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Doctor insights on: Age Of Open Angle Glaucoma

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How is age a factor in controlling open angle glaucoma?

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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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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What are the symptoms of angle closure glaucoma?

They include: pain in or over the eye, redness, blurred vision, nausea, vomiting, abdomen pain. Most people with it have severe symptoms that send them to the Emergency Department. This is the acute form of it. There is an insidious form in which you slowly go blind. It is treatable with good results. ...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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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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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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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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Could u please explain what is the mechanism in the angle clossure glaucoma and open angle glaucoma.?

Could u please explain what is the mechanism in the angle clossure glaucoma and open angle glaucoma.?

Elevated IOP: Angle closure glaucoma is an acute elevation of intraocular pressure secondary to mechanical blockage of the trabecular meshwork (the drainage area of the eye) by the peripheral iris. Open angle glaucoma is usually caused by a chronic elevation of intraocular pressure caused by blockage and resistance to outflow within the trabecular meshwork leading to an optic neuropathy in susceptible eyes. ...Read more

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What is reduced contrast sensitivity in vision & at what stage in open angle glaucoma can it occur?

What is reduced contrast sensitivity in vision & at what stage in open angle glaucoma can it occur?

Ability to disting-: Uish an image or object from its surrounding space is the contrast sensitivity. It is typically not measured in routine exam. Contrast sensitivity is affected by type of correction. There is a loss of contrast sensitivity at all stages of glaucoma. Some feel that the earliest loss occurs in the blue yellow spectrum. Multifocal lenses can also result in loss of contrast sensitivity. ...Read more

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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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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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Why is diphenhydramine contraindicated in narrow angle glaucoma?

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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Who is at risk for open-angle glaucoma?

Risk factors are...: Family/ethnicity are important. Those at highest risk for open-angle glaucoma have a sibling with glaucoma; or a parent. African-americans and hispanics are at higher risk than caucasians. Asians have a higher risk for angle-closure disease (e.g., chinese); others are at for risk low-pressure glaucoma (japanese.) other risks include a serious eye injury, or long exposure to Prednisone therapy. ...Read more

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What are the most common symptoms of open angle glaucoma?

No symptoms: One of the things about open angle glaucoma is that the peripheral vision loss "sneaks up" on folks. There are no symptoms, and the sign of peripheral vision loss is not noticeable until the vision loss is advanced. If there is a suspicion or family history, have a proper evaluation by an eye doctor. ...Read more

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I have end stage open angle glaucoma with 130 degree field of vision. What does this mean..Doctor vague ?

Visual field driving: Severe (end stage) glaucoma causes peripheral vision loss (tunnel vision) . Open angle is most common. Florida requires that you have at least 130 degrees of uninterrupted horizontal visual field in order to drive (along with acuity and other requirements). This is because severe peripheral visual field loss would mean that you might not see a car or person entering the road from the side. ...Read more

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Open angle glaucoma in right eye with 50% nerve damage and moderate field loss. Left eye shows no signs of glaucoma. Will it ever?

Open angle glaucoma in right eye with 50% nerve damage and moderate field loss. Left eye shows no signs of glaucoma. Will it ever?

It's very possible: The number one risk for glaucoma is the same diagnosis in the fellow eye. You will need to have regular eye pressure tests along with field of vision and OCT tests at least every 6 months. If you are compliant with drops and or laser and keep appts you are unlikely to lose vision. ...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?

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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What is the treatment for macular degeneration/narrow angle glaucoma?

What is the treatment for macular degeneration/narrow angle glaucoma?

Different Rx: Macular degeneration: dry: areds multivitamin supplement, green leafy vegetables high in lutein, uv protection, ?Possibly fish oil. Wet: laser, vedf intraocular injection. Narrow angle glaucoma: a laser iridotomy. ...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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What is open-angle glaucoma?

Open angle glaucoma: This is the most common type of glaucoma in which the drains of the eye interior gradually become obstructed (like plumbing obstruction in your house) leading to elevation of the interior eye pressure. This squeezes the nerves and blood vessels at the back of the eye causing gradual loss of vision over time. Treatment (drops, laser, surgery) will lower pressure and protect the eye. ...Read more

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Who is at risk for open-angle glaucoma?

Risk factors are...: Family/ethnicity are important. Those at highest risk for open-angle glaucoma have a sibling with glaucoma; or a parent. African-americans and hispanics are at higher risk than caucasians. Asians have a higher risk for angle-closure disease (e.g., chinese); others are at for risk low-pressure glaucoma (japanese.) other risks include a serious eye injury, or long exposure to Prednisone therapy. ...Read more

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How long can open angle glaucoma go untreated?

How long can open angle glaucoma go untreated?

Never good: Unfortunately, undiagnosed glaucomatous disease & failure to adhere to recommended prescribed treatments for those diagnosed are two of the biggest issues of managing an otherwise very treatable & stabilizable Disease. The best advice is to have a comprehensive eye exam before age 40, particularly if you are in a a high risk group. ...Read more

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What are the most common symptoms of open angle glaucoma?

