7 doctors weighed in:

After all glaucoma treatment, had 2 bearvelt tube in right& 1 350 in left eye. Iop 15&22.With cosopt, alphagan, xalatan (latanoprost).C/d .9/.95. What else can b done?

7 doctors weighed in
Dr. Jon Fishburn
Ophthalmology
3 doctors agree

In brief: Difficult

Your situation is very complicated.
With your cdr ratios you need very low target iops. At times a second, smaller, baerveldt shunt can be inserted depending on your eyes situation. Occasionally an slt can be done case by case situation. The latter more for next to last resort. Sometimes a cyclo-destructive procedure is contemplated, but threat to vision exists. See a glaucoma specialist.

In brief: Difficult

Your situation is very complicated.
With your cdr ratios you need very low target iops. At times a second, smaller, baerveldt shunt can be inserted depending on your eyes situation. Occasionally an slt can be done case by case situation. The latter more for next to last resort. Sometimes a cyclo-destructive procedure is contemplated, but threat to vision exists. See a glaucoma specialist.
Dr. Jon Fishburn
Dr. Jon Fishburn
Thank
Dr. Richard Lehrer
Ophthalmology
2 doctors agree

In brief: Glaucoma Specialist

With your severe glaucoma, your l eye pressure is likely too high.
You could have a 2nd tube as well or a cyclophotocoagulation procedure done internally or externally. You need to discuss this with your glaucoma specialist. You also may need additional treatment for the r eye if you are continuing to lose vision despite your pressure of 15.

In brief: Glaucoma Specialist

With your severe glaucoma, your l eye pressure is likely too high.
You could have a 2nd tube as well or a cyclophotocoagulation procedure done internally or externally. You need to discuss this with your glaucoma specialist. You also may need additional treatment for the r eye if you are continuing to lose vision despite your pressure of 15.
Dr. Richard Lehrer
Dr. Richard Lehrer
Thank
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