Routine eye exam of a 58-year-old African-American female revealed small discs with visible optic disc drusen, for which she had been monitored with visual fields. Her best-corrected visual acuity was 20/20 and intraocular pressure was 19 in both eyes. Visual fields were concerning for progression in both eyes. Since a new visual field defect could be due to optic disc drusen or glaucoma, Travatan Z was started in both eyes. Three years later, there was again concern for visual field progression, therefore Alphagan was added in both eyes. Since then, her intraocular pressures have ranged from 7-13 in the right eye and 8-12 in the left eye. The plan is to carefully monitor the patient with visual field and OCT testing in the future.
Presentation Date: 04/26/2018
Issue Date: 08/01/2020