optm:
there's no cure to glaucoma . It can only be managed so there isn't further loss of vision from the disease. The management varies depending on the type of glaucoma and stage of the disease

Good day doctor.

What causes sudden onset of cataract in one eye. There was no trauma or blood sugar issue. The man has arcos senilis and is 44yrs old
The cloudiness started three months ago and is getting worse. I know we should see a doctor but I wanted to know what you think is the cause.

valdovas:


Good day doctor.

What causes sudden onset of cataract in one eye. There was no trauma or blood sugar issue. The man has arcos senilis and is 44yrs old
The cloudiness started three months ago and is getting worse. I know we should see a doctor but I wanted to know what you think is the cause.

Good day . HOw do you know the cloudiness is caused by cataract?unless the cataract is mature, there's no way you can tell except you examine the eye with an instrument. iF it is cataract , you cannot be too sure that it's in just one eye. It could be in both eyes but probably worse in one eye. Any history use of steroidal drug ? what's the nature of the person's job? Any thing spectacular happen to the eyes; probably an inflammation?Have him do a lipid profile test aswell . However , much cannot be done online unless he's examined in person

optm:
Good day . HOw do you know the cloudiness is caused by cataract?unless the cataract is mature, there's no way you can tell except you examine the eye with an instrument. iF it is cataract , you cannot be too sure that it's in just one eye. It could be in both eyes but probably worse in one eye. Any history use of steroidal drug ? what's the nature of the person's job? Any thing spectacular happen to the eyes; probably an inflammation?Have him do a lipid profile test aswell . However , much cannot be done online unless he's examined in person

Thank you.

Does high lipid in blood cause cataracts? Because the man has arcus senilis in both eyes.
It's definitely cataract. But in one eye.

Do lipid problems cause things like that?

valdovas:


Thank you.

Does high lipid in blood cause cataracts? Because the man has arcus senilis in both eyes.
It's definitely cataract. But in one eye.

Do lipid problems cause things like that?

no it doesn't. I only recommended doing a lipid profile test because of the corneal arcus. I feel he's a little too young to have developed it by now . it isn't very common to see it in people of that age from clinical experience. Is the cataract mature ? You didnt provide answers to the other questions

optm:
Is the cataract mature ? You didnt provide answers to the other questions

Yes the cataract is mature.

Good day . HOw do you know the cloudiness is caused by cataract?

if you look behind the pupil, it is very clearly opaque. Even without use of instrument. The whiteness of the lens is visible.
.

iF it is cataract , you cannot be too sure that it's in just one eye. It could be in both eyes but probably worse in one eye

That's the thing. The other eye see very well and there is no form of lenticular opacity on examination.

Any history use of steroidal drug ?

Nope

what's the nature of the person's job?

Driver.

Any thing spectacular happen to the eyes; probably an inflammation

He said he wasn't sick and didn't suffer any type of ocular trauma and wasn't on drugs before it started.
He just noticed one eye getting progressively worse, he was thinking its something that will resolve on own until it became completely cloudy that's when he got worried

valdovas:


Yes the cataract is mature.

if you look behind the pupil, it is very clearly opaque. Even without use of instrument. The whiteness of the lens is visible.
.

That's the thing. The other eye see very well and there is no form of lenticular opacity on examination.



Nope



Driver.



He said he wasn't sick and didn't suffer any type of ocular trauma and wasn't on drugs before it started.
He just noticed one eye getting progressively worse, he was thinking its something that will resolve on own until it became completely cloudy that's when he got worried

then we may start considering the possibility of a tumour having ruled out other possible causes

optm:
then we may start considering the possibility of a tumour having ruled out other possible causes

Can hypotony cause cataract progression in one eye?

valdovas:


Can hypotony cause cataract progression in one eye?

no doubt . due to an inflammation ? What could have been the cause of the hypotony in this case ?

optm:
no doubt . due to an inflammation ? What could have been the cause of the hypotony in this case ?

I have no idea what the cause of the hypotony is. The man himself never reported having any illness or condition that can cause inflammation.


I really appreciate your responses doc. Thanks �

valdovas:


I have no idea what the cause of the hypotony is. The man himself never reported having any illness or condition that can cause inflammation.


I really appreciate your responses doc. Thanks �

seems to me he has been to the eye clinic before now, right ?

optm:
seems to me he has been to the eye clinic before now, right ?

Yes, the doctor referred him to general practitioner.

valdovas:
Yes, the doctor referred him to general practitioner.

what was his reason for referral to the GP ?

optm:
what was his reason for referral to the GP ?

He was referred so he could be tested to check for any systemic disorders or anomalies, like blood sugar or cholesterol levels. Or any type of inflammation because the man himself kept saying he doesn't feel sick or unwell in any way.
I believe blood work and other necessary tests will reveal what is actually going on with him.

I honestly thought hypotony was the reason for the accelerated cataract formation.

valdovas:

He was referred so he could be tested to check for any systemic disorders or anomalies, like blood sugar or cholesterol levels. Or any type of inflammation because the man himself kept saying he doesn't feel sick or unwell in any way.
I believe blood work and other necessary tests will reveal what is actually going on with him.

