Patient: Hi, I started last year when I had an eye examination at Changsha Xiangya Hospital and my eye pressure was checked to be higher than normal. At that time, I went to the examination because one eye was uncomfortable, and when I took the eye pressure, it was high to about 28-31, and I used Suvastan afterwards. Since my home hospital was far away, I didn’t go to have my IOP measured regularly, but about once every couple of months. At that time, I also had my visual field and other tests done and they were all normal, but my eyes were still a little uncomfortable and I kept using the medication. My eye pressure fluctuates very little, and it’s been too high to come down. Today I went to have my eye pressure measured again and it was still about 28. Last year the doctor said that my corneal congenital thickness was greater than normal, but it couldn’t have been lowered. Since the beginning of this year, I’ve been on Suvastan once at night and Pyridamis twice during the day. Recently had another test for visual field, vision, etc. Still normal. Vision has remained 1.0 for almost a year now since last year (I am nearsighted and my eyes have not been changed). And when I check the fundus, there is no lesion in the fundus and the atrial angle is open. Can you explain to me or is there any other thorough examination to be done. Now I can get high to 28-31 in both eyes, but only the right eye is sometimes distended and painful, the left eye has no adverse symptoms. I am very anxious because students use their eyes more and there are two years left before the college entrance exam. Li Meiyu, Ophthalmology, Peking University First Hospital: Hello! From your description, IOP is high at 28-31, fundus and visual field are normal, and there is no obvious effect with medication. Another patient of mine had a similar situation to you, also a young man in his 20s, who later underwent glaucoma surgery due to an elevated IOP of 50. You are advised to have a fundus photography, HRT and OCT in addition to visual field, and to review your IOP regularly. If there is progression you should consider surgery as early as possible. If it is convenient to send me the test results, I can help you analyze the change of your condition in time.