Vinay Nangia, Ravi Daberao
A CASE PRESENTATION:
A male, 45 years of age, came for a regular follow-up of glaucoma. He was complaining of eye pain since 15 days which was insidious in onset, gradually progressive, intermittent, and associated with mild redness. His best corrected visual acuity was 6/6 in both eyes. Anterior segment examination showed mild conjunctival congestion in the right eye, other findings were within normal limits.
Intraocular pressure was 45 mmHg on latanoprost (0.005%) and brinzolamide (2%) and brimonidine tartrate (0.2%) in right eye and 22 mmHg in left eye on latanoprost (0.005%). The patient was not using antiglaucoma medications regularly. Gonioscopy showed open angles in all quadrants in both eyes.
Impression: On OCT the RNFL and GCL appear normal. The intraocular pressure in the left eye was 22 mmHg on latanoprost. While the RNFL follow-up scan showed minimal loss over one year, the change was minimal and in view of an overall healthy optic nerve, RNFL, and GCL, the patient was advised to continue with the same medication. The patient would be kept under follow-up also for the left eye especially since the left eye is a relatively healthy eye and provides us an opportunity to preserve the vision over long periods of time.
Correspondence
Dr. Vinay Nangia
MS, FRCS, FRCOphth
Director
Suraj Eye Institute
Email – education@surajeye.org