No symptoms: One of the things about open angle glaucoma is that the peripheral vision loss "sneaks up" on folks. There are no symptoms, and the sign of peripheral vision loss is not noticeable until the vision loss is advanced. If there is a suspicion or family history, have a proper evaluation by an eye doctor. ...Read more

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I've got "open angle glaucoma" what is it? Is it heriditary?

Optic nerve damage: Open angle glaucoma is a group of disorders in which there is characteristic and progressive damage to the optic nerve. This results in loss of peripheral vision and can cause blindness. Glaucoma has numerous causes, some of which are genetic and not all of which are fully understood. While having family members with glaucoma increases your risk of getting glaucoma, it does not guarantee it. ...Read more

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I have advanced open angle glaucoma. Can anyone give me any good news on advanced glaucoma?

See Below: There are eye drops, lasers, and several kinds of surgery (some new) for this. See a good glaucoma specialist. You're in philly, so try wills eye institute (my alma mater). ...Read more

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How can I cure primary open angle glaucoma naturally by exercise or alternative safety ways please ?

How can I cure primary open angle glaucoma naturally by exercise or alternative safety ways please ?

Not possible: There are no natural products, no natural treatment , no exercises etc. that will modify glaucoma in any way. There is effective pharmacologic and surgical treatment and you should follow the advice of your ophthalmologist for the preservation of your important vision. Naturopaths and chiropractors have no role to play at all in this condition. ...Read more

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Recently diagnosed w/open angle glaucoma and being treated w/ 1 drop.. In general, how long is it before you know if glaucoma is under control?

Recently diagnosed w/open angle glaucoma and being treated w/ 1 drop.. In general, how long is it before you know if glaucoma is under control?

Quickly: presumably you had elevated pressure in your eye. The drop given should lower the pressure within a week. Your ophthalmologist ( you are seeing an ophthalmologist for such a diagnosis?) will have you come back soon to see if the eye pressure responded to normal with your drop. ...Read more

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I have open angle glaucoma I have A fresh herb garden was told to be careful on herbs I use. Can you give me a list of herbs to avoid using. Thank you?

I have open angle glaucoma I have A fresh herb garden was told to be careful on herbs I use. Can you give me a list of herbs to avoid using. Thank you?

No problems: While the actual effects of most herbs is dubious, none that I am aware of will have an effect one way or the other on glaucoma. If you are in active treatment with the pressure normalized, and you feel herbs are useful in other regards, then you can use them. You might consider saving that money to make sure you can pay for your anti-glaucoma medication. ...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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Is Uribel drug safe to use with open angle glaucoma.

Uribel: Glaucoma is listed as a contraindication and,thus, uribel should not be used in the presence of glaucoma. Your pharmacist can give you additional information and can be very helpful in answering questions about your medications. ...Read more

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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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Could u please explain what is the mechanism in the angle clossure glaucoma and open angle glaucoma.?

Elevated IOP: Angle closure glaucoma is an acute elevation of intraocular pressure secondary to mechanical blockage of the trabecular meshwork (the drainage area of the eye) by the peripheral iris. Open angle glaucoma is usually caused by a chronic elevation of intraocular pressure caused by blockage and resistance to outflow within the trabecular meshwork leading to an optic neuropathy in susceptible eyes. ...Read more

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If open angle glaucoma is uncontrolled despite a reduction in pressure from 31 to 12 is it considered normal tension glaucoma.

No: Because your IOP was considerably higher than the "normal upper range", your glaucoma would be considered high tension open angle glaucoma (presumably your angles are open). Your IOP did decrease nicely, but you indicate that your disease is progressing. Despite medications, laser & incisional surgery are possibly helpful at producing a 'more' stabilizing effect. ?results of ur Neuroophtho eval? ...Read more

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Are there surgeries for open angle glaucoma that will stop its progression permanently?

Unlikely: It is unknown if it would stop it permanently, but probably not. What is known is that surgeries can very adequately control the damaging pressures and thereby presumably reduce or slow progression, which is a critical component to prevent permanent vision loss including blindness from poorly controlled glaucoma. ...Read more

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What is reduced contrast sensitivity in vision & at what stage in open angle glaucoma can it occur?

Ability to disting-: Uish an image or object from its surrounding space is the contrast sensitivity. It is typically not measured in routine exam. Contrast sensitivity is affected by type of correction. There is a loss of contrast sensitivity at all stages of glaucoma. Some feel that the earliest loss occurs in the blue yellow spectrum. Multifocal lenses can also result in loss of contrast sensitivity. ...Read more

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Early stage open angle glaucoma, on average how long does drop stabilize the disease before 2nd drop needed to control the pressure?

Early stage open angle glaucoma, on average  how long does drop stabilize the disease before 2nd drop needed to control the pressure?

Time is of essence: This is a great question with a variety of meaningful responses. Clinicians may vary a bit on target iop range but the real goal is to preserve visual function as best as possible. An iop target range is initially set to be about 25-30% lower than presentation iop, a pressure that was causing optic nerve damage. Visual fields, oct, iop, and optic nerve exams aid in deciding on another med. ...Read more

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