Ophthalmology & Optometry/Narrow Angle Glaucoma.

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Question
QUESTION: Dear Sir,

My wife underwent Trabeculectomy surgery 10 years ago & thereafter Phaco for Cataracts in BEs.She has overfiltration in RE with resulting pressure of 5/6mmhg.Her LE Iop is controlled at 14/15mmHg instilling Travatan once at night.
Since she had frequent problem of tearing,redness & pain in RE,Ophthalmologist performed Autologus Blood injection in RE.
Since last 3 years,these issues are more or less resloved.
Her VA is 6/9 & 6/18 to perform her daily activity at 70.
Periodic checks are continued thrice/year.
My question is do you anticipate vision deterioration on ageing with such state having substantial peripherial field loss?
Whether,you would recommend any precaution & if some vision-loss occurs,what are the treatment options?
I earnest request,with your experience,would you like to offer advise,for moral boost-up so as to subside her anxiety.

Kindly excuse details & reply.
With warm regards,while wishing you Merry Christmas & Happy new year-2016.
anil

ANSWER: Your wife seems adequately controlled however the three or four times per year progress evaluations are extremely important to note any changes in her pressures, opting nerve and nerve fiber later function. The optic nerve assessment  (OCT scan), visual field, photos of the disk, and visual acuity will be regularly checked to see if her disease is progressing. Please understand that an IOp of 15 may be normal for one patient but not for another .  Dr Berger

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

QUESTION: Dear Sir,

While I express my gratitude for your help,kindly inform me is any treatment option is available in view of ON-going Research in the field to protect Vision,if tests indicate some progress.

Thanking you,
warm regards,
anil

Answer
Anil.  There is cinstant ongoing research for better and earlier diagnoses and treatment: improved medicines, surgery , laser, etc  but it seems your wife is getting good care.  If there are breakthroughs I'm sure your doctor will advise you, however only after it has been proven successful for thousands of patients  

Ophthalmology & Optometry

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DR. KENNETH BERGER

Expertise

Any and all questions with regard to ocular ailments, eye diseases as cataracts, glaucoma, macular degeneration, diabetic retinopathy, etc , eye and visual sympomatology, eyeglasses, contact lenses, low or subnormal vision, pediatric vision conditions,and special and unique ailments will be discussed.

Experience

36 years of clinical experience in opticianry and therapeutic optometry. Still in private practice with special interests in vision conditions, diagnosing and treating ocular ailments, prescibing treatment plans which include medicine, eyeglasses, and contact lenses primarily. Although surgery is not within the realm of my area of expertise, I co-manage many pre and post -op surgical cases which include Lasik and PRK procedures.

Organizations
New Jersey Society of Optometric Physicians American Optometric Association

Education/Credentials
B.A.,1968, Hunter College of the City University of New York B.S.,1970, Pennsylvania College of Optometry O.D.,1973, Pennsylvania College of Optometry Therapeutic Pharmaceutical Administration Certification, New Jersey 1992

Awards and Honors
Clinical Efficiency Award, 1973, Pennsylvaania College of Optometry

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