Had a different eye test at BPH, but not sure what it was for.

[giddyup]

The test consisted of me looking at a dot on a screen with tiny flashes of light appearing randomly around the outer circle, and I had to press a button whenever the flashes appeared.

I was told it was for Glaucoma, but I thought they puffed the eye with air to test for that.

I didn't get any immediate results, I have to go back to see a specialist next month.

I'm not sure I trust the doctors there 100%, I was told by a specialist there 3 years ago that I needed a cataract operation, yet on the visit 2 days ago the doctor (different one) said the cataracts were a way off needing surgery.

Edited February 5, 2022 by giddyup

[Upnotover]

Possibly a visual field test, sounds very similar.  It is done in the diagnosis of Glaucoma.

[giddyup]

Just now, Upnotover said:

Possibly a visual field test, sounds very similar.  It is done in the diagnosis of Glaucoma.

Yet they didn't puff my eye to test pressure?

[Golden Triangle]

I've had the same test, not at BPH though, can't remember a reason, no big deal I think.

[Jerno]

5 hours ago, giddyup said:

Yet they didn't puff my eye to test pressure?

Typically both types of tests are done for glaucoma.

[The Hammer2021]

One is a cheap old test. The other is a more modern and accurate

[lopburi3]

I speak as a patient. 

They test for different issues and normally both are given if glaucoma is suspected.  The CVFT (computerized visual field test) checks your peripheral vision loss and as such can result in glaucoma diagnose (and results should be available immediately).  The puff of air checks inner eye pressure which if high can worsen the glaucoma (you may need to take drops to keep low if have glaucoma).  At my hospital that eye pressure test is a normal pre doctor routine for everyone, along with digital computer eye check followed by manual 20 foot eye check.  

 

As for cataracts that is normally a personal issue - remove when/if they cause you issues (like not being able to drive at night).  

[Sheryl]

On 2/6/2022 at 8:05 AM, lopburi3 said:

I speak as a patient. 

They test for different issues and normally both are given if glaucoma is suspected.  The CVFT (computerized visual field test) checks your peripheral vision loss and as such can result in glaucoma diagnose (and results should be available immediately).  The puff of air checks inner eye pressure which if high can worsen the glaucoma (you may need to take drops to keep low if have glaucoma).  At my hospital that eye pressure test is a normal pre doctor routine for everyone, along with digital computer eye check followed by manual 20 foot eye check.  

 

As for cataracts that is normally a personal issue - remove when/if they cause you issues (like not being able to drive at night).  

As above - and indeed do not trust any doctor who tells you to remove cataracts when they aren't causing you a noticeable problem.  Cataracts should be removed when they start to interfere with daily life.

 

It is not common, but there are a few unscrupulous eye doctors in Thailand who try to persuade people otherwise. Such people lack ethics and should be completely avoided. This does not however imply anything about the hospital, just the individual doctor.

 

All this said, if you have (or are seriously suspected to have) glaucoma it would be worth making a trip into Bangkok to go to Rutnin.

[NancyL]

1 hour ago, Sheryl said:

As above - and indeed do not trust any doctor who tells you to remove cataracts when they aren't causing you a noticeable problem.  Cataracts should be removed when they start to interfere with daily life.

 

It is not common, but there are a few unscrupulous eye doctors in Thailand who try to persuade people otherwise. Such people lack ethics and should be completely avoided. This does not however imply anything about the hospital, just the individual doctor.

 

All this said, if you have (or are seriously suspected to have) glaucoma it would be worth making a trip into Bangkok to go to Rutnin.

What about a procedure like Prelex, done at St. Peter's Eye Hospital in Chiang Mai?  https://www.stpeter-eye.com/prelex

[Mavideol]

7 minutes ago, NancyL said:

What about a procedure like Prelex, done at St. Peter's Eye Hospital in Chiang Mai?  https://www.stpeter-eye.com/prelex

I could be wrong but would be skeptical as one of their doctors still uses glasses thus not trusting their own product

[lopburi3]

4 minutes ago, NancyL said:

What about a procedure like Prelex, done at St. Peter's Eye Hospital in Chiang Mai?  https://www.stpeter-eye.com/prelex

That is designed and marketed as an alternative to eyeglasses for those with vision problems.  As there is a history of issues with multi focal lens implants; and most insurance does not cover (except when used due removal of cataract); would not be seeking such treatment for myself.

