[OCT Article] Managing Glaucoma Risk with Positive Family History

Patient description

40 years old female, no medical conditions. Family history of glaucoma (on father side).

Clinical results

On examination, best corrected vision was 20/20 in both eyes. The intraocular pressure was 17 in the right eye and 17 in the left eye. The anterior chamber angle was grade 4 and open.
Under fundoscopic examination, optic nerve atrophy was present.
Ophthalmodynamometry was performed. The ocular perfusion pressure was reduced at 18 mmHg in the right eye and 37 mmHg in the left eye. The outflow facility was abnormal at 0.18 with P/O ratio of 106 and OS at 0.16 with P/O ratio of 140 during the 2022 examination. C/D ration OD: 07/0.8 and OS 0.7/0.8.
ERG and VEP results were abnormal in both eyes. Visual field results were normal OU.
Patient was started on Lumigan QHS OU and has been seen every 3-4 months since the start of outflow medication.
The last Tonography results (2024): outflow facility was within normal range at 0.26 with P/O ratio of 62 and OS 0.26 with P/O ratio of 62, which is a significant change from the 2022 measurements.

Dr Luiza Youssefi

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