What are the main types of glaucoma medications. How do different glaucoma eye drops work. What are the potential side effects of glaucoma treatments. How can patients ensure proper medication adherence for glaucoma management.

Understanding Glaucoma and Its Treatment Approaches

Glaucoma is a complex eye condition that requires careful management to prevent vision loss. While there are various treatment options available, medications, particularly eye drops, play a crucial role in managing glaucoma symptoms and slowing disease progression. This comprehensive guide delves into the world of glaucoma medications, exploring their types, mechanisms of action, and considerations for effective treatment.

The Role of Eye Drops in Glaucoma Management

Eye drops are often the first line of defense in treating glaucoma. They work by either improving fluid drainage from the eye or reducing the production of intraocular fluid, both of which help lower eye pressure. For many patients, a combination of medications and laser treatment can effectively control eye pressure for years, preserving vision and quality of life.

How do glaucoma eye drops function?

Glaucoma eye drops primarily work through two mechanisms:

1. Enhancing the drainage of fluid from the eye
2. Decreasing the amount of fluid produced by the eye

These actions help reduce intraocular pressure, which is the primary goal of glaucoma treatment.

Major Classes of Glaucoma Medications

Glaucoma medications are classified based on their active ingredients. Each class has a unique mechanism of action and potential side effects. Understanding these differences can help patients and healthcare providers make informed decisions about treatment options.

Prostaglandin Analogs

Prostaglandin analogs are a popular class of glaucoma medications that work by increasing the outflow of fluid from the eye. Some common examples include:

• Xalatan® (latanoprost)
• Lumigan® (bimatoprost)
• Travatan Z® (Travoprost)
• Zioptan™ (tafluprost)
• Vyzulta™ (latanoprostene bunod)

These medications are known for their effectiveness and relatively few systemic side effects. However, they may cause changes to the eye itself, such as alterations in iris color and eyelash growth. It’s worth noting that the efficacy and side effect profile can vary among individuals, so finding the right prostaglandin analog may require some trial and adjustment.

Beta Blockers

Beta blockers, with timolol being a prime example, are the second most commonly used class of glaucoma medications. They function by decreasing the production of intraocular fluid. Beta blockers are available in generic form, which can make them a more cost-effective option for some patients.

To minimize systemic side effects of beta blockers, patients can employ techniques such as closing their eyes after application or using punctal occlusion. This method prevents the drug from entering the tear drainage duct and systemic circulation, potentially reducing unwanted effects.

Alpha Agonists

Alpha agonists, such as Alphagan®P (brimonidine) and Iopidine®, have a dual action mechanism. They work to:

1. Decrease the production of intraocular fluid
2. Increase fluid drainage from the eye

Alphagan P features a unique purite preservative that breaks down into natural tear components, potentially making it more tolerable for patients who are sensitive to preservatives in other eye drops.

Carbonic Anhydrase Inhibitors (CAIs)

Carbonic anhydrase inhibitors reduce eye pressure by decreasing the production of intraocular fluid. These medications are available in both eye drop and pill form:

• Eye drops: Trusopt® (dorzolamide), Azopt® (brinzolamide)
• Pills: Diamox (acetazolamide), Neptazane® (methazolamide)

The availability of CAIs in different formulations provides flexibility in treatment options, allowing healthcare providers to tailor the approach to individual patient needs.

Rho Kinase Inhibitors

Rho kinase inhibitors, such as Rhopressa® (netarsudil), represent a newer class of glaucoma medications. These drugs increase the drainage of intraocular fluid through a unique mechanism. Introduced in April 2018, rho kinase inhibitors offer an additional tool in the glaucoma treatment arsenal, particularly for patients who may not respond adequately to other medication classes.

