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Doctor insights on: Advanced Open Angle Glaucoma

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Is acute angle closure glaucoma painful?

Is acute angle closure glaucoma painful?

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 more

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Dr. Robert Chang
1,045 doctors shared insights

Glaucoma (Definition)

A condition of increased pressure in the eyes that leads ...Read more


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Is primary open angle glaucoma progressive?is it curable?

Is primary open angle glaucoma progressive?is it curable?

Yes and no: Primary open angle glaucoma is controllable not curable. Usually can be controlled with drops. With good pressure control, progression is also controlled. Occasionally laser or surgery is necessary. ...Read more

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Creeping angle closure glaucoma?

Creeping angle closure glaucoma?

Creeping?: Not sure what creeping means? But suspect you are referring to narrowing of the angles to the point where you are are at risk for angle closure which leads to glaucoma. ...Read more

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Any new treatment for open angle glaucoma?

Any new treatment for open angle glaucoma?

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

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Do narrow angle glaucoma numbers require treatment?

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

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Right eye open angle glaucoma with moderate field damage and optic atrophy. Does optic atrophy mean end stage glaucoma?

Right eye open angle glaucoma with moderate field damage and optic atrophy. Does optic atrophy mean end stage glaucoma?

No: Glaucoma is staged by the visual field test. Visual loss that approaches the center of the vision or extensive visual field loss overall makes it advanced. End-stage glaucoma has no useful vision. The optic nerve changes usually precede the visual field changes. ...Read more

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Can you cure an open angle glaucoma by surgery?

Can you cure an open angle glaucoma by surgery?

Stabilizable: Unfortunately, we don't have a surgical/medical cure for glaucoma. The current treatments are very effective and provide a tremendous stabilizing influence on glaucomatous disease. Glaucoma requires chronic and diligent life long care to assure that visual function remains as high as possible throughout life. I remain optimistic about medical/surgical research on better treatment strategies. ...Read more

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Define narrow angle glaucoma?

Narrow angle highiop: Narrow angle glaucoma is a condition where the eye pressure is elevated due to mechanical blockage of the trabecular meshwork by the peripheral iris. ...Read more

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Is glycopyrrolate contraindicated in narrow angle glaucoma? Why?

Is glycopyrrolate contraindicated in narrow angle glaucoma? Why?

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 more

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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?

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 more

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How is age a factor in controlling open angle glaucoma?

Younger patients: Need more aggressive treatment than older ones. This is because the disease is cumulative in its effect. ...Read more

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Anntanimical narrow angle trestment?

Anntanimical narrow angle trestment?

Laser: If you have anatomically narrow angles which are found to be occludible by your eye doctor, you need tohave a laser treatment on both eyes (peripheral iridotomy) as soon as possible. ...Read more

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In open angle glaucoma is optic atrophy a symptom of glaucoma attacking the central vision?

In open angle glaucoma is optic atrophy a symptom of glaucoma attacking the central vision?

Glaucoma: when glaucoma attacks the optic nerve the initial loss is usually peripheral vision. If not controled the loss will increase and proceed to involve the central vision. ...Read more

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Progressive macular pucker 20/30 vision, distortion & glaucoma. Visual fIeld good,nerve damage 30-45%.Would vitrectomy cause glaucoma to progress?

Possible: Vitrectomy and glaucoma may have an association. It is suspected that glaucoma occurs more often in patients who have had vitrectomy and subsequent cataract surgery. An ongoing clinical trial is aimed to answer this question with more clarity. PROVE Study. http://www.aaojournal.org/article/S0161-6420(14)00344-3/references AND https://clinicaltrials.gov/ct2/show/NCT01162356 ...Read more

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In glaucoma is trabectome surgery similar to slt laser treatment?

In glaucoma is trabectome surgery similar to slt laser treatment?

No: Trabectome surgery requires an incision to allow entry of a surgical instrument designed to electrically ablate tissue from the trabecular mesh work and aspirate it frame the eye. This is one of the more minimally invasive angle surgeries available. Slt is a laser procedure that incorporates a proprietary wavelength of laser light energy directed at the trabecular mesh work to stimulate outflow. ...Read more

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Is zyprexa (olanzapine) save for open angle glaucoma patient.

Should be: Zyprexa (olanzapine) should be safe in a patient with open angle glaucoma. It is contraindicated in narrow angle glaucoma because it can precipitate an acute angle closure crisis. ...Read more

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Could sinus congestion cause narrow angle closure glaucoma?

Could sinus congestion cause narrow angle closure glaucoma?

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

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Why is diphenhydramine contraindicated in narrow angle glaucoma?

It can increase IOP: http://answers.yahoo.com/question/index?qid=20090328145710aa3jfbq it has anti-cholinergic properties that can cause intra-ocular pressure in the eye to increase, due to obstruction of the normal flow of fluid out of the eye. The link above explains it in more detail. ...Read more

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With open angle glaucoma could sleep apnea cause damage to the optic nerve?

With open angle glaucoma could sleep apnea cause damage to the optic nerve?

Yes: Sleep apnea decrease O2 to your body. Apnea means pauses in breathing or shallow breaths while you sleep. This means your body does not get O2 at that time. Lack od O2 is damaging to the cells/tissues including optic nerve. One of the risk factor for glaucomatous nerve changes or nerve damage is sleep apnea. Pls control the problem will help you to avoid health problem, including heart, brain ...Read more