I honestly thought hypotony was the reason for the accelerated cataract formation.

what was the iop in that eye ? Was the corneal thickness measured before establishing an ocular hypotony ? Could it be he had a blunt trauma to that eye a long time ago and he possibly had forgotten ? you guys should have him do a Bscan to rule out an ocular tumour too. I wish you guys success as you find answers to your uncle's predicament

optm:
what was the iop in that eye ? Was the corneal thickness measured before establishing an ocular hypotony ? Could it be he had a blunt trauma to that eye a long time ago and he possibly had forgotten ? you guys should have him do a Bscan to rule out an ocular tumour too. I wish you guys success as you find answers to your uncle's predicament

Thanks for your kind wishes.
So doctor I thought IOP test is enough to know if ocular pressure is too low.
Does corneal thickness has to be measured to establish low IOP? In spite of IOP being 5mmHg in the affected eye?

valdovas:


Thanks for your kind wishes.
So doctor I thought IOP test is enough to know if ocular pressure is too low.
Does corneal thickness has to be measured to establish low IOP? In spite of IOP being 5mmHg in the affected eye?

corneal thickness does influence iop results. When the cornea is thicker than normal , it gives a higher reading than the actual iop and when it's thinner, it gives a lower result than the actual pressure in the eye. Measuring the corneal thickness helps u to know the true iop

optm:
corneal thickness does influence iop results. When the cornea is thicker than normal , it gives a higher reading than the actual iop and when it's thinner, it gives a lower result than the actual pressure in the eye. Measuring the corneal thickness helps u to know the true iop

Ok thanks doc.

valdovas:


Ok thanks doc.

uwlcm

Please who has any idea how much is cataract surgery in Lasuth?

Tilda143:
Please who has any idea how much is cataract surgery in Lasuth?

i have no idea. You could make out time to visit the hospital and make your findings

Long time Dr Optm. Trust you are good sir.

Please does anti-glaucoma eye drops affect the elasticity of the eye lid? My eye lid is sagging.

Antiochus:
Long time Dr Optm. Trust you are good sir.

Please does anti-glaucoma eye drops affect the elasticity of the eye lid? My eye lid is sagging.

prostaglandin analogues can cause that but not very common side effect . I am good . How have you been ?

optm:
prostaglandin analogues can cause that but not very common side effect . I am good . How have you been ?

I have been good sir thanks

I haven't gone for appointment since the last strike started and ended. But i still use the "Duosopt" eye drop the opthamologist recommended months ago after i was told to stop using Betaxolol.

Antiochus:


I have been good sir thanks

I haven't gone for appointment since the last strike started and ended. But i still use the "Duosopt" eye drop the opthamologist recommended months ago after i was told to stop using Betaxolol.

try see your doc as soon as you can to identify the likely cause of your saggy eye lid

Hello doc, good morning. I had a fight with someone about 6 weeks ago which i had a bruised left eye from. A week after, i started experiencing gritty / sand like feeling in my left eye, pain when exposed to bright lights, red eye and blurry vision, all on that particular eye. I visited a reputable pharmacy and was given eye drops (allerex & diclofenac), fleming, vitamin c and multivitamin (visionace). After a month of usage, my bruised eye feels fine and the blurry vision is almost gone. But i noticed for a week now, i started seeing single streak/ray of light from street lights at night on my other unaffected eye.. what could be the problem?? It doesn't hurt though i feel like my eyes are a little dry when i wake up most times. Thanks

Mars2021:
Hello doc, good morning. I had a fight with someone about 6 weeks ago which i had a bruised left eye from. A week after, i started experiencing gritty / sand like feeling in my left eye, pain when exposed to bright lights, red eye and blurry vision, all on that particular eye. I visited a reputable pharmacy and was given eye drops (allerex & diclofenac), fleming, vitamin c and multivitamin (visionace). After a month of usage, my bruised eye feels fine and the blurry vision is almost gone. But i noticed for a week now, i started seeing single streak/ray of light from street lights at night on my other unaffected eye.. what could be the problem?? It doesn't hurt though i feel like my eyes are a little dry when i wake up most times. Thanks

the best advice i can give you is that you go for an eye check . Something bad you aint aware of may be developing. Sometimes it takes a while for the aftermath effects of trauma to the eyes to be noticed. Please do visit an eye clinic

Akinola100:
How far Johans, are the floaters gone.

No. I got used to living with them.

optm:
the best advice i can give you is that you go for an eye check . Something bad you aint aware of may be developing. Sometimes it takes a while for the aftermath effects of trauma to the eyes to be noticed. Please do visit an eye clinic

Thanks a lot for your prompt response.
I will...

Please, I there solution for night blindness, unable to walk at night.

charles2468:
Please, I there solution for night blindness, unable to walk at night.

it depends on the cause of the night blindness

Good day Doc
My Duosopt eyedrop is scarce in this area but i found this one called Misopt. Please should i buy it below is the screenshot of Duosopt and the new Misopt

Cc: optm