Combination Medications: Simplifying Glaucoma Treatment

For patients requiring multiple types of medication to manage their glaucoma, combination drugs can offer several advantages:

• Convenience of using a single eyedrop bottle
• Reduced exposure to preservatives
• Potential cost savings, depending on insurance coverage

Some popular combination medications include:

1. Cosopt®: Combines a beta blocker (timolol) and a carbonic anhydrase inhibitor (dorzolamide)
2. Combigan®: Combines an alpha agonist (brimonidine) with a beta blocker (timolol)
3. Simbrinza®: A beta blocker-free combination of brinzolamide and brimonidine

Addressing Treatment Challenges and Ensuring Medication Adherence

While glaucoma medications can be highly effective, their success largely depends on proper adherence to the prescribed regimen. Several factors can impact a patient’s ability to take their medications as directed:

How can patients improve their medication adherence?

To enhance medication adherence, patients can try the following strategies:

• Link medication use to daily routines (e.g., taking drops while brushing teeth)
• Set reminders using alarm clocks or smartphone apps
• Use pill organizers or medication tracking tools
• Communicate openly with healthcare providers about any challenges or concerns

Economic Considerations in Glaucoma Treatment

The cost of glaucoma medications can be a significant barrier to treatment adherence. Some ways to address this issue include:

1. Discussing generic alternatives with your eye doctor
2. Exploring patient assistance programs offered by pharmaceutical companies
3. Checking with insurance providers about coverage options
4. Considering combination medications that may offer cost savings

Managing Side Effects of Glaucoma Medications

Side effects can be a major concern for patients using glaucoma medications. These can range from mild irritation to more serious systemic effects. Understanding and addressing these side effects is crucial for maintaining treatment adherence and overall eye health.

What are common side effects of glaucoma eye drops?

Common side effects may include:

• Ocular surface irritation (conjunctival and corneal)
• Redness or itching of the eyes
• Changes in iris color or eyelash growth (with prostaglandin analogs)
• Systemic effects (e.g., respiratory issues with beta blockers)

For patients experiencing ocular surface irritation, preservative-free medications or those without the preservative BAK (benzalkonium chloride) may be beneficial. Examples include Zioptan, Cosopt PF, Timoptic in Ocudose, Travatan Z, and Alphagan P.

Advancing Glaucoma Treatment: New Developments and Future Directions

The field of glaucoma treatment is continuously evolving, with researchers and pharmaceutical companies working to develop new medications and delivery methods. Some promising areas of research include:

What innovative approaches are being explored for glaucoma treatment?

Emerging trends in glaucoma management include:

1. Sustained-release drug delivery systems
2. Gene therapy approaches
3. Neuroprotective agents
4. Combination therapies targeting multiple pathways
5. Personalized medicine based on genetic profiles

These advancements aim to improve treatment efficacy, reduce side effects, and enhance patient compliance, ultimately leading to better outcomes for individuals living with glaucoma.

The Importance of Regular Monitoring and Follow-up Care

Effective glaucoma management extends beyond medication use. Regular monitoring and follow-up care are essential components of a comprehensive treatment plan. These visits allow healthcare providers to assess the effectiveness of current medications, make necessary adjustments, and detect any disease progression early.

How often should glaucoma patients have follow-up appointments?

The frequency of follow-up appointments can vary based on individual factors such as:

• Severity of glaucoma
• Stability of intraocular pressure
• Presence of other eye conditions
• Overall health status

Typically, patients may need to see their eye doctor every 3-6 months, but this can be more or less frequent depending on their specific situation.

During these appointments, healthcare providers may:

1. Measure intraocular pressure
2. Assess visual field and optic nerve health
3. Review medication efficacy and side effects
4. Discuss any concerns or questions the patient may have
5. Adjust treatment plans as needed

Empowering Patients: Education and Self-Management in Glaucoma Care

Patient education plays a crucial role in successful glaucoma management. When patients understand their condition and treatment options, they are better equipped to actively participate in their care and make informed decisions.

How can patients become more involved in their glaucoma care?

