@LokoLoa Hey, any news about documents ?
Hey, Aleks. I'm going through your info now. If it's taking awhile, it's because I put all the documents in chronological order, renamed them accordingly, then converted to pdf files to annotate in English. I'm going by my knowledge of medical terminology, Polish (close enough to Serbian), and Google translate to understand the medical records.
I'll go through them in more detail tomorrow (it's 2AM here) but here's my take after a few looks.
Any remaining doubters should know that you are
definitely honest about your condition. It's almost
impossible for someone without intimate knowledge of medicine to have faked all of this.
As you said: You have glaucoma in both eyes. In your case, it is high-tension glaucoma, meaning it's because of high pressures in your eyes. Some people can get glaucoma with normal pressures. I'll call pressures IOP from now on (it stands for intra-ocular pressure).
Although there's no record of your surgeries themselves, your follow-up records say you've had surgeries in both eyes called trabeculectomies. You described this surgery very well in another post: it's essentially cutting out a piece of tissue from inside your eye to let the fluid flow out of it.
Your IOPs are up and down, and the left eye has been dangerously high lately. Your right eye is functionally blind, so we
need to preserve vision in your left eye at all costs. Given your visual fields, you may actually be considered legally blind already: legal blindness doesn't necessarily mean you don't see anything. If your visual field is restricted enough, you can be considered legally blind. Nobody wants to hear this, but if you are considered "blind" under the law, you may qualify for certain benefits.
The procedure they're going to try to decrease your pressure is called "needling a bleb". A bleb is a raised area where fluid builds up. A raised bleb is good, it means that the fluid is building up where it should. "Needling it, is basically poking holes through the scar tissue that has formed in it. Sometimes they'll use 5-FU (5-fluorouracil) or Mitomycin, which prevent scarring. These are "anti-metabolites" that are also used in cancer treatment as chemotherapy. They can be tricky to use because they can cause complication. Here's a video of the procedure.
I have a few concerns about what you've sent me so far. First, they never give a complete diagnosis. "Juvenile glaucoma" isn't good enough. You need to know more, such as whether it's open angle, closed angle, or even traumatic. For the most personalized treatment, you need to know exactly what's going on. I would like to see a gonioscopy report or even an anterior segment OCT (optical coherence tomography). The codes they put in your chart are mainly for billing and accounting purposes. They're not very informative. Second, I only saw "retinal dystrophy" mentioned a few times. This diagnosis seems to come out of nowhere. I didn't see any images that would confirm or contradict the diagnosis. Your previous report from what I presume was your hospital doctor said something different (birdshot chorioretinopathy). I don't know what you have, or even if you have a retinal problem without seeing the photos and fluoresceins. Get your HLA-b29 results.
The one thing that irks me is that they keep switching meds on you. I would start with one medication and add until the pressure is controlled. They seem to switch for no reason.
Conclusion for today: You definitely need to keep your IOP under control. I don't know what your retinal problem is, or even if there is a problem.
The shots of vodka just hit me, so I'll stop here. I'll be back tomorrow.