Eye Drops for Open-Angle Glaucoma Treatment - Ophthalmology

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Regarding eye drops?


Hello, doctor.
Recently, I went to the hospital for an examination, and the doctor told me that I have elevated intraocular pressure, diagnosing me with "open-angle glaucoma." After that, I was prescribed "Jingming eye drops." I noticed that the indications for this medication seem to be related to anti-inflammatory effects and do not appear to be directly related to lowering intraocular pressure.
To be cautious, I would like to ask if this is a possible prescription, or could there have been a mistake in the medication prescribed? Thank you, doctor.

bing ren, 20~29 year old female. Ask Date: 2010/03/24

Dr. Ke Meilan reply Ophthalmology


Dear Sir/Madam: It is possible that glaucoma has not been fully established yet.
However, since a diagnosis code needs to be assigned during the examination, I believe this physician will conduct further follow-up.
Anti-inflammatory medication is indeed not specifically for glaucoma, but there may be conjunctivitis, which is why this eye drop is prescribed.
Dr.
Ke Mei-Lan, Attending Physician, Department of Ophthalmology, Hsinchu Hospital.

Reply Date: 2010/03/24

More Info


Dear Patient,
Thank you for your inquiry regarding the use of eye drops for the treatment of open-angle glaucoma. It is essential to understand the role of various medications in managing this condition, as well as the specific purpose of the eye drops prescribed to you.

Open-angle glaucoma is a chronic eye condition characterized by increased intraocular pressure (IOP), which can lead to optic nerve damage and vision loss if left untreated. The primary goal of glaucoma treatment is to lower the IOP to prevent further damage to the optic nerve. This is typically achieved through the use of topical medications, including various classes of eye drops.

The eye drops you mentioned, "景明眼藥水" (likely referring to a specific brand or formulation), may contain ingredients that are not directly aimed at lowering IOP but could have other therapeutic effects, such as anti-inflammatory properties. However, it is crucial to ensure that the prescribed medication is appropriate for your specific condition.

1. Understanding the Prescription: While some eye drops may have anti-inflammatory properties, they may not be the primary treatment for lowering IOP in glaucoma patients. Common classes of medications used for this purpose include:
- Prostaglandin analogs (e.g., latanoprost, bimatoprost) which increase the outflow of aqueous humor.

- Beta-blockers (e.g., timolol) which reduce the production of aqueous humor.

- Alpha agonists (e.g., brimonidine) which both reduce aqueous humor production and increase outflow.

- Carbonic anhydrase inhibitors (e.g., dorzolamide) which decrease the production of aqueous humor.

2. Potential for Errors: It is possible that there may have been a misunderstanding or error in the prescription process. If you feel that the medication does not align with the treatment goals for open-angle glaucoma, it is advisable to consult your ophthalmologist for clarification. They can explain the rationale behind the prescription and whether it is indeed suitable for your condition.

3. Monitoring and Follow-Up: Regular follow-up appointments are essential in managing glaucoma. During these visits, your eye pressure will be monitored, and adjustments to your treatment plan can be made based on your response to the medication. If your IOP remains elevated despite treatment, your doctor may consider adding or switching to more effective medications.

4. Importance of Compliance: It is crucial to adhere to the prescribed treatment regimen. If you have concerns about the effectiveness of the medication or experience any side effects, communicate these with your healthcare provider. They can provide guidance and make necessary adjustments to your treatment plan.

5. Lifestyle Considerations: In addition to medication, lifestyle changes can also support eye health. Maintaining a healthy diet, staying hydrated, and managing stress can contribute to overall well-being and may positively impact your eye health.

In summary, while the eye drops you received may have anti-inflammatory properties, it is essential to ensure they are appropriate for managing your open-angle glaucoma. Please do not hesitate to reach out to your ophthalmologist for further clarification and to discuss your treatment options. Your vision is important, and proactive management is key to preserving it.

Best wishes for your eye health, and thank you for your thoughtful questions.

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