From a reader:
The doctor looked at my self-tonometry eye pressure data I brought with me. But he did not give my data much credence. He said if the intraocular pressure readings are ever high then that shows that they do go that high. He is quite intimidating.
The assumption by the doctor is that he must target his treatment at the maximum intraocular pressure peak no matter how short it lasted, or how infrequent it is or what caused the IOP to rise.
Ophthalmologists are not yet familiar with the concept of the ocular white coat syndrome (white coat ocular hypertension). Our self-tonometry data may show that our IOP is lower outside the doctor's office than inside the office. Many of us believe this is an important consideration and a few doctors are starting to pay close attention to this information.
But reading your doctor's intimidating response gave me an idea...