Re: [glaucoma] dogs

2008-02-29 14:54:22

I imagine this question is about guide dogs. To get one, a person must be legally blind. He or she must have had mobility training, with a white cane.
The next step is choosing a school and applying. I would say there are three first-rate schools, some a notch or so below, and a few that are viewed generally as lower.
In the United States, guide dogs are free. This is not needs-based.
Some schools charge a token $150 per dog but even that is not mandatory.
David and Xia

How do you get a dog and how can you pay for it?
**************
Biggest Grammy Award surprises of all time on AOL Music.
(http://music.aol.com/grammys/pictures/never-won-a-grammy?NCID=aolcmp00300000002548)

Pressure drop to 10

2008-02-29 11:52:21

Hello:

After several years of pressures above 15, my 2 most recent measurements have been 12 and 10. I question whether I should continue using Xalatan for my glaucoma eye???

Any comments are welcome.

Thanks.

Cheryl

Santa Barbara

artists

2008-02-29 09:18:40

Whden I fist started with this group. may folks mentioned still doing art while have very significant visions loss. Would one of you or more who paint without vision please contact me to give me some tips
Sincerely,

Andrea
Andrea Schaerf, M.Ed.
Artist, Author & Mental Health Consultant

RE: [glaucoma] Xalacom - should unopened be refrigerated?

2008-02-28 18:39:15

can you see to read the label?
Sincerely,

Andrea
Andrea Schaerf, M.Ed.
Artist, Author & Mental Health Consultant
a
rtability.biz

Re:Xalacom - should unopened be refrigerated?

2008-02-28 12:31:56

http://www.medisave.ca/DrugMoreInfo2523.aspx
"Before Xalacom from Canada (Latanoprost 50 µg/mL & Timolol 5mg/ml) is first opened, keep Xalacom from Canada (Latanoprost 50 µg/mL & Timolol 5mg/ml) in a fridge (between 2°C and 8°C), out of direct light. Once the bottle has been opened, Xalacom from Canada (Latanoprost 50 µg/mL & Timolol 5mg/ml) can be kept at normal room temperature up to 25°C, out of direct light. Xalacom from Canada (Latanoprost 50 µg/mL & Timolol 5mg/ml) must be used within 10 weeks after opening the bottle. Discard the bottle and/or unused contents after 10 weeks.Xalacom from Canada (Latanoprost 50 µg/mL & Timolol 5mg/ml) should not be used after the expiry date on the bottle. Keep all medicines in a safe place, out of the reach of children."
Seems to be same as Xylatan - refrigerate until opened and then keep at room temps.
Hope this helps,
Carol, Richmond, VA USA

Just diagnosed, help

2008-02-28 09:47:26

Dear All,
I just got diagnosed with open angle glaucoma and having lots of emotions and still can't really accept this diagnosis.

So many twist and turns with my sight over the last 6months or more and glaucoma was never even considered
and then bang. I have been a little too scared to hear the whole truth and not asking point blank questions yet
to the Drs. I starting thinking last night that their may be a "list" to help me since I have viewed other list before.

Every time I start thinking about long term and future, I can't handle it. I am 51 and work in the medical field
using computer all day with great details. Dr. said I have nerve damage in both eyes worse in right and damaged
drainage system all that is irreversible and drops the rest of my life. How can this be? I don't know how to
feel or how to deal with this with my parents, my two grown daughters, one early pregnant, my husband and coworkers
and friends or what to tell them. I actually had a coworker to come in and say you might want to train me
for your job is your going blind!!!!!!!!!!! Another coworker, walked up to me and waved her fingers in front
of my eyes and said can you see. Another coworker made a bold statement. I am the main caregiver for my
elderly parents and my Mom is able to fall to pieces over this and I don't know how to keep up appearances and
act strong. They say this most likely is steroid induced glaucoma with a hypersensitivity to steroids with a build
up effect that I was using for chronic eye irritations from 6year old toric contact lenses. Now I can't use the
anti inflammatory drops with steroids to help my eyes tolerate the drops. I am on Cosopt bid which stings and
irritates, Alphagan big, Xaltatan bedtime, Xybrom to help tolerate bid. When I read the long term side effects
of all these, how can I take them long term, do I not have a choice or else? I was tolerating the drops fine when
I was on FML and could wear my NEW contacts fine but now I had to stop. Now irritation, red lower lids especially.
Either the Cosopt or Xalatan or Xybrom is giving me a headache every day and a little queasy feeling. They
said I would have a headache getting cold turkey off the FML steroid but it is still here. My last FML drop
was Tuesday morning, Feb. 5th, today is Feb. 9th. The Xybrom says only take 14days or can cause corneal
thinning and bleeding in the eye, perforation, etc. How can I take this long term? I have very bad nearsightedness
and pretty bad astigmatism since third grade and have always had a fear of going blind due to my vision problems.
I see much better with my contact lens and really need to wear them. I don't think I have lost hardly any
vision in my left eye but he said the damage is there. I have lost a lot of peripheral vision all the way around getting

