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White coat hypertension (or white coat syndrome) is a widely recognized blood pressure phenomenon. However, white coat ocular hypertension is not yet recognized by the medical community. One of the first reports of white coat ocular hypertension was published Tuesday, April 24, 2007 here on my blog in...
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I have strong evidence that I exhibit a white coat syndrome for intraocular pressure (eye pressure). First, let me provide some background on white coat syndrome. White coat hypertension (or white coat syndrome) is defined as a situation where patients have high blood pressure in the doctor's office...
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I thought it might be interesting to do a series of profiles on top glaucoma specialists around the world. I was inspired to start this because of my recent visit with Dr. Robert Ritch. He is certainly one of the top glaucoma specialists in the world from a variety of points of view. He is highly respected...
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My pick for the best glaucoma clinic in the US (and maybe in the world) is Glaucoma Associates of New York at the New York Eye and Ear Infirmary. This is where Dr. Robert Ritch practices and it is the home of The New York Glaucoma Research Institute. Dr. Robert Ritch is my pick for best glaucoma doctor...
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A friend referred me to a new ophthalmologist who lives in another city. I corresponded with this new ophthalmologist via email. I am not replacing my current ophthalmologists, merely seeking additional input on specific issues where experts are few and far between. However, I guess many facts did not...
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Here are today's IOP values. For a period of time, I will simply work with the experts to understand the process and the instruments. The more interesting things will begin once we have the procedures down pat . Instrument Date Time Left Right NCT 550 Reichert 06-Jul-2006 19:25 16 25 Goldman 06-Jul-2006...
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Today is the beginning of my effort to really understand my IOP. You will begin to see daily reports of my IOP values now. I may have to miss some days due to special circumstances, but my plan is to have my IOP measured every day -- usually multiple times per day. I have a special financial arrangement...
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I went to my ophthalmologist today convinced that my IOP would be lower than it was on my last visit. After all, my IOP has been trending downward since my first visit to the ophthalmologist. I assumed all the good nutrition and health practices I have been doing are responsible for this positive trend...
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As I mentioned in a prior post , my IOP seems to have been trending downward consistently. The only question in regard to that trend was the last IOP check at an altitude of 8000 feet above sea level. Most of my IOP measurements were done at sea level. I understood my ophthalmologist to tell me that...
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I returned to my ophthalmologist just after the holidays. He prescribed homeopathic phosphorus and some energized water.
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This eye exam was performed at an elevation of about 8000 feet using Goldman tonometry. At 8000 feet elevation, normal intraocular pressures are about 21, I'm told. My IOP values are: Left 19; Right 17 I'm not completely sure, but it seems like the downward trend in my IOP is continuing. This is also...
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Upon today's visit to my ophthalmologist, my IOP values were: Left 18; Right 18 Wow! My IOP has decreased each and every visit to my ophthalmologist. This is a good trend.
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My ophthalmologist checked my IOP today with his Goldman tonometer. The results were: Left 20; Right 20 This is lower than the last visit (Left 21; Right 22), but due to my poor visual field test results , my doctor is keeping a close watch on my IOP. He mentioned surgery ( SLT ) as an possible future...
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I have been using Xalatan for two weeks. Today I returned for a follow-up visit with my primary ophthalmologist. At the last visit, my IOP values were: Left 34; Right 48 Today's IOP values (using Goldman Tonometry) were: Left 21; Right 22 I also received a diagnosis: Pigmentary glaucoma (noted Krukenberg...
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It is still very hot where I live, and the doctor still doesn't use the air conditioning in her office. In spite of the discomfort, I returned for another visit. We reviewed all my lab tests, but she mostly focused on lifestyle factors. I have a lot of respect for that approach. I am a very goal-oriented...