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Is Laser Surgery Or Latanoprost Drop More Effective At Treating Glaucoma?
Question: 77 y/o male.No symptoms. No family history of glaucoma. I was diagnosed with glaucoma in right eye and increased pressure in left eye (33/25).
Have some damage to optic nerve cup on exam with some decrease in visual field in right eye.
I saw two doctors. One suggested going straight to laser surgery first, the second suggested
i start using Latanoprost drops in both eyes because he said laser surgery would not sufficiently lower the pressure enough in my right eye. (only lower it 20%) And lasers only work temporarily.
Which do you recommend? Would laser followed by drops, or drops followed by laser if needed be best? Any downside to either fist?
Have some damage to optic nerve cup on exam with some decrease in visual field in right eye.
I saw two doctors. One suggested going straight to laser surgery first, the second suggested
i start using Latanoprost drops in both eyes because he said laser surgery would not sufficiently lower the pressure enough in my right eye. (only lower it 20%) And lasers only work temporarily.
Which do you recommend? Would laser followed by drops, or drops followed by laser if needed be best? Any downside to either fist?
Brief Answer:
Repeated measuring of iot is tobe done. field tracing should be done.
Detailed Answer:
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
For glaucoma there is only eye drops, tablet and surgery is available option is to be decided by treating doctor. If pressure is very high then it can be lowered by tablet.For surgery trabecule is recomanded. Trabecular mesh-work is incised and channel is opened up.It can be supported by tenalol drop. Followup is to be made by taking repeated IOT. If it is higher then can be controlled by available drops, tablet or surgery. Fundus examination is to be done and cup disc ratio to be noted.In your case it is altered. So the type of glaucoma can be analysed by slit lamp or gonioscopy. Accordingly medication can be recomanded. If damage is done, with proper treatment it is reversible so better to start treatment early. Field tracing should be done if scotoma detected,then immunologist can be consulted and thyroid function can be done.
Hope I have answered your query. Let me know if I can assist you further.
Repeated measuring of iot is tobe done. field tracing should be done.
Detailed Answer:
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
For glaucoma there is only eye drops, tablet and surgery is available option is to be decided by treating doctor. If pressure is very high then it can be lowered by tablet.For surgery trabecule is recomanded. Trabecular mesh-work is incised and channel is opened up.It can be supported by tenalol drop. Followup is to be made by taking repeated IOT. If it is higher then can be controlled by available drops, tablet or surgery. Fundus examination is to be done and cup disc ratio to be noted.In your case it is altered. So the type of glaucoma can be analysed by slit lamp or gonioscopy. Accordingly medication can be recomanded. If damage is done, with proper treatment it is reversible so better to start treatment early. Field tracing should be done if scotoma detected,then immunologist can be consulted and thyroid function can be done.
Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Please answer which treatment to start first in my case - medication drops or laser ?
Brief Answer:
Laser can be used followed by drop or tablet.
Detailed Answer:
Can be treated with laser then as follow up drop like Tenelol can be recommended.
Laser can be used followed by drop or tablet.
Detailed Answer:
Can be treated with laser then as follow up drop like Tenelol can be recommended.
Above answer was peer-reviewed by :
Dr. Kampana
Is the IOP lowered the same amont with laser LST as initial treatment?
Brief Answer:
Yes, it lower detection as the same amount of initial treatment.
Detailed Answer:
Hello,
It can be ascertained application. Yes, it lowers the same amount of lasers initial treatment. It can be practically tried.
Hope I have answered your query.
Take care
Dr. Ashok Kumar Dash, Ophthalmologist
Yes, it lower detection as the same amount of initial treatment.
Detailed Answer:
Hello,
It can be ascertained application. Yes, it lowers the same amount of lasers initial treatment. It can be practically tried.
Hope I have answered your query.
Take care
Dr. Ashok Kumar Dash, Ophthalmologist
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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