Question

I have glaucoma optic nerve atrophy. Two years ago, my intraocular pressure reached 45, but I could still see at that time. Now, I can’t see at all, only sensing light. Two years ago, I received treatment at the Provincial People’s Hospital, where I was prescribed medication to lower my intraocular pressure, including eye drops and oral medication. My eyes were painful then, but they improved later. I want to know whether I should choose medication conservative treatment or surgery, and whether there is a possibility of complete vision recovery. My past and current examinations all show that I have glaucoma optic nerve atrophy.

Answer

Your long-term high intraocular pressure has caused damage to your optic nerve. You should have been more attentive to controlling your intraocular pressure back then, as this is the best way to protect your vision. If medication fails to effectively control your intraocular pressure, it is recommended that you undergo surgery as soon as possible to avoid further vision damage. Now that optic nerve atrophy has occurred, even surgery cannot completely restore your vision. However, you still need to control your intraocular pressure; otherwise, you may lose even the remaining light sensation. Your current intraocular pressure remains high.