Strategies for patient empowerment include:

• Staying informed about glaucoma and its treatments
• Keeping a record of symptoms, medication use, and side effects
• Participating in support groups or educational programs
• Communicating openly with healthcare providers
• Adopting lifestyle changes that support eye health (e.g., regular exercise, healthy diet)

By taking an active role in their care, patients can work collaboratively with their healthcare team to achieve the best possible outcomes in managing their glaucoma.

Glaucoma Medications and their Side Effects

Currently, in the US, eye drops are often the first choice for treating patients. For many people a combination of medications and laser treatment can safely control eye pressure for years.

Eye drops used in managing glaucoma decrease eye pressure by helping the eye’s fluid to drain better and/or decreasing the amount of fluid made by the eye.

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. An older class of medications, the cholinergic agonists (such as pilocarpine) are not commonly used these days due to their side effects.

Types of Glaucoma Eye Drops

Prostaglandin analogs include Xalatan® (latanoprost), Lumigan® (bimatoprost), Travatan Z® (Travoprost), and Zioptan™ (tafluprost), and Vyzulta™ (latanoprostene bunod), and they work by increasing the outflow of fluid from the eye. They have few systemic side effects but are associated with changes to the eye itself, including change in iris color and growth of eyelashes. Depending on the individual, one of these preparations may be more effective and produce fewer side effects. Latanoprost and some formulations of bimatoprost are now available in generic form. Tafluprost is a preservative-free prostaglandin analog.

Beta blockers such as timolol are the second most often used class of medication and work by decreasing production of fluid. They are available in generic form and, therefore, may be less expensive. Timolol is also available in a preservative-free formulation. Systemic side effects of beta blockers can be minimized by closing the eyes following application or using a technique called punctal occlusion that prevents the drug from entering the tear drainage duct and systemic circulation.

Alpha agonists [Alphagan®P (brimonidine), Iopidine®] work to both decrease production of fluid and increase drainage. Alphagan P has a purite preservative that breaks down into natural tear components and may be better tolerated in people who have allergic reactions to preservatives in other eye drops. Alphagan is available in a generic form.

Carbonic anhydrase inhibitors (CAIs) reduce eye pressure by decreasing the production of intraocular fluid. These are available as eye drops [Trusopt® (dorzolamide), Azopt® (brinzolamide)] as well as pills [Diamox (acetazolamide) and Neptazane® (methazolamide)]. Except for brinzolamide, all CAIs are available in generic form.

Rho khinase inhibitors [Rhopressa® (netarsudil)] increase the drainage of intraocular fluid. This new class of glaucoma drug has been available since April 2018.

Combined medications can offer an alternative for patients who need more than one type of medication. In addition to the convenience of using one eyedrop bottle instead of two, there is decreased exposure to preservatives. There may also be a financial advantage, depending on your insurance plan. Cosopt® is a combination of a beta blocker (timolol) and a carbonic anhydrase inhibitor (dorzolamide) and is available in generic form and also as a preservative-free formulation (Cosopt® PF). Combigan® combines an alpha agonist (brimonidine) with a beta blocker (timolol). Simbrinza® is a beta blocker-free combination medication consisting of brinzolamide and brimonidine.

Treatment Concerns

Of course, no eye drop medication can be effective if it is not taken as prescribed. There are a number of reasons why people being treated for glaucoma may not take their medications.

One reason is that they simply forget! Remembering to take a daily medication is one of the challenges in the treatment of any chronic condition, and glaucoma is no exception. Some ways to help remember include tying a regular daily activity (such as brushing one’s teeth) to taking one’s medication, or setting timed reminders such as an alarm clock or cell phone.

A second factor in not taking medication as prescribed is economics. Glaucoma drugs can be expensive. Also, some medications may be covered by your insurance while others are not. Your eye doctor will work with you to recommend the best choice for you.

