Brief Answer:
??Normal pressure glaucoma; can take years, some times a decade

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. There are 3 components that make up glaucoma, they are:

1. Increase in intra-ocular pressure
2. Visual field changes
3. Changes to the optic nerve

When the IOP is normal, but the other 2 components are present, a diagnosis of normal pressure glaucoma is made. You mentioned cupping of the optic nerve (number 3 on my list), please check with your doctor for any vision field changes (e.g blind spots in your vision).

If blind spots are present, then your diagnosis is 'normal pressure glaucoma'. So please confirm or rule this out first. For the time being, there should be nothing to worry about, speak to your doctor about the initiation of medications to help improve the health of your vessels (which will contribute towards preventing progression of the cupping).

Glaucoma has different types, many different types. Seeing that you are a your individual, the types of glaucomas that can occur at your age can take a few years to develop, but I cannot state exactly how much as it again depends on the type.

I hope I have explained things in a manner best understood by you. Please do not hesitate to write to me for any further clarifications, I am always here to help.

Best wishes.

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Brief Answer:
Yes of course, and if asymptomatic, it does not require treatment

Detailed Answer:
Hello once again ma'am.

Yes of course; hereditary optic nerve associated changes are seen quite often, and unless they present with symptoms causing discomfort, they are really nothing too serious to worry about.

I hope this helps. Please feel free to write to me anytime and about anything, always here to help.

Best wishes.

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