the Goldman test that measures wider field. Is it a good idea to have both tests?

Not an issue: Visual field tests are helpful in the early diagnosis of glaucoma. Disc evaluation is more useful in the middle phases and visual field becomes the only marker later when the disc is maximum. The Humphrey is standardized against the Goldmann and either test is useful when sequential tests are run. It does not usually matter which is done and some cannot do the Humphrey well. ...Read more

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My iop is 21-21 goldman ton. And my cct =614-610. Rnfl=0.20-0.19 c/d rat=0.22-0.24 linear c/d=0.46-0.49 is it normal for me? (26 years old) glaucoma

My iop is 21-21 goldman ton. And my cct =614-610. Rnfl=0.20-0.19 c/d rat=0.22-0.24 linear c/d=0.46-0.49 is it normal for me? (26 years old) glaucoma

Not to worry: These are not pathologic numbers and the cct is somewhat protective. I am guessing you had an evaluation with this detail because there is glaucoma in your family. It is reasonable every two years or so to have your iop checked because 21 is the upper limits of normal, but please don't lose any sleep over this. ...Read more

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DMV test 50 deg on left. Humphrey field normal. Ophthalmologist thinks DMV test wrong but didn't suggest Goldman test for comparison. Should I insist?

DMV test 50 deg on left. Humphrey field normal. Ophthalmologist thinks DMV test wrong but didn't suggest Goldman test for comparison. Should I insist?

Yes, ask for Goldman: The DMV test is a very quick and dirty test of visual field impairment. The Goldman test, in the hands of an experienced EYE MD (opthalmologist) is far more accurate and should be ordered if the DMV test is causing problems for employment, etc. ...Read more

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My eye pressure 21-21 (goldman app.) and cct=614. What is my true iop?

My eye pressure 21-21 (goldman app.) and cct=614. What is my true iop?

17.5 mmHG: Your estimated iop is reduced to 17.5 mmhg due to your thicker than average corneas. Whether this pressure is acceptable or not will be dependent on your glaucoma risk factors, and you eye md will be able to tell you that. ...Read more

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Dr goldman. Mri showed I have a ti bia plateau fracture from a fall at work. I am female and 60. What is the correct treatment-cast or brace?

Dr goldman. Mri showed I have a ti bia plateau fracture from a fall at work. I am female and 60. What is the correct treatment-cast or brace?

Depends: Tibial plateau fractures can be tricky. Depends on your bone quality, how many pieces, displacement of pieces, compression of articulate surface. No simple answer between option. Probably best to trust your orthopod. ...Read more

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