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Question:

Hi Gregg; Dr. Robert Ritch responds that they’re totally different. ALT is noninvasive and is done prior to surgery. Holmium is a surgical procedure with all the possible complications thereof. – Hide quoted text — Show quoted text -Julie Simmons <mi…@netcom.ca> wrote: >Does anyone have anything to say about the relative merits between Argon >laser surgery and Holmium Laser.  I am a 44 year old male and the drugs >I am taking are not keeping my IOP low enough. >thanks, >Gregg Robins

Response:

On 27 Aug 1998 18:05:56 GMT, shar…@aol.com (Sharena) wrote: >Hello, >I thought my story might be useful to someone. I am a 42 year old female and >was diagnosed with glaucoma over two years ago. My right eye pressure reached >27 and the left slightly lower. I went through many different kinds of drops >including levobunolol alphagan and xalatan. I am now down to levobunolol. The >other medications either increased my pressure

Interesting.  I hadn’t seen this complaint before (but I’m not in the business). >or I would have an alergic >reaction to them. I recently had laser surgery on my right eye and the pressure >went down to 18. A week later after a pressure check it increased again. My >doctor wants to check it again in a month. >I really don’t know why I developed glaucoma. There is no history of it in my >family. I am wondering if I should try going to Boston for treatment. Would >they be able to provide any other answers? I would welcome any suggestions.

You don’t explicitly say you developed any loss of sight or any objective nerve-head damage associated with glaucoma.  Did you?  If you didn’t, you’re not really conventionally or practically speaking, by today’s standards, properly diagnosed as "having glaucoma", and it does not follow that you *will* acquire visual/neural defects at those pressures, particularly is none of your relatives do.  On the other hand, you *could’ve* acquired such defects without *any* rise in pressures. Ray (not in the business but rather read in it, including between the lines; have extensive glaucomatous damage in one eye only, at such moderate pressures)

Response:

Hello, I thought my story might be useful to someone. I am a 42 year old female and was diagnosed with glaucoma over two years ago. My right eye pressure reached 27 and the left slightly lower. I went through many different kinds of drops including levobunolol alphagan and xalatan. I am now down to levobunolol. The other medications either increased my pressure or I would have an alergic reaction to them. I recently had laser surgery on my right eye and the pressure went down to 18. A week later after a pressure check it increased again. My doctor wants to check it again in a month. I really don’t know why I developed glaucoma. There is no history of it in my family. I am wondering if I should try going to Boston for treatment. Would they be able to provide any other answers? I would welcome any suggestions. Thanks! Shar…@aol.com

Response:

Does anyone have anything to say about the relative merits between Argon laser surgery and Holmium Laser.  I am a 44 year old male and the drugs I am taking are not keeping my IOP low enough. thanks, Gregg Robins

Response:

Sharena was diagnosed with glaucoma evidently on the basis of a pressure of 27 in the right eye (note the right eye is giving yet another person the most trouble): >I really don’t know why I developed glaucoma. There is no history of it in my >family. >I would welcome any suggestions.<

We would want to know a bit more. Do you have any indications of vision loss or optic nerve abnormality, etc. If not, then I, as a lay person, would question the diagnosis of glaucoma. Note that pressures vary as much as 20 points in certain individuals from one time of day to another. Your readings of 18 and 27 are well within that range. It is wise to note the time of day your pressures are read and keep that in mind when comparing your progress or lack of progress. The 27 is a bit on the high side, but for some specialists it is just at the level when they would begin to question if there might be something going on. We need to know  more.

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