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Glaucoma and Nerve damage of eye - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Vision and Eye Disorders
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3573 Questions
Doctor :   hi
Doctor :  
how can we help u
User :   Hi i am chatting from bangalore but its related to eye disease from which my father is suffering
User :   my father is in Delih
Doctor :  
ok
Doctor :  
please go on]
User :   my father is suffering from Glaucoma

User :   its called "Kala moti" in hindi i guess
Doctor :   ok

User :  
from last 1-2 years we met doctors and he is using eye drops to prevent pain
User :  
etc
Doctor :   ok

User :  
so just wanted to know is there any full & final treatment for this whether in India or outside India ?
Doctor :  
ok
Doctor :   To get a better picture I need this information--

Age: ; Occupation:
User :   My father is retired now, around 61 years Old
Doctor :   ok for how long and as to what type of glaucoma is he suffering from
User :   which glaucoma i am not sure but he is suffering from this around 2 year

Doctor :   ok there are 2 typs open and closed

Doctor :  
thjats ok
User :   earlier i thought this disease has treatment thr' laser and my father doesnt want to have...but i came to know that that eye cant be treated now
Doctor :   so he is on medications now

User :  
yes
Doctor :   can you tell me the names of the med

User :   he takes eye drops & medicines control blood pressure etc

User :   even that i dont know
Doctor :   any other medical ilness other than high BP

Doctor :   ok
User :  
so all glaucomas can be treated or not ? or some can be treated & some not..whats the scenario ?
Doctor :  
Laser eye surgery - - improve the drainage tissue in the eye so more fluid flows out more easily, reducing pressure
User :  
No Other disease...he is always fit ..no sugar etc
Doctor :   not that way all are treatable but the treatment modalities vary so
User :  
oh really all glaucomas are treatable, even at later stage ?
User :  
which is the best hospital in India for this treatment ?
Doctor :   laser trabaculectomy, conventional surgery too

User :   Doctor is it possible to have some contact info of yours to get much more detail
Doctor :   it will be tough to tell the best in INDIA but we cud refer u to the once here
User :  
here ?
Doctor :  
if u reqire a surgery we cud arrange it for u
User :  
how the site works..will i contact you again in half hour or it would be another doctor handling my queries ?
Doctor :   well any one here will be helping u

User :  
i meant "you said: not much in Delhi" so i wanted to know in what sense not in delih ?
User :  
ok
User :  
thanks alot
User :  
docotr
Doctor :  
so dont worry about that
Doctor :   bye

Doctor :   hi
User :   Hi Doctor
User :   I just enquired with my mom about my dad's eye
User :   The thing is his left eye has completely gone and suffered with tension

User :   and acc to doctor the nerve behind the eye is dead
User :  
are you there ?
Doctor :   yes
User :   and doctors say that about 6months back that you can do any thing in this world but this wont get correct now

Doctor :   ok
User :   and in summer season he face lot of problem with red eye & lot of water in eyes & pain too

User :  
he is really frustated with left eye
User :  
but in right eye things are ok when he puts the eyes drops
User :   so just need to check the left eye's left nerves
User :  
so it is possible to have some solution
User :  
?
User :   what this disease is called in doctor's terms and is there any solution out of India any where ???

User :  
are you there ?
Doctor :  
Yes
Doctor :  
XXXXXXXX
Doctor :  
I was going through the chat history once again
User :   ok

Doctor :  
Ok i could get from your history and narrations that
Doctor :  
your father has been suffering from glaucoma for years
User :   yes

Doctor :  
and now he landed in complications of optic nerve
Doctor :  
which is said by doctors
Doctor :  
Right
User :  
yes
Doctor :   No cure is available for glaucoma, but the disease can be controlled.
Doctor :   Even with effective treatment, patients must have regular eye examinations. Treatment often continues for the patient's lifetime.
User :   regular eye ?

