Doctor insights on:
Medicine For 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
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
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 high risk group. ...Read more
Uncertain: Please clarify your question.Get a more detailed answer ›
Younger patients: Need more aggressive treatment than older ones. This is because the disease is cumulative in its effect. ...Read more
Yes: Unusual but possible and congenital in nature. ...Read more
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
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
You can ask your eye: Doctor to find out what type it is. ...Read more
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
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
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
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
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
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
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
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
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 good 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
Have open angle glaucoma in early stage. Can it affect night driving? I seem to not be able to see curbs, lines & turning lanes as well as I should.
Glaucoma affects: Your peripheral vision, your symptoms are due to a slight amount of nearsightedness that occurs at night, "night myopia", this happens to everyone and is not related to glaucoma. Glaucoma vision deficits come with uncontrolled or advanced glaucoma, not in the early stages. ...Read more
Slowly over time: Typically, open angle glaucoma causes loss of ganglion cells with progressive thinning of the retinal nerve fiber layer faster than age-related loss slowly over time (thus generally asymptomatic), eventually leading to an enlarged optic nerve cup seen on eye exam. The optic nerve appears pale with loss of tissue and remodeled laminar changes. ...Read more
Risky: Lexapro has been associated with exacerbation of glaucoma. It is unclear whether this is due to increase in serotonin or anticholinergic effects. Most antidepressants do have some anticholinergic effects which definitely can increase symptoms of glaucoma. If you need an antidepressant Wellbutrin (bupropion) would be a much safer alternative ...Read more
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
Use travatan for open angle glaucoma. After 8 mos. Oct readings are not the same. Does this mean travatan be not stopping or slowing nerve damage?
No: I assume that you are talking about the intraocular pressure that has not changed. May be need a change in medication. Are you diabetic? Are you losing peripheral vision. You must return to your opthalmologist asap as you are in the right age to possibly lose your sight if not followed closely. ...Read more
In monitoring open angle glaucoma, if oct test results taken 1 yr. Apart are different, can it mean glaucoma isn't stable? No change in visual field.
Open angle glaucoma: By definition will diminish your retinal nerve fiber layer (rnfl) over time if not well controlled. Serial rnfl scans are highly sensitive and can detect small changes prior to a formal visual field test demonstrates changes. Questions if loss is occurring can be answered by looking at serial scans of the rnfl over time and looking for trends. So, yes, it may not be stable and requires follow up. ...Read more
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