Doctor insights on:
Open Angle Glaucoma
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 moreSee 2 more doctor answers
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
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
Sinus congestion: Will not cause angle glaucoma. In patients who have narrow anterior chamber angles (which would be diagnosed by an ophthalmologist), taking medications to treat a sinus infection could lead to an angle closure glaucoma attack. If you have narrow angles, you should avoid decongestants and anti-histamines until you are told by your ophthalmologist that it's ok to use them. ...Read more
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Right eye open angle glaucoma with moderate field damage and optic atrophy. Does optic atrophy mean end stage glaucoma?
Increased IOP: While levodopa/carbidopa primarily is a dopaminergic agent, there may be cross-over onto cholinergic receptors. These receptors are generally responsible for pupil dilation which can cause narrowing of the angle which can increase eye pressure. A laser iridotomy may help in some cases but not all. The medication could be tried if needed, with careful supervision by an ophthalmologist. ...Read moreSee 1 more doctor answer
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: Sleep apnea decrease O2 to your body. Apnea means pauses in breathing or shallow breaths while you sleep. This means your body does not get O2 at that time. Lack od O2 is damaging to the cells/tissues including optic nerve. One of the risk factor for glaucomatous nerve changes or nerve damage is sleep apnea. Pls control the problem will help you to avoid health problem, including heart, brain ...Read more
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