Expert: Dr.Manu C.Rajnani - 2/21/2012

Question
QUESTION: Sir, my age is 72 now. Cataract removal surgery was done on my both eyes 2 yrs ago. Before surgery was performed, my right eye vision is 6/24 and left eye is 6/36. After operation, left eye lost vision, right eye can’t see clearly one day after. But gradually vision improves and can see clearly, and vision is said to be 5/6. 2 or 3 months later, vision becomes poorer and poorer. I have met 6 eyes surgeons. 3 surgeons said ‘No Glaucoma’ and other 3 said glaucoma was present while operation was done. Now, my left eye vision is negative, right eye vision is first 5/6, now I can’t see even the biggest word at the board they ask me to look at. The doctor who treated me said intraocular pressure is normal now, but my vision is very bad. I was given Travatan (Travoprost) and Optipres (Betaxolol Ophthalmic Solution USP) Eye-drops and Diamox tablets. Before I use those eye-drops and drug, my visions is 6/36, now I am difficult to walk even in my house.
Could you please answer me the questions below;
1:   Can my vision better?
2:   Whether glaucoma is present in my eye or not?
3:   Whether my eyes disease is curable or not?

ANSWER:  Dear MYA THUNG

tHANK YOU for the enquiry

1] FROM the symptoms you have described you seem to have glaucoma but before coming to conclusions can you do follwing
12] please check intraocular pressure regularly
3] get OCT done for RNFL and other glaucomatous changes
4] periodical perimetry to see extent of damage and also further chages if any

ONCE you have above mentioned tests please send all scanned reports for further analysis

if you any further questions please revert back to me on my email address at "manulasereye@yahoo.com"
thanking you
Dr.Manu C.Rajnani
Dr.Manu's Laser Eye Surgery Center
Sarasati Society, Plot 433, TPS 3,
15th Road, Khar(West), Mumbai 400052.INDIA
Tel: 91-22-26006801-26004467 & 26007828  

---------- FOLLOW-UP ----------

QUESTION: Sir, thank you very much for your answer.
Now, I’ve sent scanned reports and IOP Table for further analysis.


No.   Date          Time          IOP
         Left   Right
1.   22.04.2011   05:56 PM   14.4   10.6
2.   29.04.2011   04:35 PM   12.7   8.3
3.   13.05.2011   04:47 PM   13.6   6.6
4.   10.06.2011   04:25 PM   7.2   7.1
5.   08.07.2011   04:49 PM   15.5   9.5
6.   05.08.2011   04:43 PM   16.5   7.7
7.   02.09.2011   04:14 PM   15   9.4
8.   30.09.2011   04:22 PM   10.4   6.9
9.   11.11.2011   04:25 PM   14.1   7.9
10.   16.12.2011   04:14 PM   14.9   9.4
11.   03.02.2012   03:57 PM   6.9   8.8

ANSWER:  Dear MYA THUNG

tHANK YOU for the enquiry

From you Intraocular pressure reading your IOPS are normal but these readings are with treatment also most important as i told you will be OCT pictures and also fundus angiography pictures have you send them in my email that will give exact picture of your retinal condition because even if your eye pressures are normal your retina or macula may be affected whicnh is causing lower visual acuity

if you any further questions please revert back to me on my email address at "manulasereye@yahoo.com"
thanking you
Dr.Manu C.Rajnani
Dr.Manu's Laser Eye Surgery Center
Sarasati Society, Plot 433, TPS 3,
15th Road, Khar(West), Mumbai 400052.INDIA
Tel: 91-22-26006801-26004467 & 26007828  


---------- FOLLOW-UP ----------

QUESTION: Sir, I sent OCT pictures with my follow up question as an attached image. I think you didn't receive. So, I'll send them directly to your email ''. Thank you very much sir.

Answer
Dear MYA THUNG

tHANK YOU for the enquiry and nice fo you to send reports

1] FROM the Pachymetry and OCT pics you seem to have glaucoma and thats why your vision has decreased so much and you will need to take treatment life long
2] please check intraocular pressure regularly
3] periodical perimetry  and OCT to check for further damage
4] Consult glaucoma specialist to find out if anti glaucoma surgery is necessery


if you any further questions please revert back to me on my email address at "manulasereye@yahoo.com"
thanking you
Dr.Manu C.Rajnani
Dr.Manu's Laser Eye Surgery Center
Sarasati Society, Plot 433, TPS 3,
15th Road, Khar(West), Mumbai 400052.INDIA
Tel: 91-22-26006801-26004467 & 26007828