Another factor that influences the use of eyedrops is side effects. Besides adverse reactions specific to the active ingredient, ocular surface irritation (conjuctival and corneal) can occur with any type of eye drop. This irritation can be either new in a patient who never had symptoms before or can manifest as worsening of pre-existing ocular surface disease (such as dry eye, meibomitis, etc.). Preservative-free medications (Zioptan, Cosopt PF, Timoptic in Ocudose) or those without the preservative BAK (Travatan Z, Alphagan P) are often useful in this situation.

Laser Treatment

For patients who cannot tolerate medications or for whom medication alone has not been adequate, laser treatment continues to be an excellent alternative. It should be noted that laser may also be used as primary treatment. The advantage of this approach is that if adequate pressure lowering is achieved with laser treatment alone, the need for taking a daily medication may be delayed, along with the associated side effects.

The effect of laser treatment is typically not permanent, and many patients will eventually require medications. The most common laser treatments for glaucoma are selective laser trabeculoplasty (SLT) and argon laser trabeculoplasty (ALT).

Side Effects of Glaucoma Medications

Following are some of the potential side effects of glaucoma medications.

• Prostaglandin Analogs: eye color change, darkening of eyelid skin, eyelash growth, droopy eyelids, sunken eyes, stinging, eye redness, and itching

• Beta Blockers: low blood pressure, reduced pulse rate, fatigue, shortness of breath; rarely: reduced libido, depression.

• Alpha Agonists: burning or stinging, fatigue, headache, drowsiness, dry mouth and nose, relatively higher likelihood of allergic reaction.

• Carbonic Anhydrase Inhibitors: in eye drop form: stinging, burning, eye discomfort; in pill form: tingling hands and feet, fatigue, stomach upset, memory problems, frequent urination.

• Rho Kinase Inhibitors: eye redness, corneal deposits, stinging, and small bleeds on the white of the eye.

Side effects of combined medications may include any of the side effects of the drug types they contain.

For more information, please see our Glaucoma Medication Guide.

Article by Sunita Radhakrishnan, MD and Andrew G. Iwach, MD.
Posted on September 10, 2016.
Last reviewed on March 9, 2022.

Sunita Radhakrishnan, MD

Sunita Radhakrishnan, MD specializes in the medical and surgical treatment of glaucoma at the Glaucoma Center of San Francisco and is Research Director at the Glaucoma Research and Education Group in San Francisco.

Andrew G. Iwach, MD

Andrew G. Iwach, MD, is Associate Clinical Professor of Ophthalmology at the University of San Francisco, Executive Director of the Glaucoma Research and Education Group in San Francisco, and a faculty instructor at the California Pacific Medical Center Department of Ophthalmology.

Medication Guide | glaucoma.org

Medication Guide | glaucoma.org

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A Guide to Glaucoma Medications

A number of medications are currently in use to treat glaucoma. Your doctor may prescribe a combination of medications or change your prescription over time to reduce side effects or provide a more effective treatment. Typically, medications are intended to reduce elevated intraocular pressure and prevent damage to the optic nerve.

>> en Español <<

Eye drops used in managing glaucoma decrease eye pressure by helping the eye’s fluid to drain better and/or decreasing the amount of fluid made by the eye. 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. Combination drugs are available for patients who require more than one type of medication.

Alpha Agonist

Alpha agonists work to both decrease production of fluid and increase drainage. Alphagan P has a Purite preservative that breaks down into natural tear components and may be more effective for people who have allergic reactions to preservatives in other eye drops. Brimonidine is available in a generic form.

Side Effects
Side effects can include burning or stinging upon instillation of the eye drop, fatigue, headache, drowsiness, dry mouth and dry nose.

Beta Blockers

Beta blockers work by decreasing production of intraocular fluid. They are available in generic form and, therefore, are relatively inexpensive. Systemic side effects can be minimized by closing the eyes following application or using a technique called punctal occlusion that prevents the drug from entering the tear drainage duct and systemic circulation.

