Doctor insights on:
Acute Angle Closure Glaucoma Meds
Very painful: Acute angle closure glaucoma is a painful and potentially blinding disease, that is responsible for about 10% of all glaucomas. It is caused by the iris (color of the eye) blocking the drain on the inside of the eyeball. This leads to sudden and severe pressure elevation, with ensuing pain and cloudy vision. If not treated promptly, it will result in permanent blindness. ...Read moreSee 2 more doctor answers
I have high BP and acute angle closure glaucoma. I've had a bad headache w/ pressure in my ears for 24 hrs now. I've taken the BP meds. What do I do?
Meds or laser: Angle closure happens when the drainage system of the eye gets blocked abruptly, causing intense pain from high pressure. The first step is medications (several different eye drops and a pill). In some cases, a laser is needed to create a new drainage system emergently. If left too long, vision loss is permanent, so get treated immediately. ...Read more
Sinus congestion: Will not cause angle glaucoma. In patients who have narrow anterior chamber angles (which would be diagnosed by an ophthalmologist), taking medications to treat a sinus infection could lead to an angle closure glaucoma attack. If you have narrow angles, you should avoid decongestants and anti-histamines until you are told by your ophthalmologist that it's ok to use them. ...Read more
Yes: The latest surgical treatment approved for open angle glaucoma and cataract is called istent. In this procedure, the surgeon inserts a tiny stent inside the eye to bypass a portion of the eye's natural drainage system. New drugs for glaucoma are close to approval, but not available yet. ...Read more
Glaucoma Rx: With narrow angle glaucoma, raised pressure causes decreased visual acuity and sometimes pain and redness. Treatment may consist of a quick laser surgery to allow the pressure to subside. An alternate treatment may be oral medicine or eye drops. Let your eye provider help you decide when to treat. There is no magic number. It is important to keep the pressure within normal to prevent damage. ...Read more
Treated w/laser glaucoma open angle, unsuccessful. Now on Xalatan generic and timoptic (timolol). Is there any new treatment? 83 y.O. Male w/ open angle glaucoma; 40 years chronicity. Reccomendation?
Yes: This is a very good but complicated question.You have not given me nearly enough information to render an opinion.If you are hoping to discontinue your eye drops there are several newer surgical procedures which might work. Talk to your eye doctor about these options. ...Read moreSee 1 more doctor answer
Eye emergency: Symptomatic painful red eye with decreased vision, typically from pupillary block, that leads to acute angle closure with very elevated pressures and at high risk for eye damage if the attack is not broken. The cornea gets cloudy, should be checked out right away. ...Read moreSee 1 more doctor answer
Maybe: Glycopyrrolate is an antimuscarinic agent and could make your pupils dilate. If you have an angle prone to acute angle closure, this drug could induce an attack. I am curious why you ask about this drug, as it is not something normally prescribed by any clinic doctor and commonly only used by anesthesiologists during general anesthesia. ...Read moreSee 1 more doctor answer
Anti-cholinergic : Diphenhydramine's anticholinergic effects are to blame. They cause it to aggravate increased intraocular pressure, and dry secretions in those having asthma attacks, making it hard to clear secretions. Here's a link: http://answers.Yahoo.Com/question/index?Qid=20090328145710aa3jfbq the link is wrong about pregnancy, though. It's category b, not c, for pregnancy and considered safer than other meds. ...Read moreSee 1 more doctor answer
Speak with your doc: Certain antidepressants have been associated with causing narrow angles to worsen. This can increase your risk of an acute narrow angle glaucoma attack, which is sight-threatening. An acute attack is incredibly painful and needs immediate treatment in order to prevent blindness. See an eye doctor to discuss your glaucoma and speak with your psychiatrist about medication choices as well. ...Read moreSee 2 more doctor answers
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