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Doctor insights on: Open Angle Glaucoma Surgery

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Is acute angle closure glaucoma painful?

Is acute angle closure glaucoma painful?

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 more

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Dr. Robert Chang
1,045 doctors shared insights

Glaucoma (Definition)

A condition of increased pressure in the eyes that leads ...Read more


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Creeping angle closure glaucoma?

Creeping angle closure glaucoma?

Creeping?: Not sure what creeping means? But suspect you are referring to narrowing of the angles to the point where you are are at risk for angle closure which leads to glaucoma. ...Read more

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Can you cure an open angle glaucoma by surgery?

Can you cure an open angle glaucoma by surgery?

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

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Any new treatment for open angle glaucoma?

Any new treatment for open angle glaucoma?

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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Do narrow angle glaucoma numbers require treatment?

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

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In glaucoma is trabectome surgery similar to slt laser treatment?

In glaucoma is trabectome surgery similar to slt laser treatment?

No: Trabectome surgery requires an incision to allow entry of a surgical instrument designed to electrically ablate tissue from the trabecular mesh work and aspirate it frame the eye. This is one of the more minimally invasive angle surgeries available. Slt is a laser procedure that incorporates a proprietary wavelength of laser light energy directed at the trabecular mesh work to stimulate outflow. ...Read more

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Anntanimical narrow angle trestment?

Anntanimical narrow angle trestment?

Laser: If you have anatomically narrow angles which are found to be occludible by your eye doctor, you need tohave a laser treatment on both eyes (peripheral iridotomy) as soon as possible. ...Read more

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Could my narrow angle glaucoma improve if I had cataract surgery?

Could my narrow angle glaucoma improve if I had cataract surgery?

Yes: The lens: usually clear, behind iris & like "pillow in a pillowcase." Lens can get cloudy/white=Cataract & can affect VA. If significant or causing narrow angles, surgery may be indicated:Cataract is # 1 cause of preventable blindness in world. Cataract surgery is the most common surgery performed in world & US. Complication risk very low; best time in history to have CS: eyedoc2020.blogspot.com ...Read more

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Is glycopyrrolate contraindicated in narrow angle glaucoma? Why?

Is glycopyrrolate contraindicated in narrow angle glaucoma? Why?

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 more

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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?

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 more

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Secondary angle closure glaucoma may occur after lensectomy surgery.. But i'm curious as to why?

Very unlikely: Removing the lens reduces the risk of angle closure glaucoma, and in some cases is used to treat it. ...Read more

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How is age a factor in controlling open angle glaucoma?

Younger patients: Need more aggressive treatment than older ones. This is because the disease is cumulative in its effect. ...Read more

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Define narrow angle glaucoma?

Define narrow angle glaucoma?

Narrow angle highiop: Narrow angle glaucoma is a condition where the eye pressure is elevated due to mechanical blockage of the trabecular meshwork by the peripheral iris. ...Read more

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Is zyprexa (olanzapine) save for open angle glaucoma patient.

Is zyprexa (olanzapine) save for open angle glaucoma patient.

Should be: Zyprexa (olanzapine) should be safe in a patient with open angle glaucoma. It is contraindicated in narrow angle glaucoma because it can precipitate an acute angle closure crisis. ...Read more

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How long can open angle glaucoma go untreated?

How long can open angle glaucoma go untreated?

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 more

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Are there surgeries for open angle glaucoma that will stop its progression permanently?

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

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Right eye open angle glaucoma with moderate field damage and optic atrophy. Does optic atrophy mean end stage glaucoma?

No: Glaucoma is staged by the visual field test. Visual loss that approaches the center of the vision or extensive visual field loss overall makes it advanced. End-stage glaucoma has no useful vision. The optic nerve changes usually precede the visual field changes. ...Read more

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Could sinus congestion cause narrow angle closure glaucoma?

Could sinus congestion cause narrow angle closure glaucoma?

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

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Can laser eye surgery correct myopic near sightedness?

Can laser eye surgery correct myopic near sightedness?

Yes: Yes. Most myopic patients do well with laser eye surgery. Although the laser are approved off higher correction, i generally treat up to -10 d (as long as everything else is normal. ...Read more

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Why is diphenhydramine contraindicated in narrow angle glaucoma?

It can increase IOP: http://answers.yahoo.com/question/index?qid=20090328145710aa3jfbq it has anti-cholinergic properties that can cause intra-ocular pressure in the eye to increase, due to obstruction of the normal flow of fluid out of the eye. The link above explains it in more detail. ...Read more