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masraum masraum is online now
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Join Date: Oct 2001
Location: Central TX west of Houston
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Eye Docs, PPG - when do you treat?

If you get someone with Pre-perimetric glaucoma, which I believe is thin optic nerve layers, but no loss of visual field or other issues, when do you start treatment? Do you start treatment right away to try to delay and slow the loss of vision or do you just keep a closer eye on things (no pun intended) and wait for other symptoms?

My wife was told today that she has PPG, and the Dr recommended drops with the explanation that eventually it will get bad enough to affect her vision, and starting the drops now will at least, delay and slow that progression.

We are google warriors and have read things on the 'Net that say "don't start treatment until you are actually being impacted" and other things that say "you will eventually be impacted, and once that starts, it can't be reversed so start treatment now to slow and delay things."

The missus is >60. Her mother has glaucoma, and her sister has been on drops for 2 years. Her mother's siblings aren't affected, but several (7?) of their children are. I suspect that probably pushes things more to the start treatment earlier side of things.
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