Side Effects
Side effects can include low blood pressure, reduced pulse rate, and fatigue. Beta blockers can also cause a shortness of breath in people who have a history of asthma or other respiratory disorders. Additionally, beta blockers can change cardiac activity by decreasing the amount of blood the heart pumps out, which may reduce the pulse rate and/or slow down the heart’s response rate during exercise. Rare side effects include reduced libido and depression.

Carbonic Anhydrase Inhibitors

Carbonic anhydrase inhibitors (CAIs) reduce eye pressure by decreasing the production of intraocular fluid. These are available as eye drops and as pills. If you need to use more than one type of eyedrop, you may need to take each medicine in a certain order as prescribed by your doctor. If you are using more than one type of eyedrop, wait 5 minutes between eyedrop medicines. The pill form is an alternative for people whose glaucoma is not controlled by medication eye drops.

Side Effects
Side effects of the pill form of these medications can include tingling or loss of strength of the hands and feet, upset stomach, mental fuzziness, memory problems, depression, kidney stones, and frequent urination. Side effects of the eye drop include stinging, burning and other eye discomfort.

Cholinergic (Miotic)

These medications reduce eye pressure by increasing the drainage of intraocular fluid through the trabecular meshwork. Cholinergics can be used alone or combined with other glaucoma medications. A combination of medications can help control how much fluid is produced in the eye and increase the amount of fluid that drains out of the eye.

Side Effects
Many people who use these medications complain of dim vision, especially at night or in darkened areas such as movie theaters. This is due to constriction of the pupil. Miotics increase drainage of intraocular fluid by making the pupil size smaller, thereby increasing the flow of intraocular fluid from the eye.

Combined Medications

Increases drainage of intraocular fluid.

Combined medications can offer an alternative for patients who need more than one type of medication. In addition to the convenience of using one eyedrop bottle instead of two, there may also be a financial advantage, depending on your insurance plan. Rocklatan is a combination of a rho kinase inhibitor and a prostaglandin analog. Combigan is a combination of beta blocker and alpha agonist. Cosopt is a combination of beta blocker and carbonic anhydrase inhibitor. Cosopt is available in generic form, and also as a presevative-free formulation (Cosopt PF). Simbrinza is a combination of Brinzolamide (a carbonic anhydrase inhibitor) and Brimonidine (an alpha agonist).

Side Effects
Side effects of Rocklatan include eye redness and stinging. Side effects of Combigan include the symptoms of beta blockers and alpha agonists. Side effects of Cosopt include burning and/or stinging of the eyes and changes in sense of taste. Side effects of Simbrinza Suspension include blurred vision, eye irritation, bad taste, dry mouth, and eye allergy.

Prostaglandin Analogs

Prostaglandin analogs work by increasing the outflow of intraocular fluid from the eye. They have few systemic side effects but are associated with changes to the eye itself, including change in iris color and growth of eyelashes. Depending on the individual, one brand of this type of medication may be more effective and produce fewer side effects. Prostaglandin analogs are taken as eye drops (except Durysta™ which is an implant). They are effective at reducing intraocular pressure in people who have open-angle glaucoma. Latanoprost and some formulations of bimatoprost and travoprost are available in generic form. Tafluprost is a preservative-free prostaglandin analog.

Side Effects
Side effects can include eye color change, darkening of eyelid skin, eyelash growth, droopy eyelids, sunken eyes, stinging, eye redness, and itching.

Rho Kinase Inhibitors

Rho Kinase Inhibitors increase drainage of intraocular fluid by improving outflow of the trabecular meshwork.

Side Effects
Side effects can include eye redness, corneal deposits, stinging, and small bleeds on the white of the eye.

Last reviewed on March 17, 2023

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Glaucoma and intraocular pressure: prevention, treatment, drops and other drugs.

From Adam Debrowski; reviewed by Burt Dubow, OD, FAAO

Most treatments for glaucoma aim to reduce and/or control intraocular pressure (IOP), an increase in which can lead to damage and subsequent atrophy of the optic nerve, which transmits irritations perceived by the retina to the brain.

