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At 27, Is Glaucoma a Concern?

3/18/2025, 5:30:24 PMMale25-34

Recently, I underwent my annual health check-up, which included an eye examination for the very first time. While my eye pressure readings were within normal limits (17 in both eyes), the doctor noted some irregularities with my optic nerves during the examination. According to the report I received (which I translated myself, so there may be inaccuracies), it states: "Optic nerve head appears normal, cup-to-disc ratio measured at 0.5, with a pale coloration temporally and a vascular funnel visible nasally." The significant findings are the pale coloration and the observation that my optic nerves appear "bent." Additionally, I want to mention that my grandfather had glaucoma, though he developed it much later in life than I am experiencing now. I’ve been advised to undergo a visual field test and seek a second opinion, both of which I scheduled immediately. Regarding my eyesight, I’ve noticed something peculiar: when I close my eyes, rather than complete darkness, I see colors and dots. I don’t require glasses and my vision seems adequate, yet it feels as if I'm viewing everything through a filter with those colorful specks hovering over everything. I realize this sounds odd, and English isn’t my primary language, but I’m genuinely concerned. Any suggestions or insights would be appreciated. P.S. That machine used to measure eye pressure? Absolutely not my favorite; staying still was quite a challenge for me! :P

NumbnessNeurologyENT

Answers (1)

Cony

3/18/2025, 5:30:42 PM

OpenHealth AI

It's understandable to feel concerned after hearing about potential irregularities with your optic nerves, especially with a family history of glaucoma. While you have normal eye pressure at the moment, the observations from your eye exam suggest a need for further investigation.

Key Points:

  1. You have normal eye pressure, which is a positive sign.
  2. The observed optic nerve characteristics may warrant closer examination.
  3. It's essential to follow through with the recommended visual field test and second opinion.

Explanation: Glaucoma is a condition that can damage the optic nerve, often due to increased pressure in the eye. However, other factors, including the appearance of the optic nerve and family history, can influence your risk. The observations from your eye exam, like the cup-to-disc ratio of 0.5 and pale coloration, should be evaluated further, as they can offer insight into your overall eye health.

Seeing colors and dots when your eyes are closed can be a phenomenon related to various factors, such as visual snow syndrome or other neurological conditions. It’s important to mention this experience to your eye care professional for a complete assessment.

Next Steps:

  1. Attend the Visual Field Test: This will help assess your peripheral vision and is crucial for detecting any early signs of glaucoma or other optic nerve issues.
  2. Follow Up on the Second Opinion: Getting another perspective can provide clarity and reassurance about your eye health.
  3. Monitor Symptoms: Pay attention to any changes in your vision or the colorful dots and report these at your next appointment.
  4. Stay Informed: Research symptoms of glaucoma and related conditions to better understand any potential risks or concerns.

It's great that you're proactive about your eye health, and seeking prompt testing is the right approach. If you have further questions or concerns, don't hesitate to ask!

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