pigmentary glaucoma and ALT

Question:

- Hide quoted text — Show quoted text -cinet…@passport.ca (James Ruxton) wrote: > I was diagnosed with pigmentary glaucoma about 8 months ago. Since that >time I have struggled with various medications to try and get my pressures >down. Currently I am on pilocarpine occuserts , Trusopt and Betoptic drops. >My pressure is not bad on the first day of the occuserts 20 both eyes but >by the third or fourth day the pressure can rise up to 27 – 29 . I have >some field damage in one eye . This eye is the hardest one to control the >pressure in. I have been scheduled to have laser (ALT) surgery done on this >eye. I would be curious to hear from other people who have had this >operation performed. I have been told that I have about a 75% chance of it >working. My major concern is complications down the road since I am only 35 >. Also once the operation is performed I am hoping I will not be so >dependant on medications. Unfortunately I may need to continue the >pilocarpine to prevent further liberation of pigment. Have others found >they were less dependant on medications after ALT? Any feedback would be >appreciated. Happily I have a very good opthalmologist whom I trust. This >certainly helps. >– > Thanks! > Jim >PS I’m having trouble posting to alt.support.glaucoma . If someone could >copy this to that newsgroup I would very much appreciate it. > *** This article is crossposted to sci.med.vision to alleviate >*** > *** problems of fragmented propagation and to speed the *** > *** recognition of alt.support.glaucoma by medium-scale news >sites. ***

Your symptoms sound very similar to mine, except I was diagnosed with Pigmantary Dispersion syndrome when I was about 20, (I’m 34 now). My preassure in my right eye was not responding well to the medications I was taking. My pressure was also around 27 – 32. I had the ALT surgery in that eye and it helped immediately. My pressure dropped to 9 two days after the surgery. Over the next 6 – 9 months my pressure started creeping up to around 19 – 20 with the aid of medication. I had this surgery about 5 years ago. and now I’m struggeling to keep my pressures in the low 20s with 4 medications. My doctor at the time told me that my reaction to the surgery was typical for a person with Pigmant Dispersion glaucoma. I wish you the best. Oh, by the way I have found (actually pointed to) a very good WWW site regarding Glaucoma. Take a look at this FAQ http://www.web-xpress.com/iaoo/glaucoma/glaufaq.html

Response:

Hello James, My situation is similar. I was diagnosed at about age 32-33. I am now 42. The laser treatments(had 2 in my right eye) were very effective. But I needed to continue medication and I suspect you will too. I have had no substantial visual field loss since detection (though my right eye was pretty bad by detection time). Since I expect to live quite a bit longer, I don’t know if I am only prolonging the inevitable by choosing medication over actual surgery. But so far, my condition is under control so I’m sticking with this course of treatment. Currently I am using pilocarpine ocuserts also (and have been for a long time) and I’m also using Timoptic XE. – Hide quoted text — Show quoted text -n <4mv5cs$…@chile.it.earthlink.net>, hendric…@earthlink.net writes: >cinet…@passport.ca (James Ruxton) wrote: >> I was diagnosed with pigmentary glaucoma about 8 months ago. Since that >>time I have struggled with various medications to try and get my pressures

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pigmentary glaucoma and ALT

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