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Question:

Do I need laser treatment for pigment dispersion syndrome?

I am 33 years old and have pigment dispersion syndrome. My new doctor prescribed laser treatment, to prevent eye damage and potential sight loss. A previous doctor said to try drops, but only if my eye pressure became high-risk. Has anyone in Yahoo's network been in my situation and if so, what did you do?

Answer:

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Rubbing eyes probably does not relate to pigmentary dispersion syndrome. While pigmantary dispersion syndrome can cause pigmentary glaucoma. Most glaucoma is not pigmantary glaucoma.
Laser treatment for pigment dispersion is a fairly... I don't know what the word is. Modern? Progressive? It's something that isn't necessarily new, but it's definitely becoming more popular as an option, because it works fairly well without much risks. (Unlike medical treatment, where the drugs have much more common side effects.) Many people -- myself included -- have pigment dispersion syndrome, but not pigmentary glaucoma. The trick for us doctor types is to figure out which people are going to start having glaucoma and which ones won't. There's more to it than just pressure -- the amount of pigment, as well as the appearance/health of the optic nerve, any visual field damage, etc. There's also been some research suggesting that people with a particular shape of iris do better with laser treatment. If you're worried about it, make sure you're doing a visual field test regularly (I do mine yearly) and have your pressures monitored on a routine basis, and if anything shows up unusual, at least get a second opinion or consultation about the options.

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