DanielVarga comments on Open Thread February 25 - March 3 - Less Wrong

8 Post author: Coscott 25 February 2014 04:57AM

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Comment author: DanielVarga 25 February 2014 03:16:50PM 3 points [-]

My eye doctor diagnosed closed-angle glaucoma, and recommends an iridectomy. I think he might be a bit too trigger-happy, so I followed up with another doctor, and she didn't find the glaucoma. She carefully stated that the first diagnosis can still be the correct one, the first was a more complete examination.

Any insights about the pros and cons of iridectomy?

Comment author: Lumifer 25 February 2014 07:52:41PM 4 points [-]

My impression is that glaucoma (which is, basically, too high intraocular pressure) is easy to diagnose. Two doctors disagreeing on it would worry me.

Don't get just a third independent opinion, get a fourth one as well.

Comment author: DanielVarga 25 February 2014 10:54:16PM 1 point [-]

It was less than a disagreement. I'm sorry that I over-emphasized this point. The first time the pressure was Hgmm 26/18, the second time 19/17. The second doctor said that the pressure can fluctuate, and her equipment is not enough to settle the question. (She is an I-don't-know-the-correct-term national health service doctor, the first one is an expensive private doctor with better equipment, and more time for a patient.)

Comment author: Lumifer 26 February 2014 01:04:18AM 3 points [-]

My recommendation for more independent opinions (or, actually, more measurements) stands.

Comment author: shminux 25 February 2014 04:02:33PM 7 points [-]

Get a third independent opinion.

Comment author: RomeoStevens 28 February 2014 10:18:52AM 1 point [-]

Do not prime the third doctor with the first two results if possible.

Comment author: CellBioGuy 25 February 2014 08:27:12PM 3 points [-]

Is there a family history of this? If so that would skew my assessment towards that of the first doctor. If not, seriously another opinion...

Comment author: DanielVarga 25 February 2014 10:55:49PM 1 point [-]

No family history.

Comment author: Pfft 25 February 2014 05:30:46PM 2 points [-]

Can you ask the second doctor to examine you to at least the same standard as the first one?

Maybe someone on Less Wrong who has access to UpToDate can send you a copy of their glaucoma page, for an authoritative list of pros and cons.

Comment author: DanielVarga 25 February 2014 10:55:29PM 1 point [-]

Can you ask the second doctor to examine you to at least the same standard as the first one?

Unfortunately, no. See my answer to Lumifer.

Comment author: polymathwannabe 25 February 2014 06:28:48PM -1 points [-]
Comment author: DanielVarga 25 February 2014 10:54:29PM *  0 points [-]

What he proposed is in fact laser iridotomy, although they called it laser iridectomy.