Doctor insights on:
Medicine For Primary Congenital Glaucoma
Possibly: There are a number of causes for congenital glaucoma. Depending on what the underlying problem is, there indeed may be treatment. It is very important to get a pediatric opthalmologist involved asap as they can guide both diagnosis and treatment. Every day you delay puts your child's vision at more risk. ...Read more
My father had normal tension glaucoma. Is it possible for me to have congenital glaucoma? (i'm 30 years old)
I've been taking Dorzolamide and Latanoprost for congenital glaucoma for 12 years, will I be on these eye drops the rest of my life?
Options: There are several classes of medications to consider for the treatment. Depending on your health, other than the prostaglandin analogue class (travatan, others), alpha agonists (brimonidine), beta antagonists (timolol, others), carbonic anhydrase inhibitors (dorzolamide, others), parasympathomimetics (pilocarpine, others), & hyperosmotics (not used by patient). Also, laser treatment is a consideration ...Read more
Many: There are several other drops in the same class as travatan. Two are generic (latanoprost and transports) as well as zioptan, lumigan and rescula. There are then 4 other classes of eye drop medications that can be used -beta blockers, carbonic anhydrase inhibitors, alpha adrenergics and parasympathetics. Beyond eye drops there is a laser as well. ...Read more
No limits: If you father is taking medication to treat glaucoma, then he has most likely had a diagnosis of open angle glaucoma (oag). There are no limits to other medication he can take simultaneously. There is a type of glaucoma called narrow angle for which disclaimers are listed on medication "do not take if you have glaucoma"- but these are for a type he doesn't have. ...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
I have just been diagnosed with anatomic narrow angle. No glaucoma. What medicines should I not take?
Look on the labels: The majority of medications that list warnings about glaucoma have to do with the concern of people with narrow angles. There are components of medications, like antihistamines, that have a dilating effect on the pupil of the eye. This can congest the area where eye fluid naturally drains and cause an increase in eye pressure. Your doctor should advise you more closely on this. Good luck! ...Read more
Use travatan z for glaucoma w/minimal side effects. If a 2nd class of drug is added will there be bothersome side effects?
Generally no!: Each class of medication has its own side effects. These drops generally do not amplify each other's side effect! However... More drops means more preservatives which my cause irritation. ...Read more
I'm using allergan (combigan and ganfort) for an advanced glaucoma. Are these the best drugs for treating glaucoma, or are there better ones?
Glaucoma: Both combigan and ganfort are combination drops. Both contain timolol which would be unnecessary duplicate therapy with potential for side effects. This maybe something to address with your eye doc. However, it is often difficult to suggest alternatives in advanced glaucoma if a regimen is already working for you...a sort of ' don't fix what's not broken' approach. Good luck ...Read more
Glaucoma 35 years. Pressure 8 and 17. Dr. Wants to laser as 3 drugs I am now on won't lower pressure below 17. Thought 17 was in normal range.
Glaucoma: Would get a second opinion as 17 is not that high. How are you doing on visual filed testing? Is it normal or showing evidence of glaucoma effects? Though usually above 20 is a concern, there is an entity called normal tension glaucoma where you can have damage at normal optic pressures. F/U with second opinion and discuss normal pressure glaucoma and visual field defects with your doctor. ...Read more
Benefit greatest: The greatest benefit for protection against glaucoma was in men with cardiovascular disease and high cholesterol. The authors believe statins might lower the risk of glaucoma by reducing atherosclerosis in the optic nerve, or by improving blood flow in the eye. Statins might also enhance the ability of cells just in front of the iris to drain excess fluid. ...Read more
Ideally: Ideally scheduled medicines should be taken around the same time to achieve steady blood levels but a bit of variation is sometimes inevitable and acceptable ...Read more
Convenience: This useful anti glaucoma drop is commonly presicribed for use at bedtime just for convenience and remembrance with a bottle at the bedside or next to the toothbrush. It could be taken at some other time on a regular basis. Some note that the internal eye pressure is highest in the wee hours of the morning so bedtime use gets a little extra effect at that time. ...Read more
Yes: If you were prescribed glaucoma treatment medication, than your ophthalmologist (you are seeing an ophthalmologist aren't you?) has felt that they will protect your eye from elevated pressure. You may have had elevate pressure long before it was first detected, so you should start the medication as soon as you get it and as prescribed. ...Read more
None are safest: The standard treatment of an anxiety d/o is the triad of temporary Benzodiazepine use, intermediate antidepressant use and talk therapy (like CBT). SSRIs are not contraindicated in glaucoma but there is an elevated risk, so they're best avoided. As for Benzo use, they're not a good idea long term or without the other two parts of the treatment. That leaves us with CBT and lifestyle adjustments. ...Read more
Anxiety & glaucoma: Anxiety is a serious disorder. Treatment should be carefully monitored by a physician. A "quick fix" is not wise. Probably the safer group of anxiety drugs would be the beta blockers, but they are best indicated for phobias, fears and frights. They make work for a while but tend to be less effective with time. The moral is simple, your doctor can help better with a more comprehensive approach, . ...Read more