Glaucoma Disease

Uveitis to Glaucoma

Question:

Heifer…@gmail.com wrote: > Yeah, that’s the IT of it. > My parents had me seen by the Glaucoma Associates of New York and they > knew exactly what to do with me, so that’s where I’ll be having my > surgery. The Indiana docs put me on Diamox a couple weeks ago because I > was having black outs and SEVERE behind-the-eye pain. The Diamox is > helping, but my pressure is still way too high. The doctors in NY said > that the Uveitis messed up the meshwork on a cellular level so they’re > going to have to look at it more closely when I get out there (I > think).

I’m glad you are seeing a doctor you are happier with. I presume they have some Uveitis specialists too. The Uveitis will trash the Trabecular Meswork – that’s why sorting the Uveitis has to be job no 1. What treatment are you on for the Uveitis and the Glaucoma? Did they discuss any dietary or lifestyle changes as well? Good Luck!

Response:

Seems I’ve read in the Saturday Evening Post that there’s a renowned eye clinic at the University of Indiana in Indianapolis.  You might check that out. I don’t know anything about your particular condition.  But I do know steroid eye drops like Pred Forte can raise pressure.  Nevertheless, even glaucoma specialists will require its use for several weeks after eye surgery.  It’s necessary to prevent inflammation and scarring, which could negate the results of the surgery. Laura On 24 Aug 2005 22:32:37 -0700, "Heifer…@gmail.com" – Hide quoted text — Show quoted text -<Heifer…@gmail.com> wrote: >I’m new here. Hey! I’m 20 from Indiana and last year I was roundaboutly >diagnosed with Pars Plantis in only my left eye. I say roundaboutly >because it started in March 04 , I took all the blood tests and x-rays >and nothing was found, but I still never had anyone actually tell me >what it was that was wrong with me until I saw a specialist in CT in >December 04. They put me on Pred-Forte to chill my retina out (which >thankfully helped). Anyway, in July 04 the people here in IN gave me a >Kenalog injection and it’s now August 05 and the deposit of meds is >still in my eye. My Pars Plantis went away, but now I’m stuck with >open-angle glaucoma and a cataract. I’ve been on Alphagan since last >October (I think), Cosopt since May, and Travatan for about a month. My >pressure is still 40 and won’t budge at all. In about two weeks I’m >going to see a specialist in New York because my parents don’t trust >the jerks here in IN. >Erm, I guess what I’m going for here is just people to talk to. I’ve >been told I will have to have surgery on my eye for the glaucoma if it >doesn’t lose the pressure. Damage has already been done to my retina. >Alphagan 3X, Cosopt 2X and Travatan 1X a day and I’m still getting eye >pain and headaches sometimes at night like I’m not taking anything at >all. >Has anyone else had the steroid-induced stuff happen to them? Are your >doctors more worried? My doctors seem to be dragging their feet like >they don’t care… hence my going to NY. Anyone else have a similar >situation??

Response:

I haven’t heard anything about the University of Indiana clinic, which is strange. I also didn’t know that after surgery it’s used. That’s a good and interesting thing to know. It makes sense though.

Response:

- Hide quoted text — Show quoted text -Heifer…@gmail.com wrote: > I’m new here. Hey! I’m 20 from Indiana and last year I was roundaboutly > diagnosed with Pars Plantis in only my left eye. I say roundaboutly > because it started in March 04 , I took all the blood tests and x-rays > and nothing was found, but I still never had anyone actually tell me > what it was that was wrong with me until I saw a specialist in CT in > December 04. They put me on Pred-Forte to chill my retina out (which > thankfully helped). Anyway, in July 04 the people here in IN gave me a > Kenalog injection and it’s now August 05 and the deposit of meds is > still in my eye. My Pars Plantis went away, but now I’m stuck with > open-angle glaucoma and a cataract. I’ve been on Alphagan since last > October (I think), Cosopt since May, and Travatan for about a month. My > pressure is still 40 and won’t budge at all. In about two weeks I’m > going to see a specialist in New York because my parents don’t trust > the jerks here in IN. > Erm, I guess what I’m going for here is just people to talk to. I’ve > been told I will have to have surgery on my eye for the glaucoma if it > doesn’t lose the pressure. Damage has already been done to my retina. > Alphagan 3X, Cosopt 2X and Travatan 1X a day and I’m still getting eye > pain and headaches sometimes at night like I’m not taking anything at > all. > Has anyone else had the steroid-induced stuff happen to them? Are your > doctors more worried? My doctors seem to be dragging their feet like > they don’t care… hence my going to NY. Anyone else have a similar > situation??

