How to deal with Gulucoma. Pilocar 2% is not suited. It getting energy. - #10451
I got discover gulucoma in early stage in 2018. I used Rayprost, pilocar 2%. After using pilocarpine, it resulting elergies in eye. I must stop pilocar but eye pressure is increasing. Pls.suggest accordingly.
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Doctors’ responses
If IOP is still not controlled: Your ophthalmologist may consider:
Brimonidine (Alphagan P)
SLT (Selective Laser Trabeculoplasty) – effective for early glaucoma
Surgical options if all else fails (e.g., trabeculectomy)
You can continue rayprost and discontinue pilocarpine due to allergy Start eye drop Timolol + Brimonidine 2 drop thrice day Also get checked Visual fields & OCT test: Every 6–12 months to monitor progression. IOP monitoring: Recheck 1–2 weeks after switching or adding meds. Ecg to check for any heart condition
U can opt for surgery if continue facing increased iop
Since pilocarpine caused allergies and your eye pressure is rising, you may need alternative medications like beta-blockers (e.g., timolol), carbonic anhydrase inhibitors, or selective alpha agonists. Rayprost (latanoprost) is effective, but combination therapy is often needed to control glaucoma progression. Consult your ophthalmologist promptly to adjust your treatment and prevent vision loss.
Continue: Rayprost (Travoprost / Latanoprost) 1 drop at night in both eyes (Prostaglandin analog – first-line agent) Discontinue: Pilocar (Pilocarpine 2%) – due to allergy
Dorzolamide 2% eye drops 1 drop in both eyes twice daily (Effective with fewer systemic side effects)
Monitoring Plan: IOP check every 2–3 months
Visual field testing yearly
Optical Coherence Tomography (OCT) to assess optic nerve health
Ensure compliance with drops
Precautions: Use eye drops exactly as prescribed – spacing between different drops should be at least 5–10 minutes
Avoid rubbing eyes
Avoid overuse of topical steroids
Monitor BP regularly – some glaucoma meds (e.g., beta-blockers) may affect BP or pulse
Hello dear Please be aware I think probably the infection is spreading fast You can take itone twice a day for 5 days I suggest you to please consult opthalmologist for confirmation Regards
In your situation, where pilocarpine has caused allergic reactions and you need to manage increased eye pressure due to glaucoma, it’s crucial to consider alternative treatment options. Firstly, since pilocarpine isn’t suitable anymore, there are other classes of medications available for glaucoma that might be more appropriate for you. One common alternative is prostaglandin analogs like latanoprost or travoprost, which are effective in reducing intraocular pressure (IOP). These are usually applied once a day and have a different side effect profile compared to pilocarpine. Another category is beta-blockers, like timolol, which can also help lower IOP by reducing the production of fluid within the eye. Additionally, carbonic anhydrase inhibitors such as dorzolamide or brinzolamide can be useful if you’re looking for topical solutions. If these medications are unsuitable or insufficient, there are laser therapies like selective laser trabeculoplasty, which can be an option for managing eye pressure without the need for daily medication. In some cases, surgical interventions may be recommended if medications and laser therapies are ineffective. It’s essential to consult with an ophthalmologist to review your ongoing treatment regime comprehensively, considering your specific cause of increased eye pressure and personal preferences. They can guide you through the evaluation and trial of alternative medications, ensuring a tailored approach to management. Since glaucoma is progressive, it’s vital to address increasing eye pressure swiftly to prevent further vision loss. Always inform your eye specialist about other health conditions you may have or any other medications you’re taking to avoid interactions.
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