Treatment of glaucoma typically begins with eye drops, which can be very effective in lowering and normalizing IOP without the need for surgery. If eye drops for glaucoma may be suitable for you according to your ophthalmologist, you may be prescribed more than one type to achieve the best IOP control.

Types of eye drops for the treatment of glaucoma

Eye drops for the treatment of glaucoma are classified according to the active substance that has a therapeutic effect:

Prostaglandins apply only once a day. The main action of prostaglandins is to relax the muscles of the internal structure of the eye, which improves the outflow of intraocular fluid and thus reduces the increase in intraocular pressure.

Possible side effects of prostaglandin eye drops in glaucoma are stinging and burning, discoloration of the eyes, lengthening and curling of the eyelashes.

Beta-blockers

Used in a variety of glaucoma eye drops, beta-blockers were once the drug of choice in the treatment of glaucoma. These drugs, whose therapeutic effect is based on a decrease in the production of intraocular fluid (aqueous moisture), are now often prescribed as an adjunct to prostaglandins or in combination with them.

This type of eye drops can decrease heart rate and cause adverse side effects in people with heart disease, lung disease (eg emphysema), diabetes, depression or other medical conditions. For these reasons, discuss your medical history with your optometrist in detail before using beta-blockers.

Alpha-agonists

This group of drugs works by reducing the production of aqueous humor and can be used alone or in combination with other eye drops to treat glaucoma.

Common side effects associated with this class of eye drops include eye redness or bloodshot eyes (sclera injection), lifting of the upper eyelid, pupillary dilation and itching.

Carbonic anhydrase inhibitors

These drugs work by reducing the production of aqueous humor. They are usually not used alone, but in combination with other eye drops to treat glaucoma. This class of drugs can also be taken orally (in tablet form). Common side effects that occur with the use of eye drops containing carbonic anhydrase (CI) inhibitors include burning, bitter taste in the mouth, eyelid reactions, and eye redness.

Approximately half of patients cannot tolerate oral ICs due to systemic side effects that include fatigue, depression, loss of appetite, weight loss, decreased libido, kidney stones, metallic taste in the mouth, and tingling in the fingers and toes (peripheral neuropathies).

Parasympathomimetics

The action of these drugs is based on increasing the outflow of aqueous humor from the eyes. They are often used to control IOP in narrow-angle glaucoma. Pupil constriction occurs when these eye drops are administered, which helps open the narrowed or blocked angle of the anterior chamber of the eye where drainage occurs.

Common side effects seen with this type of eye drops include eyebrow pain, pupillary constriction, burning, and decreased night vision.

Epinephrine

This class of drugs has a dual effect on the eye, decreasing the rate of production of aqueous humor and increasing its outflow from the eye.

Common side effects with this class of eye drops include pigment deposits on the conjunctiva, blockage of the tear ducts, and palpitations with increased heart rate.

Hyperosmotic drugs

These drugs are usually used in people with severely elevated IOP levels that need to be reduced immediately before irreversible permanent damage to the optic nerve occurs. Hyperosmotic agents lower IOP by decreasing the volume of intraocular fluid.

These drugs are usually given only once in an emergency and include glycerol and isosorbide taken by mouth and mannitol and urea given by vein.

Glaucoma Combination Eye Drops

Many people with glaucoma require more than one type of medication to control IOP. For this reason, several ophthalmic pharmaceutical companies produce “combination” eye drops, which can contain two different glaucoma medications in one vial.

For your convenience, your optometrist may prescribe combination medications to lower your IOP. As a rule, these drugs have an additive effect in reducing IOP.

Consult an eye specialist

With so many glaucoma treatments on offer, it is important to seek the help of an ophthalmologist experienced in the treatment of glaucoma in order to select the most appropriate type of medication for your specific needs.

Talk to your optometrist and ask them to explain which glaucoma medications have been prescribed for you and why they are best for you.

