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.
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.
s talk in the terms of flat/steep.I tried Alphagan P/Brimosun P Eye drops and they do help gettin d vision clear at night but it results into a severe headcahe and heaviness of eyes and even my doctor said it has many side effects so avoid it.This is the worst thing I am facing which almost makes me impossible to go out at night.
Dr Oyakawa,
Thanks for your response, but additional surgery is not the route I want to persue as I am a steroid responder. IOP spiked at 39mm Hg while tapering prednisolone post retinal detachment. Azopt and alphagan-P were required to bring it under control.
My basic question is can a Restor IOL and progressive lens play well together? Or is this combination doomed to dog me forever?
I’m 41yo & had cataract surgery 1/09 w/crystalens implants. Had YAG on both eyes in 4/10. Have had horrible issues with glare/halos/ghosting. Had YAG again on left eye in 8/10. Eyes have progressed for the worse over the last yr. Now have 20/40 distance in rt eye (dominant) & 20/70 in left eye, good intermediate & okay close up, wear distance glasses. Use Alphagan P @ nt for driving which helps a lot w/glare.
Remember your most important eye is eye not had RD have it checked often.
It can be done. However, most problems with the lens can be corrected with other techniques such as PRK/LASIK, or LRIs.
Dr. O.
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!
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.
and not constrict at all. Alphagan is often prescribed for lasik patients that have problems with pupils dilated at night but not likely to help your problem at all. Generally you have to wait about 3 months to know if its permanent. There are many cases described on this website which you can access using search feature, these include "traumatic iridoplegia" after trauma directly to eye or the trauma of surgery or laser or freezing (croytheraphy).
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.
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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.
You might ask your surgeon to write a RX for alphagan P eye drops. They are for glaucoma but when used at night they prevent the pupil from dilating as wide as normal in the dark.
You can also get a second opinion. Another test we sometimes done is corneal topography if we suspect keratoconus, there is corneal scarring, or previous corneal disease.
Can't go any further.
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