Intraocular pressure (IOP=Eye pressure) is subject to diurnal fluctuation of up to 6 mm of Mercury. It is usually higher in the morning and lower in the evening. The morning peak in eye pressure has been correlated with endogenous adenocortical steroid level. 

Any fluctuation of eye pressure above 6mm of Mercury may be regarded as abnormal and is more common in patients with glaucoma.

Higher level of fluctuation of eye pressure can lead to faster progression of glaucoma. You may have normal eye pressure when you visit your eye doctor; however, there may still be pregressive visual field loss. This may be due to wide and abnormal fluctuation of your eye pressure at other times of the day. In such a situation your eye doctor or advanded glaucoma practioner might arrange for a 'Phasing Test' where your eye pressure will be serially checked every 2 hours during the whole day (usually from 8 am to 4 pm) to confirm or rule out wide diurnal fluctuation of your eye pressure. This information will be quite helpful in better management of your glaucoma.

For private patients & referrals

Mr Akash Raj 

Consultant Ophthalmologist, Glaucoma specialist & Cataract surgeon

Stourside Hospital (part of West midland Hospital)

60 Bradley Road

Stourbridge

DY8 1UX

01384 505 183

(Alternate:

Monday Evenings)

Appointments:

01384 912966

Private Secretary: Tara Ralph : 01384 632 636 

Mr Akash Raj

Consultant Ophthalmologist, Glaucoma & Cataract specialist.

 

For NHS Referrals through GP/Opticians

Mr Akash Raj

Consultant Ophthalmologist (Glaucoma Lead)

Russells Hall Hospital

Pensnett Road

Dudley

West Midlands

DY1 2HQ

Phone: 01384456111

Extn. 5815 (NHS Secretary: Lyn Eaton)