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Diseases » Open-angle glaucoma » Treatments
 

Treatments for Open-angle glaucoma

Treatments for Open-angle glaucoma

The list of treatments mentioned in various sources for Open-angle glaucoma includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

Open-angle glaucoma: Is the Diagnosis Correct?

The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Open-angle glaucoma may include:

Hidden causes of Open-angle glaucoma may be incorrectly diagnosed:

Open-angle glaucoma: Marketplace Products, Discounts & Offers

Products, offers and promotion categories available for Open-angle glaucoma:

Open-angle glaucoma: Research Doctors & Specialists

Research all specialists including ratings, affiliations, and sanctions.

Drugs and Medications used to treat Open-angle glaucoma:

Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment or change in treatment plans.

Some of the different medications used in the treatment of Open-angle glaucoma include:

  • Betaxolol - mainly used in chronic cases
  • Betoptic - mainly used in chronic cases
  • Betoptic-Pilo - mainly used in chronic cases
  • Betoptic-S - mainly used in chronic cases
  • Kerlone - mainly used in chronic cases
  • Novo-Betaxolol - mainly used in chronic cases
  • Bimatoprost
  • Lumigan
  • Brimonidine
  • Alphagan P
  • PMS-Brimonidine Tartrate
  • Ratio-Brimonidine
  • Agglad ofento
  • Brinzolamide
  • Azopt
  • Dichlorphenamide
  • Daranide
  • Dipivefrin
  • Propine
  • Apo-Dipivefrin
  • Ophtho-Dipivefrin
  • PMS-Dipivefrin
  • Dorzolamide
  • Trusopt
  • Dorzolamide and Timolol
  • Cosopt
  • Echothiophate Iodide
  • Phospholine Iodide
  • Latanoprost
  • Xalatan
  • Levobetaxolol - Chronic open-angle glaucoma
  • Betaxon - Chronic open-angle glaucoma
  • Levobunolol - Chronic open-angle glaucoma
  • Apo-Levobunolol - Chronic open-angle glaucoma
  • Betagen - Chronic open-angle glaucoma
  • Novo-Levobunolol - Chronic open-angle glaucoma
  • Optho-Bunolol - Chronic open-angle glaucoma
  • PMS-Levobunolol - Chronic open-angle glaucoma
  • Methazolamide
  • Apo-Methazolamide
  • Travoprost
  • Travatan

Latest treatments for Open-angle glaucoma:

The following are some of the latest treatments for Open-angle glaucoma:

Hospitals & Medical Clinics: Open-angle glaucoma

Research quality ratings and patient incidents/safety measures for hospitals and medical facilities in specialties related to Open-angle glaucoma:

Hospital & Clinic quality ratings » »

Choosing the Best Treatment Hospital: More general information, not necessarily in relation to Open-angle glaucoma, on hospital and medical facility performance and surgical care quality:

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Book Excerpts: Treatment of Open-angle glaucoma

Treatments of Open-angle glaucoma: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Open-angle glaucoma.

Glaucoma: Treatment
(Professional Guide to Diseases (Eighth Edition))

For chronic open-angle glaucoma, treatment initially decreases IOP through the use of an alpha antagonist, brimonidine tartrate (Alphagan), and then beta blockers, such as timolol (contraindicated for asthmatics or patients with bradycardia) or betaxolol (Betoptic) to reduce aqueous humor production. A topical anhydrase inhibitor is used in preference to a systemic anhydrase inhibitor such as acetazolamide. A tubo-plast or tube shunt or valve may also be used. Miotic eyedrops such as pilocarpine facilitate the outflow of aqueous humor.

Patients who are unresponsive to drug therapy may be candidates for argon laser trabeculoplasty (ALT) or a surgical filtering procedure called trabeculectomy, which creates an opening for aqueous outflow. In ALT, an argon laser beam is focused on the trabecular meshwork of an open angle. This produces a thermal burn that changes the surface of the meshwork and increases the outflow of aqueous humor. In trabeculectomy, a flap of sclera is dissected free to expose the trabecular meshwork. Then this discrete tissue block is removed and a peripheral iridectomy is performed. This produces an opening for aqueous outflow under the conjunctiva, creating a filtering bleb. In chronic refractory glaucoma, a tubo-plast or tube shunt or valve is used to keep IOP within normal limits.

Acute angle-closure glaucoma is an ocular emergency requiring immediate treatment to lower the high IOP. Preoperative drug therapy lowers IOP with I.V. acetazolamide, pilocarpine (constricts the pupil, forcing the iris away from the trabeculae, allowing fluid to escape), timolol, and a topical steroid to quiet the inflammatory response, along with I.V. mannitol (20%) or oral glycerin (50%) to force fluid from the eye by making the blood hypertonic. Latanoprost is a topical medication that helps drain the aqueous outflow from the eye and lower the IOP. Oral medication or topical drops may be prescribed separately or in combination. Severe pain may necessitate administration of opioid analgesics. If pressure doesn’t decrease with drug therapy, laser iridotomy or surgical peripheral iridectomy must be performed promptly to save the patient’s vision. Iridectomy relieves pressure by excising part of the iris to reestablish aqueous humor outflow. A prophylactic iridectomy is performed a few days later on the other eye to prevent an acute episode of glaucoma in the normal eye.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Simple goiter: Treatment
(Professional Guide to Diseases (Eighth Edition))

