Glaucoma misdiagnosed after 17 years of Latanoprost treatment!
At age 50 due to bad scores on my visual fields tests and eye pressure numbers an optometrist sent me to a fellowship trained glaucoma ophthalmologist. For 17 years he treated me with Latanoprost, and my pressures remained low (around 12). I moved at age 67 to a different area of the country and saw a younger fellowship trained glaucoma ophthalmologist at an academic med center. They used virtual reality type “goggles” to check for visual fields. I came out “normal” and showed no loss of vision with that test which is supposedly more accurate than the older one. Long story short, the doc took me off Latanoprost and said she didn’t believe I had glaucoma. Of course, she dilated me and looked at optic nerve. Since that time I have learned that glaucoma is frequently over-diagnosed. Crazy story, no? Your comments are appreciated. Thanks.
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I was diagnosed with glaucoma probably about 20 years ago. My understanding is that vision loss with glaucoma is acute/sudden. It’s not a gradual loss like macular degeneration. Mine was acute angle and I had no vision loss or “attack”. It was just diagnosed at a routine ophthalmologist appt. I went to a specialist for a second opinion. And it was confirmed. Because of the nature of acute angle, I didn’t have to have any ongoing treatments. I just had a laser surgery, which poked a hole in the upper part of my iris so that my fluid when drain. The natural drainage was impeded by the angle of my eyes. It was a simple fix and nothing else has been necessary.
I’m glad for you that you now have a proper diagnoses. But it is disheartening that the other doctors caused you to be treated unnecessarily for so many years.
Thanks for your info, Mosaics. I know there are different types of glaucoma. I am not particularly interested in medicine, and I don’t blame my previous physician. It is my understanding that the newer technology helps with diagnosis, and the level of pressure requiring glaucoma treatment may have changed over 17 years. The same has happened with hypertension—different readings now define the condition. I am extremely near sighted, and I have always known that condition also raises the occurrence of glaucoma. Hope you are doing well. Our sight is an important treasure.
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1 ReactionI was diagnosed with glaucoma over 30 years ago. I'm now 79. They had trouble keeping my pressure within range 12-15. I'm now on 3 eye drops: Pilocarpine, Dorzolimide, and Rocklatan which works to keep pressure in range. I have field test at least once a year. I've now lost all central vision in left eye and I only have about 50% of field left in right eye. So I have low vision with lots of glare problems. I see an optimologist who trained at Bascom Palmer Eye Institute in Miami, and I go there every 5 years to see if anything new is recommended. I highly recommend you go to one of the top eye research centers for a second opinion if you have any questions.
Well, after reading Don Higgins post, I see that I’m wrong concerning the sudden onset v. gradual vision loss. I was told by my doctor that my acute angle glaucoma would cause a sudden loss, but it appears that is not true of other types of glaucoma.
In 2008 an optomitrist sent me to a glaucoma specialist. I did not see the referral and was not sure why it was felt I might have glaucoma. I had been seeing an opthalmologist for years, with no mention of glaucoma, but after moving went to a local office for a vision check. The glaucoma specialist knew that I had concerns due to the fact that my great grandmother went blind following a severe headache.....presumably acute angle glaucoma. The specialist did testing and told me I needed to begin using nightly eye drops, Lantanaprost. I did not question the specialist and just followed instructions. After years of what seemed like constant appointments with repeated tests I decided to switch to the opthalmologist my husband had seen for years. He indicated that my glaucoma was very mild and had me continue the drops, but reduced the number of tests he required compared to the glacoma specialist.
After a few years he told me that I have Fuchs' Dystrophy and I might need cornea surgery in the future, but nothing was needed at the time and I should have cataract surgery. I didn't think my vision was that bad and told him I wanted to put off cataract surgery. He had done cataract surgery on my husband who got multi-focus lenses and had great vision just a day after the procedure. I finally told the doctor it would be OK to have the cataract surgery and he told me I could only have single focus lenses due to my Fuchs'. I told him that, due to that limitation, I did not want to do the surgery. A year later he again told me I should have cataract surgery and that there was a new multi-focus lens he could insert. He told me "recovery might take longer" but he had many Fuchs' patients with successful results. I read about Fuchs', but basically trusted him and his advice. He did the surgery and I later found out he did not use the type of solution or the method of surgery recommended for Fuchs' patients. The morning after surgery my eye was very painful and I could read only the big E and one line on the eye chart. He told me my vision would be much better in two days, but I was still in pain and my vision was not improved. I now realize my cornea was greatly swollen, which was causing the pain. He seemed annoyed that I wasn't thrlled with my vision. Over weeks my vision did improve somewhat, but it was no better than before he put in the $3,600 lens. I could see the color white more clearly but that was the only improvement. I found an online forum about cornea dystrophies and learned that the treatment I had been given was definitely not appropriate. I then was lucky enough to find an exceptional eye surgeon in Florida and flew there from Texas for treatment on my other eye. A DSO (Desemet stripping only) was done along with cataract surgery and I had great results.
