Doctor insights on:
Progressive macular pucker 20/30 vision, distortion & glaucoma. Visual fIeld good,nerve damage 30-45%.Would vitrectomy cause glaucoma to progress?
Possible: Vitrectomy and glaucoma may have an association. It is suspected that glaucoma occurs more often in patients who have had vitrectomy and subsequent cataract surgery. An ongoing clinical trial is aimed to answer this question with more clarity. PROVE Study. http://www.aaojournal.org/article/S0161-6420(14)00344-3/references AND https://clinicaltrials.gov/ct2/show/NCT01162356 ...Read more
Tunnel vision.: Many causes for tunnel vision. Retinal dystrophies such as retinitis pigmentosa, degenerative conditions such as advanced stage glaucoma, vascular conditions such as occipital stroke, and post traumatic conditions such as traumatic optic neuropathy all can constrict visual fields. Malignant or benign brain tumors are rare causes of tunnel vision. ...Read moreSee 2 more doctor answers
Yes: Visual field testing will occasionally pickup small areas of visual field depressions if the floater is particularly large and thick, as some patients may have. Since they move, a repeat visual field should also show the depression to have moved. I would not however expect a large visual field abnormality from a floater and certainly l recommend an exam to rule out any problems by an eye md. ...Read moreSee 1 more doctor answer
Nerve fiber pattern: Bitemporal hemianopia is the classic later stage vision pattern in advancing pituitary tumor. Generally the central fibers, which carry the best acuity are affected later in the condition. A great deal of vision loss would have to be ignored by someone with this condition before the nerve fibers for the central acuity start to drop out. ...Read more
Using both eyes: Combined visual acuity is the best that you can see with both eyes open. Though one would think that it can only be as good as the better seeing eye, often combined visual acuity is better than that. In other words, one can usually see better with both eyes open than with each eye individually. ...Read more
Visual Field Loss: Hooding of the upper lid (mostly upper outer areas) are caused by elasticity loss and drooping. Forehead sagging and the lid elasticity loss are common causes. Visual field analysis is done in eye doctor offices, using an enclosure with many small lights and patient acknowledges seeking them light up in a closed background. This determines % of vf loss. ...Read more
Hemi-field loss: Is usually due to a pathology posterior (behind) to the eye itself. A lesion or area of pathology will usually be located from the area of the pituitary gland (approx. just forward of central brain) where the optic nerves cross to anywhere along the optic radiation ending at the occipital lobe (portion of the brain at the lower back of the skull). An MRI or CT can usually identify the cause. ...Read more
Lt.eye mac.pucker.Corrected vision 20/40 µpsia.Amsler grid nl.Corrected vision 20/40.Age 69.Could the macuar pucker cause micropsia?Rt. eye20/30.
Micropsia: Yes, it can if the macular pucker is severe enough. Micropsia is a condition in which objects are perceived to be smaller than they actually are. Micropsia can be caused by optical factors (such as wearing glasses), by distortion of images in the eye (such as optically, via swelling of the cornea or from changes in the shape of the retina such as from retinal edema,macular degeneration, and more ...Read more
No: Many insurance companies are not covering for only loss of visual field. (medicare requires loss of levator muscle (true ptosis) or not pay. There are many degrees of vf loss, some will cover upper lid surgery when vf loss is >30% measured by vf analysis. Insurance co are following medicare lead and are denying except for muscle functional loss. ...Read moreSee 1 more doctor answer