Why are Miotics contraindicated in neovascular glaucoma?

Miotics are generally contraindicated, because the agents are usually ineffective, increase inflammation, worsen angle closure from synechiae, and decrease uveoscleral outflow.

Can neovascular glaucoma be cured?

Treatment. Treatment of neovascular glaucoma includes two parts: Treat the underlying cause of neovascular glaucoma, that is, the ischemic retina; and. Lower the eye pressure, whether through medications, laser, surgery, or a combination of these types of treatments.

What is the surgical management of glaucoma?

Surgery involves either laser treatment or making a cut in the eye to reduce the intraocular pressure. The type of surgery your doctor recommends will depend on the type and severity of your glaucoma and the general health of your eye. Surgery can help lower pressure when medication is not sufficient.

What is modified trabeculectomy?

Device-modified trabeculectomy is intended to improve drainage of the aqueous humor to lower IOP. Trabeculectomy-modifying devices include Ex-PRESS, Ologen, amniotic membrane, expanded polytetrafluoroethylene (E-PTFE) membrane, Gelfilm and others. However, the effectiveness and safety of these devices are uncertain.

How do Miotics help glaucoma?

Miotics increase drainage of intraocular fluid by making the pupil size smaller, thereby increasing the flow of intraocular fluid from the eye.

Why use glaucoma drops at night?

Conclusions: : Latanoprost effectively lowers IOP during the day and night with once nightly administration. The IOP reduction can be explained by an increase in uveoscleral outflow. The daytime effects of latanoprost on IOP and uveoscleral outflow are more pronounced than the nighttime effects.

What drugs should you not take if you have glaucoma?

Medications to Avoid with Glaucoma

  • Allergy/Cold Remedies: Diphenhydramine, Ephedrine.
  • Anxiety: Vistaril (hydroxyzine)
  • Asthma/COPD: Atrovent (ipratroprium bromide), Spiriva (tiotropium bromide)
  • Depression: Prozac (fluoxetine), Paxil (paroxetine), Elavil (amitryptiline), Tofranil (imipramine)

Is there a pill you can take for glaucoma?

Drugs to treat glaucoma are classified by their active ingredient. These include: prostaglandin analogs, beta blockers, alpha agonists, carbonic anhydrase inhibitors, and rho kinase inhibitors. In addition, combination drugs are available for patients who require more than one type of medication.

How is an augmented trabeculectomy used in neovascular surgery?

It involves a trabeculectomy under a large scleral flap, augmented by a penetrating deep sclerectomy, mitomycin C and the use of the T-Flux hydrophilic implant (Carl Zeiss Meditec) as a wick drain that connects the anterior chamber and the enlarged intrascleral space.

Who are the authors of the neovascular glaucoma study?

“Neovascular glaucoma is a devastating disease that calls for new, creative thinking,” Elie Dahan, MD, first study author, said in an email interview with Ocular Surgery News. He encouraged fellow surgeons to seek innovative surgical approaches.

Can a trabeculectomy be performed alone in pseudophakic eyes?

The modified trabeculectomy technique can be performed alone in pseudophakic and aphakic eyes or in combination with cataract extraction in order to liberate space in the congested eye globe.