Doctor insights on:
Herbs To Avoid If You Have Glaucoma
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
Everyone is at risk: Although you cannot change certain things about developing glaucoma, such as positive family history of glaucoma, high myopia, being black or hispanic, aging, there are some important positive and beneficial approaches to keeping your eyes healthy. Eating a healthy diet, exercise, eye protection, yearly eye examinations (high risk groups), careful monitoring of eye pressure if on corticosteroids. ...Read more
Depends: Talk to your doctor about what type of glaucoma you have. Most over the counter medications with a warning label to consult with your physician before using are specifically targeting Narrow angle forms of glaucoma (primary, secondary). If you are not affected with narrow angle glaucoma, then these medications may be taken as labeled and/or by the advice of your health care practitioner. ...Read more
Using travatan for glaucoma in 1 eye. Is it alright to treat other eye without glaucoma to avoid possibility of having 2 different eye colors?
Sometimes: Travatan is in a class of eye drops that can occasionally darken the iris color. Many glaucoma with a genetic component are bilateral and asymmetric. So in those cases it is reasonable to treat both. But with your ophthalmologist's approval. If its a truly unilateral glaucoma, a different medicine can be considered. ...Read more
Opthamlgist saw thinning optic nerve in l eye. Didn't know what q's to ask at the time. Progressive? What can I do to avoid glaucoma? Please educate me
Careful monitoring: Cause of thinning is important to know. There are several specific tests for glaucoma, but it is not always obvious in early stages. Eye pressure is the most simple to test but incomplete. To avoid or reduce progressive damage from glaucoma, careful monitoring by an ophthalmologist and treatment if necessary by eyedrops and/or surgery can be effective for controlling eye pressure. ...Read more
About to have routine eye exam. Should I avoid smoking pot the morning before the exam? Will it hide glaucoma? Dr Zimon please do not answer this Q!
Unlikely effect: Only about 30% of those who smoke pot will have a lowering of eye pressure. At your age, glaucoma is very uncommon. There are other clues to glaucoma aside from eye pressure and if your pressure were to be too high in between the puffs of pot, then these would add information. To be safe, you should avoid the pot but if you must smoke, then it probably will not affect the results. ...Read more
58-year old recently diagnosed w/glaucoma, 30% nerve damage & some peripheral vision loss. What is long term prognosis? Can surgery be avoided?
Good & usually: Acceptable iop control with careful monitoring and testing is quite successful in preventing functional vision loss in 85% or more of patients. I think it is also reassuring that if medical treatment fails to stabilize your glaucoma, that there are excellent procedures that can have great outcomes. Laser treatment would likely be first on the list with incisional surgery later. Surg. Gen not req. ...Read more
Glaucoma in family. My mother has had problems controlling eye pressure w/drops & laser. Is there anything that I can do to avoid same result?
Preventive Care: Highly recommend having a through examination with an ophthalmologist including stereo disc photos, pachymetry and oct of the optic nerves with ganglion cell layer analysis as a baseline. Your exams should be guided based on results with at least annual visis to the ophthalmologist. ...Read more
Impaired eye fluid: Glaucoma is a condition in the inside of the eye, in which the fluid (aqueous humor) cannot get out at a low enough pressure to prevent the pressure from causing loss of the nerves and blood vessels at the back of the eye which causes vision to be lost. Measured will be eye pressure, corneal thickness, visual field, and disc structure. These are all part of the diagnosis. ...Read more
Eye pressure problem: Glaucoma is an eye disorder that damages the eye’s optic nerve, which is the main nerve attached to the back of the eyeball. It usually happens when fluid builds up in the eyeball and increases the pressure inside the eye, thus damaging the optic nerve. Glaucoma is a cause of blindness for people over age 60. Blindness from glaucoma usually can be prevented with medical care. ...Read more
It can: There are 2 main types of glaucoma, closed-angle (acute) and open-angle (chronic). Acute glaucoma is less common, but can present with sudden eye pain due to an increase in intraocular pressure. Chronic glaucoma commonly does not present with eye pain as the process of the disease is more gradual. Be sure to see your doctor if you are experiencing any eye symptoms or are concerned about glaucoma. ...Read more
Not ordinarily: The two main types of glaucoma are open angle ; angle closure. The former is painless and progressive, if not stabilized. The latter also tends to be slow and progressive, but usually gradually closes the drainage angle of the eye. If acute angle closure of the angle occurs, considerable pain results and loss of vision ensues, if not urgently treated by medicine and laser or incisional surgery. ...Read more
Some are: There are many different types of glaucoma, some caused secondarily through trauma or other diseases. But there are some type of glaucoma where genetics are involved but not 100%. In other words just because your parents have it doesn't mean you have to get it. However, risk is certainly higher.... ...Read more
Eye exam and testing: Usually a glaucoma evaluation is triggered when the optic nerve appears large, the eye pressure is measured high, the peripheral vision is diminished, or the front part of the eye appears narrow. At that point a full glaucoma workup is performed including imaging of the optic nerves and visual fields to confirm progressive damage. ...Read more
Eye exam: Through a combination of tests including structural (disc photo, optical coherence tomography) and visual function (visual field) that demonstrates progressive damage to the optic nerve over time. Typically, measuring intraocular pressure is involved since it is our main treatable risk factor for worsening disease. ...Read more
Loss of side vision: Most glaucoma is asymptomatic. Acute angle closure glaucoma is associated with pain, blurred vision, nausea and a red eye. Open angle glaucoma is not symptomatic until late in the progression of the disease. This fact is why routine eye exams are recommended to detect the disease early in its course before irreversible damage to the optic nerve and the vision has occurred. ...Read more
Typically the types are divided into "causes" or the "drain status"
thus primary glaucoma vs. Secondary glaucoma (caused by something that is affecting the drain of the eye)
or open angle vs. Closed angle glaucoma
basically glaucoma can happen at various pressures that is damaging to the individual patient, so there is no pressure cutoff. ...Read more
Signs & symptoms: There are 2 main types of glaucoma: acute closed-angle and chronic open-angle. Acute glaucoma usually affects one eye, presenting with sudden eye pain, blurred vision, halos seen around light, nausea and vomiting, and a non-reactive dilated pupil. Chronic glaucoma usually is asymptomatic, but can present with gradual loss of vision and headache. Both have increased intraocular pressures. ...Read more
Drops/Lasers/Surgery: Depending on the type and severity of glaucoma that you have, the options for treatment include different eye drops, laser treatments and surgical options. The goal of all treatment modalities is to lower the eye pressure. Speak with your eye doctor to determine which treatment option is best for you. ...Read more
Fluid block in eye: The eye has an internal clear fluid circulation 24/7. This is called the aqueous humor. The iris in certain shaped eyes (usually farsighted) can obstruct the outflow and within 1/2 hour the pressure can skyrocket to dangerous levels. This is an emergency, can be stopped with certain drugs and prevented with laser. See your ophthalmologist immediately if you suspect this condition. ...Read more
Yes: The eye maintains a 'normal' pressure to allow proper vision. Glaucoma has several forms but the hallmark is the internal eye pressure becomes higher than the nerves and blood vessels at the back of the eye can withstand and so vision diminishes. Treatment is to eliminate the cause if possible, or to lower the pressure with medication and/or surgery. ...Read more
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