User :  
ok
User :   thats ok

User :  
i just want that he gets some kind of relief
Doctor :  
So for the nerve complications
Doctor :   Do you mean for the other eye
Doctor :  
rthere are quite good number of medical ointment
User :  
no same left eye...its normally red even at day & night & size of eye is gettting small day by day
Doctor :  
Ok
User :   and with ointment its in little bit control but not much

User :   he is still in pain with these ointment
Doctor :   Ok
Doctor :  
Do you know what is he using right now
User :   so there is no latest technology developed yet ?
User :   do you want to know the name of medicine i can get that..just 1 min

Doctor :  
Ok
User :   its on the name of glaucomol 0.5 , albhagem-b, pilocar 2%, dredisolome eye drops, alphrex 2.5%

User :   i am not sure about spellings

Doctor :  
Ok
User :  
Hope you understand all the medicines as i m not sure abt the spellings
Doctor :  
Yes
User :  
so what should i do now for treatement ?
Doctor :   Is he not able to see with the left eye now
Doctor :  
and it is painful now correct
User :   very very little he can see
Doctor :  
It means the vision is lost because of poor control of pressure
User :  
major is "redness" & lots of water in left eye
Doctor :  
See glaucome is a condition where in the pressure in the eye builds up and compresses the nerve behind it
Doctor :  
so causign the diminished vision
Doctor :  
If it is not treated with teh medicines
Doctor :  
surgery is the next option
Doctor :  
to relive the pain and redness
Doctor :  
Nothing good can be done with out it
Doctor :  
A very small hole is created in the iris which shall drain the liquid increasing the pressure
User :   and with surgery what results we can expect ?

Doctor :  
It is can be done throught lager also
Doctor :  
The vision cannot be got back
Doctor :  
only it relieves the pain and the suffering rt now
Doctor :  
it can also decrease the chances of furhter vision loss
User :   oh ok...just 1 silly question

User :   can we change that eye ?

User :  
in the sense instead of operating that can we operate and have new eye from some donor ?
Doctor :  
when the nerve is damaged even that doesnt bring back his vision
User :   oh

User :  
not any where in the world ?
Doctor :  
there is something called the nerve regeneratiojn
Doctor :  
but it is under research
User :  
oh ok
User :  
where it is happening ?
Doctor :  
Research is still in the initial stages of investigating the mechanisms of regeneration and how they can be stimulated. However, there is a lot of exciting work going on in this area.
User :   ok

Doctor :  
If the research turns fruitful
Doctor :  
the glaucoma can be cured
User :   so when is this research going to be officially completed ?

Doctor :  
WWW.WWWW.WW Doctor :   See this link which is an american
Doctor :  
website
Doctor :  
saying about the Glaucome
User :   oh ok

User :  
so finally you suggest that better to have surgery for time being to get rid of redness, water & pain
Doctor :  
Yes
User :  
for vision thing if this research gets succesful then we can have vision as well ? is it ?
Doctor :  
again depends on the extent of damage of the nerve
Doctor :  
which is based on the examination
Doctor :  
So i think by yoiur explanation next option is a surgery
User :   to check this, what you need i mean,, any scan copy ?

Doctor :  
so the doctor shall decide that
Doctor :  
physical examination
Doctor :  
and Ophthalmoscopy
Doctor :  
Ok
Doctor :  
So get the opinion of the eye specialist
Doctor :  
after the examination
Doctor :  
is there any thing more you will need
User :  
Can you please guide me the best hospital in Delhi ?
Doctor :   no we cant help you right now

Doctor :  
may be in the next 3-4months
User :   means ? i dont understand that...oh you mean you dont have any branch in Delhi

User :  
Is it possible for you to guide me in some other hospitals like apollo, AIIMS in Delhi
Doctor :  
we will be operating in delhi form
Doctor :  
may jjuune
Doctor :  
so will be able to help u then
User :   ok

Doctor :  
ok then
User :   ok Doctor thanks alot

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