I would suggest these actions to address your problem:
1. Get a second opinion from an outstanding cataract/corneal ophthalmologist eye MD. Need to be sure IOL in not out of position, that there is no posterior capsular clouding, that you do not have a different problem such as macular or cornea disease.
2. This problem can sometimes be corrected with an ultra-careful refraction (glasses testing) and wearing "wave-form" glasses all the time like Zeiss iScript lens.
3.
I was given Alphagan P for elevated pressure post cataract surgery in February in addition to some other glaucoma meds I was on prior to the surgery. I developed a very bad red eye, itching aching eyes, crusty dry skin eyelids, and other visible manifestations. In addition, the Alphagan affected my low light/night vision to the point I was having quite a bit of trouble seeing in other than bright outdoor light.
Your problem is common and there are many previous discussions on this. If you have seen 5 ophthalmologists and none prescribed glasses and none found anything serious its not likely anything that threatens your vision. Since you are young it's not likely an incipient cataract. I suspect you have irregular cornea astigmatism.
Remember your most important eye is eye not had RD have it checked often.
The only two suggestions I could make would be to try Alphagan-P at night it prevents dilations of the pupil and that has helped some people. use the brand name not the generic bromonidine. Also see an optometrist that specializes in contact lens. Have a repeat corneal topogrphy and try fitting with a toric soft contact lens or a gas permeable contact.
From doing a lot of reading I understand the best medications are Alphagan-P (morning and afternoon, Azopt (3X/day), and Xalatan (at bedtime). Not sure if you have any opinions on this.
Also I would like to buy a tonometer - Is there one that you recommend?
We have a meeting scheduled with the Glaucoma specialist. Are there any questions I need to ask.
Thanks so much Dr Hagan!
You keep asking the same question and the answer doesn't change. Alphagan P is for lowering IOP only, not an antioxidant, it is sometimes used to keep the pupil from dilating fully at night after IOL or lasik surgery.
No further answers will be given.
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Dr. Stated Alphagan P was the best he could do with MEDS, and it did not do a thing so wants to do SLT which he says may not work or can make pressure worse. So if SLT does not work are my only options more riskier surgeries! Visual field gave been perfect for last 8 years, do not know if this hemorrhage has caused defects as yet! Are there not some other drops that could help? Hard to believe since I have only tried 3 different drops my options at this early glaucoma time are so limited.
Yes, I know that Toprol XL is the brand name extended release version of metoprolol. However, there is a generic equivalent called metoprolol er, which I assume his doctor gave him. I have read many posts on this forum where users indicate that switching from Toprol XL to metoprolol er still report having problems. The generics are not always as good as the brand name ones.
Many generics are not nearly as good as the brand names. For instance brominidine is not nearly as good as the glaucoma drop Alphagan-P but there are many that work as good as brand names. latanoprost is one of them. There are over 20 companies that make latanoprost. Studys have shown that some are underfilled and some produce drops that are so large that the bottle will not last the expected 6 weeks.
When a drug patent runs out, a (usually much) less-expensive generic drug comes onto the market, which is chemically and medically equivalent to the brand-name drug. If he's saying what I think he's saying, I'd like to know what the difference here could possibly be. How could the the equivalent be different?...and if its different, how could it be equivalent?
If not, what does the other answer mean?
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Now you are on 2 of the 4 types of glaucoma medication available (the other two are carbonic anhydrase inhibitor and Alphagan-P type). You should be worried. Hopefully your ophthalmologist specializes in glaucoma. Don't know what else I can tell you other than take your medicines and keep your appointments.
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