Glaucoma- Investigations And Treatment
Dr Sachine (Eye Retina Surgeon)
This resource gives information about glaucoma & its treatment
Glaucoma is a progressive optic neuropathy characterized by visual field loss for which increased intraocular pressure is a risk factor.
Glaucoma is a very slowly progressing condition which affects peripheral vision first & central vision generally remains good till end stage. Intraocular pressure ( IOP) is also one of the factors important in glaucoma. IOP has to be recorded many times.
Suspicious findings like increase in cup disc ratio, rise in intraocular pressure, etc will make your doctor suspect whether you have glaucoma . Tests like gonioscopy, optical coherence tomography for retinal nerve fibre layer, Humphrey visual field test, pachymetry for central corneal thickness have to be done to confirm diagnosis.
Commonly used antiglaucoma medicines and eye drops
. Timolol maleate 0.5% eye drops ( Trade name- timolet)- Daily twice instillation
. Latanoprost (Trade name- Latoprost) – Convenient dose- only at night
. Brimonidine (Trade name- brimosun-p)- Daily twice instillation
. Dorzolamide(Trade name- dorzox)- Daily thrice instillation
. Travoprost(Trade name-travo)
. Pilocarpine 2%, 4% drop- (Trade name- pilocar)- Used in primary angle closure glaucoma
. Neuroprotective eye drops- Brimonidine
. Tablet acetazolamide (Trade name- diamox )- Depending on intraocular pressure, dose is adjusted as one, 2,3 or 4 tablets / day.
. Mannitol- It is given intravenous in cases of acute rise in intraocular pressure. Acute rise in intraocular pressure can occur in primary angle closure glaucoma, after eye injury, etc. Mannitol is very useful in reducing pain in such cases
Combination eye drops
These are more convenient for patient.
. Brimonidine+ Timolol (Trade name- brimolol)
. Latanoprost+ Timolol (Trade name- Latocom )
. Bimatoprost(Trade name-lumigan)
Side Effects of antiglaucoma medicines and eye drops
.Timolol- It can cause bronchospasm. To be avoided in asthmatics & heart disease cases especially those who have heart block.
It reduces libido. So to be avoided in young sexually active males.
. Latanoprost- Pigmentation over iris,conjunctiva, below lower eyelid & cheek, increase in length of eyelash
. Pilocarpine- Induced myopia, headache
. Travoprost- Allergic reaction, redness of eye, etc.
. Acetazolamide- Gastritis- To avoid this, it is to be taken after food, with milk or with antacid.
Tingling numbness due to potassium deficiency. To avoid this, syrup kesol is given
. Oral glycerol- Blood sugar can rise. So to be avoided in diabetes.
. Mannitol-To be avoided in heart disease cases as it can increase cardiac overload and precipitate heart attack.
Basic information about Glaucoma
Neovascular glaucoma - Investigations and management
Causes and Treatment of Retinal Detachment
What is celiac disease, symptoms of celiac disease, diagnosis and treatment?
Ten common child diseases and its homeopathic remedies
What Is The ‘Immunotherapy Treatment’ Of Cancer?
Liver and kidney toxicity of certain drugs
Diseases Of Rainy Season And Method Of Their Tretment
Read related articles:
Did you like this resource? Share it with your friends and show your love!
Responses to "Glaucoma- Investigations And Treatment"
No responses found. Be the first to respond...
Notify me by email when others post comments to this article.
Do not include your name, "with regards" etc in the comment. Write detailed comment, relevant to the topic.
No HTML formatting and links to other web sites are allowed.
This is a strictly moderated site. Absolutely no spam allowed.
to fill automatically.
(Will not be published, but
to validate comment)
Type the numbers and letters shown on the left.
Win an apple watch by simply hitting any or all of the action items below!
Techulator Polls & Giveaways
Subscribe to Email
Get Jobs by Email
Forum posts by Email
Articles by Email
Awards & Gifts
j r kumar
Last 7 Days
j r kumar
ISC Technologies, Kochi - India. © All Rights Reserved.