Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Suggest Treatment For Glaucoma
I am 70 and was detected about glaucoma when I was 57. By that time enough damage had happened. First I was on Timolol which brought down the IOP to 17 in each eye. The eye doctor introduced Latanoprost (0-0-1) when I was 60. When I was 62, during the times the IOP exceeded 20, I was added Dorzolamide (1-1-1) to bring down the IOP to less than 14 in each eye. Also other combinations Dorzolamide+Timolo(1-0-1), Brimonidine+timolol)1-0-1) were tried.
Dorzolamide had too much of side effects causing burning sensation, dryness, discharge from the eye, hive-like swelling on the face, crust formation, blepheritis. But whenever the IOP would shoot up to 26, Dorzolamide was effective in bringing down to 14.
But I realized that even with Timolol (1-0-1) and Latanoprost (0-0-1) all these years the IOP has been below 20 with no changes in the fields, which remains almost the same as it was when I was 57. So the eye doctor was also OK with it. The cardiologist is OK with my ECG and does not feel adverse effect of Timolol. However, because of the advancing age, my eye doctor now suggested trying other combinations and again prescribed Dorzolamide (1-1-1) which, even after using tear drops, I find it unbearable.
Ofcourse Latanoprost is regularly being used all these years.
As Dorzolamide is too troublesome, I want to know is it OK to try the following combinations provided the IOP remains around 14 in each eye with my following background? My pulse rate will be around 50-52 but BP will be normal with diastolic around 65-75 and diastolic around 105-120. Whenever ECG is taken they mention as ‘bradycardia’. When Timolol was first prescribed, the eye doctor had not checked my pulse rate nor my BP. So I am under the impression that my pulse rate has below 60 all the time. But because of advancing age I want to avoid Timolol or use it to the minimum. My diurnal study has indicated IOP tapering off towards evening. Hence can I try the following combination?
Brimonidine (1-1-1), Timolol (1-0-0), Latanoprost or Travoprost (0-0-1)
My Present vision is 6/6 partial in RE and 6/9 in LE and no cataract.
Dorzolamide had too much of side effects causing burning sensation, dryness, discharge from the eye, hive-like swelling on the face, crust formation, blepheritis. But whenever the IOP would shoot up to 26, Dorzolamide was effective in bringing down to 14.
But I realized that even with Timolol (1-0-1) and Latanoprost (0-0-1) all these years the IOP has been below 20 with no changes in the fields, which remains almost the same as it was when I was 57. So the eye doctor was also OK with it. The cardiologist is OK with my ECG and does not feel adverse effect of Timolol. However, because of the advancing age, my eye doctor now suggested trying other combinations and again prescribed Dorzolamide (1-1-1) which, even after using tear drops, I find it unbearable.
Ofcourse Latanoprost is regularly being used all these years.
As Dorzolamide is too troublesome, I want to know is it OK to try the following combinations provided the IOP remains around 14 in each eye with my following background? My pulse rate will be around 50-52 but BP will be normal with diastolic around 65-75 and diastolic around 105-120. Whenever ECG is taken they mention as ‘bradycardia’. When Timolol was first prescribed, the eye doctor had not checked my pulse rate nor my BP. So I am under the impression that my pulse rate has below 60 all the time. But because of advancing age I want to avoid Timolol or use it to the minimum. My diurnal study has indicated IOP tapering off towards evening. Hence can I try the following combination?
Brimonidine (1-1-1), Timolol (1-0-0), Latanoprost or Travoprost (0-0-1)
My Present vision is 6/6 partial in RE and 6/9 in LE and no cataract.
Tue, 7 Oct 2014
Hello
Welcome to health care magic.
I reviewed your history.
It seems from the history that you are diagnosed with glaucoma and you are on treatment for the same.
Dorzolamide can be stopped if you are having side effects from it. As of now latanoprost and timolol are the first line of drugs for treatment of glaucoma.
If intraocular pressure is not decreasing with two eye drops then you can go for another additional eye drop in the form of brimonidine under the supervision of your ophthalmologist.
Thank you
Welcome to health care magic.
I reviewed your history.
It seems from the history that you are diagnosed with glaucoma and you are on treatment for the same.
Dorzolamide can be stopped if you are having side effects from it. As of now latanoprost and timolol are the first line of drugs for treatment of glaucoma.
If intraocular pressure is not decreasing with two eye drops then you can go for another additional eye drop in the form of brimonidine under the supervision of your ophthalmologist.
Thank you
I find this answer helpful
1 user finds this helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Timolol
Loading Online Doctors....