This is familiar. I started with Uveitis in my teens and had glaucoma and cataracts. Uveitis is imflammation of the Uveal tract which can affect the Trabecular Mesh (the eyes drainage network) and in turn lead to Glaucoma. Steroidal anti imflammatories are normally used to treat the Uveitis but they can also cause raised IOP and can also promote the growth of a cataract. (There are also non-steroidal anti imflammatories but these have their problems too and are not as effective). So the Uveitis and the treatment for Uveitis can cause glaucoma therefore they need to treat that as a secondary condition. I was given tablets to reduce the pressure (Diamox sustained release) which was effective but led to potassium depletion (eat a banana). The secondary Glaucoma is serious, it can cause permanent optic nerve damage and affect your visual fields – sufficient damage will mean no driving. Once the Uveitis is under control and you are off steroids they can continue to treat any remaining glaucoma which will hopefully be lesser and respond OK for you. Once you have had uveitis there is always a risk of post operative implammation flaring it up again so they will be more careful with you if you ever have surgery. ianad.

Response:

I just had a trabulectomy last Tuesday. The pressure was up to 46. Currently, they have me on Pred-Forte and oral steroids to block any and all inflamation possible while my eye heals. Yeah, these guys in NYC are fantastic. Dr. Samson, the Uveitis guy, is just amazing. He put everything together for me and my parents. As for dietary or lifestyle changes, no. No one has spoken to me about that. I’d like to think that I’m a fairly healthy person… lol. And right after they let me, I’ll go back to exercising properly.

Response:

Yeah, that’s the IT of it. My parents had me seen by the Glaucoma Associates of New York and they knew exactly what to do with me, so that’s where I’ll be having my surgery. The Indiana docs put me on Diamox a couple weeks ago because I was having black outs and SEVERE behind-the-eye pain. The Diamox is helping, but my pressure is still way too high. The doctors in NY said that the Uveitis messed up the meshwork on a cellular level so they’re going to have to look at it more closely when I get out there (I think).

Response:

Heifer…@gmail.com wrote: > I haven’t heard anything about the University of Indiana clinic, which > is strange. > I also didn’t know that after surgery it’s used. That’s a good and > interesting thing to know. It makes sense though.

I can highly recommend The Midwest Eye Institute, http://www.midwesteye.com/home.htm. Dr. Valerie Purvin diagnosed and cured my Giant Cell Arteritis with zero vision loss. Dave in Northern Indiana

Response:

I’m new here. Hey! I’m 20 from Indiana and last year I was roundaboutly diagnosed with Pars Plantis in only my left eye. I say roundaboutly because it started in March 04 , I took all the blood tests and x-rays and nothing was found, but I still never had anyone actually tell me what it was that was wrong with me until I saw a specialist in CT in December 04. They put me on Pred-Forte to chill my retina out (which thankfully helped). Anyway, in July 04 the people here in IN gave me a Kenalog injection and it’s now August 05 and the deposit of meds is still in my eye. My Pars Plantis went away, but now I’m stuck with open-angle glaucoma and a cataract. I’ve been on Alphagan since last October (I think), Cosopt since May, and Travatan for about a month. My pressure is still 40 and won’t budge at all. In about two weeks I’m going to see a specialist in New York because my parents don’t trust the jerks here in IN. Erm, I guess what I’m going for here is just people to talk to. I’ve been told I will have to have surgery on my eye for the glaucoma if it doesn’t lose the pressure. Damage has already been done to my retina. Alphagan 3X, Cosopt 2X and Travatan 1X a day and I’m still getting eye pain and headaches sometimes at night like I’m not taking anything at all. Has anyone else had the steroid-induced stuff happen to them? Are your doctors more worried? My doctors seem to be dragging their feet like they don’t care… hence my going to NY. Anyone else have a similar situation??

Response:

Filed under: Glaucoma Drops

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