The goal of treatment is to reduce thyroid hyperplasia. Exogenous thyroid hormone replacement with levothyroxine is the treatment of choice; it inhibits TSH secretion and allows the gland to rest. Small doses of iodide (Lugol’s or potassium iodide solution) commonly relieve goiter that’s due to iodine deficiency. Sporadic goiter requires avoidance of known goitrogenic drugs and foods. A large goiter that’s unresponsive to treatment may require subtotal thyroidectomy.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Glaucoma: Treatment
(Handbook of Diseases)

Drug therapy is the treatment of choice for chronic open-angle glaucoma. If this fails, argon laser trabeculoplasty or trabeculectomy is performed. Acute angle-closure glaucoma is treated with drugs, laser iridotomy, or surgical peripheral iridectomy.

Drug therapy for chronic open-angle glaucoma

For chronic open-angle glaucoma, treatment initially decreases aqueous humor production through beta-adrenergic blockers, such as timolol (contraindicated for patients with asthma or those with bradycardia) and betaxolol (a beta1-receptor antagonist); alpha agonists, such as brimonidine, to lower IOP; and topical carbonic anhydrase inhibitors such as dorzolamide.

Drug treatment also includes miotic eyedrops, such as pilocarpine, to facilitate the outflow of aqueous humor. Patients who are unresponsive to drug therapy may be candidates for iridectomy, a surgical filtering procedure that creates an opening for aqueous outflow.

Clinical tip  The end stage of glaucoma may require a tube shunt or valve to keep IOP down.

Argon laser trabeculoplasty

In argon laser trabeculoplasty, an argon laser beam is focused on the trabecular meshwork of an open angle. This produces a thermal burn that changes the surface of the meshwork and increases the outflow of aqueous humor.

Trabeculectomy

In trabeculectomy, a flap of sclera is dissected free to expose the trabecular meshwork. This discrete tissue block is then removed, and a peripheral iridectomy is performed. This procedure produces an opening for aqueous outflow under the conjunctiva, creating a filtering bleb.

Treatment for ACUTE angle-closure glaucoma

Acute angle-closure glaucoma is an ocular emergency that requires immediate treatment to lower the high IOP. If the pressure doesn’t decrease with drug therapy, laser iridotomy or surgical peripheral iridectomy must be performed promptly to save the patient’s vision.

Iridectomy relieves pressure by excising part of the iris to reestablish aqueous humor outflow. A prophylactic iridectomy is performed a few days later on the patient’s other eye to prevent an acute episode of glaucoma in that eye.

Preoperative drug therapy lowers IOP with I.V. mannitol and steroid drops to quell the inflammation. Acetazolamide is used as well as pilocarpine (which constricts the pupil, forcing the iris away from the trabeculae and allowing fluid to escape) and I.V. mannitol (20%) or oral glycerin (50%) to force fluid from the eye by making the blood hypertonic. Timolol is used to decrease IOP. Severe pain may necessitate narcotic analgesics.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

Halo vision: Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

Teach the patient how to properly instill eyedrops, if prescribed, and stress the importance of meticulous compliance. Tell him to report eye discharge, eye watering, blurred or cloudy vision, halos, floaters, flashes of light, or eye pain.

» READ BOOK EXCERPT ONLINE »

Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

Costovertebral angle tenderness: Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)

Teach the patient with calculi about dietary restrictions. Explain the importance of increasing fluid intake to prevent and treat renal infection. Reinforce the importance of taking antibiotics for the full prescribed course. Discuss signs and symptoms of kidney infection to report to the physician.

» READ BOOK EXCERPT ONLINE »

Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007

Halo vision: Nursing considerations
(Nursing: Interpreting Signs and Symptoms)

▪ To help minimize halo vision, remind the patient not to look directly at bright lights.

Patient teaching

▪ Teach the patient how to instill eyedrops if prescribed.

▪ Discuss the importance of reporting eye discharge, eye watering, blurred or cloudy vision, halos, floaters, flashes of light, or eye pain.

» READ BOOK EXCERPT ONLINE »

Source: Nursing: Interpreting Signs and Symptoms, 2007

Costovertebral angle tenderness: Nursing considerations
(Nursing: Interpreting Signs and Symptoms)

▪ Assess for pain and administer pain medication as needed.

▪ Monitor the patient's vital signs and intake and output.

▪ Collect blood and urine samples as indicated.

▪ Prepare the patient for radiologic studies, such as excretory urography, renal arteriography, and a computed tomography scan.

Patient teaching

▪ Teach the patient with calculi about dietary restrictions.

▪ Tell the patient to drink at least 2 qt (2 L) of fluids each day.

▪ Explain signs and symptoms of kidney infection that should be reported immediately.

▪ Emphasize the importance of taking the full course of antibiotics.

▪ Explain to the patient his diagnosis and the treatment plan.

» READ BOOK EXCERPT ONLINE »

Source: Nursing: Interpreting Signs and Symptoms, 2007



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