Then, back home I went to a cornea specialist for follow up checks, but she would not treat my glaucoma. She gave me a list of glaucoma doctors and I picked a name and made an appointment. To my disgust, the doctor turned out to be part of the practice I had left a few years earlier. Immediately I was put on the same continual testing routine. I was not happy with all the repeated glaucoma tests and I questioned the doctor about why so many more tests than the opthalomoligist had required. The doctor was not happy with my questions. At one appointment I told them I did not want to do the field test and asked if it could be done at my next appointment. The doctor told me I had to do the test right then because my insurance would not pay for it if they postponed it to the next visit when more tests would be done. Obviously, all the tests were meant to add to the financial bottom line more than being what was really required. Since my eye pressure had NEVER been elevated, I began to doubt if I even HAVE glaucoma. An assistant had called me when I asked someone to tell me the results of the tests I had recently done. She could not explain why I would have been referred in the first place and said she would have the doctor contact me. The doctor called me and stressed that because of all my questions she had spent hours of her weekiend reviewing my records and the phone call was taking up her lunch break. She told me that when I first was referred to their practice if ten doctors had seen my testing, five of them might have said I have glaucoma and fivc could have said there was no problem.................She said the doctor who initially told me I had to be treated for glaucoma is no longer with the practice. She told me I had been "aggressive" with my questions and when I had balked at the test had told me about the insurance situation. She said that I have normal pressure glaucoma. I asked if I have any loss of peripheral vision and she said no. I asked if my optic nerves were damaged and she said no, but they were a bit larger than expected....She told me that at my next appointment they will do some newer test that could give information about normal pressure glaucoma. I will go to that appointment but will then try to find an opthalomogist for my regular check ups. I feel like I have been used, treated inappropriately and taken advantage of so doctors could get more money. I had never been told that I have "normal pressure" glaucoma until I started questioning what was going on; I am now trying to find information about normal pressure glaucoma.......
@deborahkk .... reading this ... sorry you have been treated so poorly... for years I have just accepted what has been told to me... and now 8 yrs later am starting to question myself as to what I have been told/treatment etc. I told drs etc I have narrow angle glaucoma until new optom. said no such thing: I checked and my file from 2018 says Normal Tension/Pressure Glaucoma with narrow angles etc etc. Last optom, although most paid for in Canada so many tests and ended up when I showed up for appt. and tests costing $169. had students.... very nice but the appointments were almost 2 hours, various students, and I did not know I could refuse. I feel like I was used and threre is more to the story... but am losing trust. Thankful to have my sight but horror stories seem frequent these days
Dang, Debora, what a story. One really must be her own advocate. Your account reflects some less than professional medical care IMHO.
I did ask for a glaucoma screening a few years ago at BayCare in Green Bay, WI. My request was ignored. I do have glaucoma. The doctor also committed fraud by billing the wrong agency and told me I needed new glasses, which I didn't. I have tried to file complaints. They have been ignored. There is no excuse for the quacks in Green Bay.
It's assembly line medicine and the only concern is money.
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1 ReactionEveryone now must learn how to search on the Internet to find answers. Then search to find good doctors!
I left one eye doc who was billed as a "glaucoma specialist" after a few years because I think he was lieing to me about my pressure. The tech would take my pressure and report it as 23 (high) and then he would take it and tell me it was 14 (normal). I think he was getting close to retirement and didn't want to be bothered with his work.
During that period I developed poor vision in one eye.
....i agree crossette ... the tech gve me one pressure number and the optom gave me another and, guess what, I didnt say a thing... why didnt I politely ask why? story of my life. Also I think he farmed almost every patient t a clinic an hour or so away for iridotomies.... when I was happy with him i also convinced my spouse and son to become patients and yep he sent them to that clinic too... made me suspicious. I now have a new optom and so far so good althoug not such a fancy office and equipment. But I still dont speak up when I notice here, or np office or anywhere, when I notice being fibbed to ... way i was raised i suppose.. but at my cost.