Quote

Our friendly staff will provide you documents you need to make insurance claims for your PRELEX procedure.

 

[Sheryl]

38 minutes ago, NancyL said:

What about a procedure like Prelex, done at St. Peter's Eye Hospital in Chiang Mai?  https://www.stpeter-eye.com/prelex

Prelex is an elective refractive surgery. There are a number of procedures that can be used electively to reduce or eliminate the need for glasses in people who choose to do so and as long as that is an informed choice, with all risks etc explained, no problem. Prelex is specifically used for presbyopia, while things like Lasix and ReLEx are used for myopia.

 

This is a far cry from the situation referred to by the OP wherein he was told by a doctor that he needed to get his cataracts removed, now. I have encountered reports of this before in Thailand - not often, but more than once. And as you may recall we recently saw a similar case with fibroids.

 

Telling a patient there is a medical need for immediate surgery, when there is not, is totally unethical and takes advantage of a patient's presumed ignorance (and trust).

[giddyup]

16 hours ago, Sheryl said:

Prelex is an elective refractive surgery. There are a number of procedures that can be used electively to reduce or eliminate the need for glasses in people who choose to do so and as long as that is an informed choice, with all risks etc explained, no problem. Prelex is specifically used for presbyopia, while things like Lasix and ReLEx are used for myopia.

 

This is a far cry from the situation referred to by the OP wherein he was told by a doctor that he needed to get his cataracts removed, now. I have encountered reports of this before in Thailand - not often, but more than once. And as you may recall we recently saw a similar case with fibroids.

 

Telling a patient there is a medical need for immediate surgery, when there is not, is totally unethical and takes advantage of a patient's presumed ignorance (and trust).

It was 3 years ago that the specialist at BPH told me I needed cataract surgery and yet the eye doctor I saw a week ago told me the cataracts didn't require attention yet.

[Sheryl]

27 minutes ago, giddyup said:

It was 3 years ago that the specialist at BPH told me I needed cataract surgery and yet the eye doctor I saw a week ago told me the cataracts didn't require attention yet.

They require attention when the visual loss starts to interfere with your daily life. Not before.

[Mavideol]

19 hours ago, Sheryl said:

Prelex is an elective refractive surgery. There are a number of procedures that can be used electively to reduce or eliminate the need for glasses in people who choose to do so and as long as that is an informed choice, with all risks etc explained, no problem. Prelex is specifically used for presbyopia, while things like Lasix and ReLEx are used for myopia.

 

This is a far cry from the situation referred to by the OP wherein he was told by a doctor that he needed to get his cataracts removed, now. I have encountered reports of this before in Thailand - not often, but more than once. And as you may recall we recently saw a similar case with fibroids.

 

Telling a patient there is a medical need for immediate surgery, when there is not, is totally unethical and takes advantage of a patient's presumed ignorance (and trust).

if I understand you correctly it's a NO for Prelex, correct?   by any chance did any member had such surgery or does anybody knows someone who did had it done. I was considering visiting the Ophthalmologist at Bangkok  Hospital Phuket to check the procedure as I am tired of having to change glasses every 2 years, expensive and scratches are a bother

[lopburi3]

35 minutes ago, Mavideol said:

if I understand you correctly it's a NO for Prelex, correct?   by any chance did any member had such surgery or does anybody knows someone who did had it done. I was considering visiting the Ophthalmologist at Bangkok  Hospital Phuket to check the procedure as I am tired of having to change glasses every 2 years, expensive and scratches are a bother

If you order from Zenni not expensive and both bifocal and progressive lens choice.