Was just diagnosed with glaucoma, need support!

Posted by evw100 @ew100, Jun 8, 2019

I’ll be 79 in a couple of months and my ophthalmologist just diagnosed my eyes “Primary open-angle glaucoma, bilateral, mild stage”. My eye pressures are borderline high, 22.5 left eye and 21 right eye. Since my dad was blind of glaucoma, the doctor wants me to start using eye drops on my left eye only, so he can compare the result of the drops. After using Travatan Z (free sample bottle from his office) for one month, my left eye pressure went up to 23! He switched me to Latanoprost (Xalatan) with the same direction and recheck one month in July.

I was diagnosed with myopic degeneration or degenerative myopia 9 years ago, I also have bad cataracts. I’m praying that Latanoprost drops will bring my left eye pressure down from 23, so the doctor does not recommend laser or surgery as the next step!!! I don’t heal well; I have very weak immune system. I have Medicare, HMO insurance plan.

I would appreciate so much if you would share any of your experiences of your glaucoma treatment journey and the different types of eye drops that you used!

Interested in more discussions like this? Go to the Eye Conditions Support Group.

@colleenyoung

Welcome, Maryanne. I can imagine that being diagnosed with Pseudoexfoliation Glaucoma (PXF) came as a shock. I'm bringing in @dsh33782 @carolee888 @ew100 @lioness @riflemanz64 @ashby1947 and @azpowells to share their experiences and offer support.

When do you see the specialist?

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@maryann2 Welcome to connect .I was diagnosed in my 30,s and started on Timoptic drops for a long time then a specialist took me off since my pressures stayed within limits For a long time I didn't have to use them but in older age 60,s specialist saw my pressure was going up so put me on Latanoprest every night which I'm still on ,I'm almost 80 and pressure is maintaining so it's important to see a specialist. Hope this helps .Glad you reached out to this community .

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Hi Marryanne
Sorry to hear your diagnosis. Welcome to the world of glaucoma patients.
I've been fighting it for over 30 years now. The good news is I can still eye with my right eye. I use 3 different eye drops: Cosopt, Pilocarpine, and Rocklatan which currently keep my eye pressure around 11-12. For me they don't want it over 14-15, and if it gets over that I've be looking at XenGen or Gatt surgery to insert drain to redue pressure. between eye drops and surgery options, the docs should be able to manage your glaucoma.
I'm a software engineer and have been doing software development my whole career so I highly value vision to see computer. I do have trouble with glare now, and set screen to high contrast.

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Anyone else have the low pressure/normal tension version of open angle glaucoma? I am on latanoprost but find it strange to take drops when pressure is normal.

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@aaroncush

Anyone else have the low pressure/normal tension version of open angle glaucoma? I am on latanoprost but find it strange to take drops when pressure is normal.

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Yes, Aaron, I have low pressure glaucoma, and have been using latanoprost for several years. My pressures routinely range between 12 & 14, but the glaucoma continues to progress (very slowly) so I trust the docs know what they are doing. I am also monitored every 3 months and will continue to do it, because I have seen first-hand the devastation of losing one's eyesight completely.
Sue

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@sueinmn

Yes, Aaron, I have low pressure glaucoma, and have been using latanoprost for several years. My pressures routinely range between 12 & 14, but the glaucoma continues to progress (very slowly) so I trust the docs know what they are doing. I am also monitored every 3 months and will continue to do it, because I have seen first-hand the devastation of losing one's eyesight completely.
Sue

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Thanks Sue. I am on the six-month rotation currently. I have idiopathic neuropathy that we know responds very well to steroids which of course leaves me in a catch-22. Do I ask for steroids to control the pain and risk making the glaucoma worse, or suffer in increasing pain without the steroids? Since I am idiopathic there is zero guidance.

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@aaroncush

Thanks Sue. I am on the six-month rotation currently. I have idiopathic neuropathy that we know responds very well to steroids which of course leaves me in a catch-22. Do I ask for steroids to control the pain and risk making the glaucoma worse, or suffer in increasing pain without the steroids? Since I am idiopathic there is zero guidance.

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I have asthma, bronchiectasis and arthritis, as well as a history of mycobacteria lung infection, so I am in the same quandary with steroids. I discussed it at length with my primary, my pulmonologist and my eye doc's very knowledgeable tech.
Here is where I am at (subject to change, of course.) I use a low-dose steroid inhaler twice a day because being able to breathe trumps all other considerations. I use a steroid neb during asthma exacerbations for the same reason. I use a 2-week non-tapering course of prednisone for inflammatory flares if I am not able to control the pain with NSAIDS within 7 days. So far, this has worked for me, with less risk of reinfection of my lungs or to my vision.

My husband has neuropathy in his feet, but cannot take steroids because he is diabetic. His doc has his pain pretty well-controlled with gabapentin - have you tried it?
Sue

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@sueinmn

I have asthma, bronchiectasis and arthritis, as well as a history of mycobacteria lung infection, so I am in the same quandary with steroids. I discussed it at length with my primary, my pulmonologist and my eye doc's very knowledgeable tech.
Here is where I am at (subject to change, of course.) I use a low-dose steroid inhaler twice a day because being able to breathe trumps all other considerations. I use a steroid neb during asthma exacerbations for the same reason. I use a 2-week non-tapering course of prednisone for inflammatory flares if I am not able to control the pain with NSAIDS within 7 days. So far, this has worked for me, with less risk of reinfection of my lungs or to my vision.

My husband has neuropathy in his feet, but cannot take steroids because he is diabetic. His doc has his pain pretty well-controlled with gabapentin - have you tried it?
Sue

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I didn’t get along with the gabapentin side effects and based on my job, pretty much a deal breaker. I plan on discussing what would be an appropriate dosage of methylprednisolone that could work.

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@aaroncush

Anyone else have the low pressure/normal tension version of open angle glaucoma? I am on latanoprost but find it strange to take drops when pressure is normal.

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I had exactly that years ago. My glaucoma specialist did laser surgery to poke a hole in the top part of my iris. Sorry, I don’t know the correct terminology and this is the best way I can describe it. As I understand it, the hole is like an “overflow” to prevent pressure from building. I’ve never had a problem with it. Pressure is always normal.

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@mosaics

I had exactly that years ago. My glaucoma specialist did laser surgery to poke a hole in the top part of my iris. Sorry, I don’t know the correct terminology and this is the best way I can describe it. As I understand it, the hole is like an “overflow” to prevent pressure from building. I’ve never had a problem with it. Pressure is always normal.

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Oops, I read your post wrong. I have ACUTE angle glaucoma, not OPEN angle. I don’t know what the difference is, but I guess there is one since I don’t remember my doc mentioning an eye drop treatment.

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@mosaics

Oops, I read your post wrong. I have ACUTE angle glaucoma, not OPEN angle. I don’t know what the difference is, but I guess there is one since I don’t remember my doc mentioning an eye drop treatment.

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No worries. Normal tension glaucoma might as well be called idiopathic glaucoma as they can spot the nerve damage but don’t see elevated pressure with it. Treatment is the pressure lowering drops even though not proven to do anything.

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