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
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