Doctor insights on:
Open Angle Glaucoma
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
No: There is no reason for open angle glaucoma to develop in this situation. ...Read more
How many times can slt be repeated to treat an eye with early stage open angle glaucoma? Need pressure lowered by 30%.
Depends: If a reasonable response to slt has been determined (15 to 30% reduction in iop) then i consider repeating it if the duration of effect is at least over a year, but preferably over 2-3 years. If the effect falls off rapidly, i don't repeat it. I move on to other treatment modalities if glaucomatous progression is noted or if the target range of iop has not been achieved. ...Read more
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 moreSee 1 more doctor answer
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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