Glaucoma

Spiriva for COPD can theoretically cause angle closure glaucoma in narrow angle patients, but risk likely low.

There is 1 case report of Tiotropium (ingredient in SPIRIVA) causing acute angle closure glaucoma. If you have narrow angles of eye, let PCP know. Otherwise rare risk of cataract. No case reports of macular degeneration.  Pulm Pharmacol Ther. 2007;20(6):627-8. Epub 2006 Aug 18. Acute angle-closure glaucoma precipitated by local tiotropium absorption. Oksuz H1, Tamer C, Akoglu S, Duru M. Author information Abstract …

Spiriva for COPD can theoretically cause angle closure glaucoma in narrow angle patients, but risk likely low. Read More »

Innovations in Glaucoma care

The holy grail of glaucoma care is continuous intraocular pressure monitoring!  This helps the eyeMD and patient have all the facts to know if their eye pressure is too high or just right.  The below innovation, if it turns out to have a high sensitivity and specificity (ie how much is it affected by rubbing …

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Tiered Approach to GLAUCOMA TREATMENT

https://docs.google.com/document/d/1Ph9T5CJ91b_Su0cSe6Is-Ih9fbOnLHWVczfKgqms7Cw/pub Tiered Approach to Treating GLAUCOMA My goal is to help you optimize your vision at all times and help you understand your diagnosis.  It can be scary if your I or any eyeMD says you are a suspect for glaucoma or that you have glaucoma. In general Glaucoma is a disease that damages the …

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New Glaucoma Drop: A combination of Alphagan (brimonidine) and Carbonic Anhydrase inhibitor (like Trusopt: brinzolamide) Called Simbrinza

Simbrinza is a combination of brimonidine and brinzolamide.  1. It was FDA approved this week.  2. It is the only beta blocker–free, fixed-combination therapy for glaucoma available in the United States. 3. Simbrinza combines a carbonic anhydrase inhibitor (brinzolamide 1.0%) and an alpha 2 adrenergic receptor agonist (brimonidine tartrate 0.2%) in a single multidose bottle 4. For …

New Glaucoma Drop: A combination of Alphagan (brimonidine) and Carbonic Anhydrase inhibitor (like Trusopt: brinzolamide) Called Simbrinza Read More »

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