Mr Akash Raj MBBS & MD (AIIMS), MRCS, DRCOphth, FRCS, FRCOphth, PG Dip (Distinction) Consultant Ophthalmologist, Glaucoma specialist and Cataract surgeon, Birmingham, Dudley, Midlands, UK
Mr Akash Raj MBBS & MD (AIIMS), MRCS, DRCOphth, FRCS, FRCOphth, PG Dip (Distinction)Consultant Ophthalmologist, Glaucoma specialist and Cataract surgeon, Birmingham, Dudley, Midlands, UK 

Does eye pressure change during various time of the day?

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.



Private & NHS patients

How to see Mr Raj

For private patients & referrals


Mr Akash Raj 

Consultant Ophthalmologist, Glaucoma specialist & Cataract surgeon


Stourside Hospital (part of West midland Hospital)

60 Bradley Road



01384 505 183


(Alternate Thursday PM)



01384 632 640


Private Secretary: Liz Carter : 01384 632 636 






Mr Akash Raj

Consultant Ophthalmologist, Glaucoma & Cataract specialist


BMI The Priory Hospital, Edgbaston

(Thursday PM)
Priory Rd, Birmingham, West Midlands
B5 7UG
0121 446 1638
(Consultation by appointment only)
Private Secretary:
Liz Carter
Direct Line: 01384632636 




For NHS Referrals through GP/Opticians


Mr Akash Raj

Consultant Ophthalmologist (Glaucoma Lead)


Russells Hall Hospital

Pensnett Road


West Midlands



Phone: 01384456111

Extn. 5815 (NHS Secretary: Lyn Eaton)



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