Dear Pare,
Every quarter, must have to see my Eye Dr. for "eye pressure measure"....I have a constant high rate at about 19 to 23 both eyes but got no medications yet instead have to submit every year an OKT examination - they called it "Optische Koharenz Tumographie"- to control my visual nerves (so far, it is still okey) this kind examination is quite expensive in which my medicare pays only the so called "ocular fundus eye examination" which is yearly done too. I got only Eye drops against eye dryness.
I am taking 5 mg HB tablet and I also take 1 aspirin daily in which I think it's not bad . But am also taking a 5 mg. hormon tabs which contradicts and lead to have a higher eye pressure, right?
I've been planning to exchange my two cats against a guide dog as I told to my Eye Dr.
I am working during nightime and using PC, expose to dust and fluorescent lights. Do you think this is one of the reason why I have this eye disorder? My Physician just suggested...to have a successive check-up in which I really do. Sus....unsaon nalang ug adto nako sa Bohol magpuyo. Lisod!
I thank you Pare!
Good Evening Pare, i apologize that i was unable to respond quicker.
You have very interesting questions considering your eyes and I will try to answer your questions to the best of my knowledge.
If it is in your history that you have high blood pressure that results you to take blood pressure medications, as well as taking blood thinners--any generic brand will do: Aspirin will do well. It is necessary. As for taking estrogen pills--it is necessary--as you are taking this for your night flashes, am i I right?
In any measure, pare, the reason for your raised intraocular pressure is probably due to a blockade of your canal of schlemm, which is preventing the drainage of the aquous humor that is located in the anterior and posterior ciliary body. This blockade can be easily treated by taking vasodilatory medications such as pirenzapine and or timolol and said generics.
Vasodilation means = Expanding and dilating the vascular blood vessels in your body--meaning you increase the canal of schlemm in your eye--therefore increases filtering and decreasing the intraocular pressure.
Additionally, vasodilatory drugs can have excellent effects for high blood patients, as it will lead to a decrease in Total Peripheral Pressure (TPR). Vasodilation will expand the blood vessels--meaning that more blood will be retourned to the heart via venous flow---therefore meaning less pressure on the heart to pump oxygenated blood. Due to the decrease in TPR, this will--naturally--lead to a decrease in BP (blood pressure). This is effective for tachychardic patients (high heart activity---too much of which will cause a Cardiac Failure: heart attack) So we are adviced to utilize this.
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The examination that your opthalmologist or optomistrist is giving you is nothing but what we call here in the USA as COCT scan (Cranial-Optical Computed Tomography Scan).
CT scan can better observe and analyze any blockage in blood vessels in around your craniofacial region pertaining to your eyes---to diagnose what can cause the increased pressure or any optical nerve damage.
It will be expensive, pare, as CT scans--even here int he USA is expensive. But it is excellent preventative measure---as CT scans are far more accurate than the old X-RAY methodology--which was once used 20-30 years ago.
Now, we medical students are adviced to utilize CT scans---as it is far more effective and accurate in analysis.
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So my advice to you is to take to your physician about possible treatment for glaucoma/ either open angle form. Ask him about medications that can be used to aleviate IOP (intra-ocular-pressure).
Though I am very confident that any of the following medical drugs can alleviate your problem:
1. Beta Blockers
2. Prostaglandin analogues
3. Alpha-adrenergic types
4. Carbonic anhydrase inhibitors
5. Miotics.
Just write down these 5 possible treatment options, and give this to your ophthalmologist and he will know what to do. Good luck pare. And remember---taking and eat alot of Vitamin A. Vitamin A is helpful for the produciton of Rods, Rhodopsin and Cones in our eyes. It is necessary for good sight.
Good luck and take care.
Best,
Bran Lorenzo
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