Page published on Thursday, November 12, 2020

Glaucoma: faces, how to prescribe for glaucoma

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Editorial team

Creation date: 04/27/2021
Update date: 07/15/2023

Glaucoma is a common and invariably progressive degeneration of the zona nerve, as a rule, associated with chronic advances in the intraocular pressure.

Roof windows

Starting the balance of the surplus and resurrection of the heart, a healthy eye may be a constant internal pressure. In glaucoma, the circulation of the radii in the eyes is broken, it accumulates, and the internal pressure begins to grow. In case of suffering, hemorrhage and innervation of the eye. On the cob, a person simply begins to grow worse, then the peripheral vision breaks down, the visibility zone becomes obstructed, and blindness can occur in the bag. Moreover, the changes are non-negotiable, so it is so important to immediately start the treatment of glaucoma. Glaucoma is also possible with a practically normal intraocular pressure. Most often, in these depressions, the vice is trimmed in the zone of the upper inter-norm, but the blood flow in the oral nerve is sharply impaired and its functions are disrupted.

Causes of glaucoma

Start glaucoma develops after 40 years. Before the development of glaucoma, cure diabetes and atherosclerosis. It was also established that there was a fall to glaucoma.

Symptoms

Unfortunately, glaucoma is not a safe form, and it proceeds almost incomprehensibly and painlessly. The process of spending a dawn can be trivaly and trivati ​​sprats of rock. І the patient mentions that it was not so in sight, if he is already practically blind. Such a form at the early stages can only be diagnosed with ophthalmological obstruction.

Other forms are accompanied by more and more obvious damage to the eyes, such as a periodically clouded dawn, the appearance of halos near the pelvis of the light, pain in the superciliary and skeletal region. With this form of illness itself, a hostile attack is possible – a sharp increase in the pressure in the eyes. An attack can be accompanied by tedium and I will become a savage victim. Assistance in such a state of affairs is to be blamed but given to the nearest good, otherwise blindness may come.

Aggravated glaucoma

In advanced cases, glaucoma leads to blindness.

What can you do? In addition, the success of the likuvannya lies due to the pedantry of the viconan recommendations of the doctor.

For example, if you want to stay at home for a long time, do not forget to take the necessary eye drops with you.

Overcoming glaucoma is rich in what to lie in your way of life. Unique physical and nervous revantations. Boundary tyazhkіst, yaku admissible podnіmati – 10 kg. Make yourself unique in the dark, the shards in the dark eyes expand, so, in their own hands, they hold the movement of the internal vice. In the diet, include mainly rose products, fennel, meat, fatty meat. Mitzny tea and kava, hot spices, spices, salt are also not recommended. And the axis of sour milk strain, especially fresh kefir, vegetables, coarse pomelo bread, cabbage, prunes are more brown. Obsyag rіdini, scho vypivaєtsya per day, is not guilty of revisiting 5-6 bottles. If you are a chicken, you should be able to throw more fire.

What can be done to treat glaucoma? Some people go to the rescue for additional medical treatment, but there are fluctuations, if a surgical operation is necessary.

If you don’t start likuvannya ailment at once, then you can blame a blind person, for that, with the least suspicion, you need to go to an ophthalmologist. All the best methods of jubilation, with proper and proper victoria, give quite satisfactory results and protect the ailments of healthy functions for decades and decades, even though they do not help with glaucoma.

Preventive visits

After 40 years of skin people it is necessary to undergo a preventive examination by an ophthalmologist at least 1-2 times on the river. It is especially important for patients with far-sightedness, sillness to subsidence glaucoma and after full-time operations.

As long as there are no methods that can help cure glaucoma, but by turning right back to glaucoma, you can significantly ease the glaucoma.

Respect! Symptom card is recognized as exclusive for lighting purposes. Do not engage in self-deception; with good food, as if you are suffering from illness and ways of yogo rejoicing, go to the doctor.