to About the Eye

Ocular Hypertension


Definition

Individuals that have perfectly good eyesight can still have a high ocular (eye) pressure called ocular
hypertension.  This pressure can be easily and painlessly measured during a routine eye exam.  


Symptoms

Ocular hypertension usually has no signs or symptoms; it may go unnoticed for years.  It is often
discovered during an eye examination, sometimes when the patient just goes in to have his eyeglasses
checked.  


Why is it important to have your eyes checked for high ocular pressure?  Typically, high ocular pressure
is associated with glaucoma, which is a serious eye disease that can cause permanent damage to the
optic nerve and lead to vision loss.  


Not everyone found to have ocular hypertension will develop glaucoma but it does increase the risk of
developing it in the future.  Your ophthalmologist will want to monitor you closely.  Early treatment is the
key to preventing glaucoma and reversing its affects.  


Treatment

After determining the intraocular pressure of each of the eyes, the ophthalmologist will decide what
treatment is necessary.  


If the pressure is marginally high, the doctor may choose to continue monitoring the pressure over the
next few months.  If the pressure remains constant, observation alone may continue.  If the pressure is
determined to be high at the first measurement or if it continues to rise in the following appointments, the
ophthalmologist will probably prescribe an anti-hypertensive drug in the form of drops you place directly
on the eye.  


Many times the patient will do well with a single type of eye medication, but sometimes more that one
type of drops is needed.  Several new glaucoma medications have come to market recently.  Your
ophthalmologist is best qualified to determine the appropriate medication for your situation.


Tips

No cure has been found for ocular hypertension or glaucoma.  It is very important that you visit your
ophthalmologist for careful monitoring of your ocular pressure and for adjustments to medication if
necessary.


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Midwest Retina Associates, Inc.