very close to the center and it is so scary. I am sure that many of you have lost all vision or more than me and
I am so sorry and wish you all healing and restoration. I am having trouble focusing and trying to not notice
the part I can't see. Will my brain ever get used to what I don't see and it won't be so distracting? I am afraid
when I wake up at night or in the morning wondering if I will have lost more vision or all when I open my eyes.
Could they be wrong about having to use the drops forever now that I am off the steroid? Can't the drainage
system heal and does it in some patients?
Sorry I have rattled on but this is all just so much right now.
I would appreciate any advise or suggestions.
thank you for listening,
emc

Fw: [glaucoma] andrea

2008-02-28 03:46:10

Hi Andrea
The website for the Hadley School is:
http://www.hadley-school.org/
and there e-mail address is info@... <info@...
I thought this would save you having to look up their website. They are usually
very prompt in replying to e-mail enquiries.
I did not have to pay for the Glaucoma course as I think their courses are free
of charge to people with a visual impairment. I am in the UK but there is a
part on the application form for people in USA where their eye doctor just has
to confirm this.
I do hope the above info is useful and that you enjoy the course if you decide
to do it in the future.
With best wishes
Becky

Xalacom - should unopened be refrigerated?

2008-02-27 19:13:09

Hi everybody, I am on Xalacom now (one drop in each eye in the
morning). Its a mix of Xalatan and Timolol. I have an unopened extra
bottle. Should it be refrigerated? Thanks for any input.

RE: [glaucoma] FW: If anyone wants to listen

2008-02-27 12:36:47

For those of you not in the NYC area, I went to the WOR-AM website and they
have podcasts on demand.
Here's the link to Dr. Braverman on the station
http://wor710.com/pages/51494.php
Archives are there so if you can't listen live Sunday, it appears that you
can always listen later.
The "listen live" link is at http://www.wor710.com/#.
Sherry

dogs

2008-02-27 12:11:51

How do you get a dog and how can you pay for it?
Thank you very much
andrea

FW: If anyone wants to listen

2008-02-27 07:51:34

I guess I¹m talking about glaucoma. World Glaucoma Day. What¹s new in
glaucoma. They never tell me in advance. Eric likes to have everything
spontaneously ejected off the top of my head. Like the Tilt-a-whirl.
Station Information for WOR-AM
AM Frequency 710
Sunday 8 PM - 9 PM
Total Health - with Eric Braverman, M.D.
Dr. Braverman website <http://www.pathmed.com

RE: [glaucoma] list mom in the middle

2008-02-27 04:37:26

Andrea,
Top post is posting at the top of a thread. Bottom posting is posting at the
bottom. Some of the "old-school" are bottom posters, which means you have to
scroll through all the previous posts to get to the most recent one.
Top posting is most beneficial for those who are using screen readers. They
can't skip ahead to the end of the message and must listen to everything
read word-by-word until the get to the answer.
And for some, a lot of reading on the computer is hard.
There are a lot of arguments for and against both methods, but for this
list, we *really* encourage top-posting to make it easier on those in the
group who have less vision.
Sherry
-----Original message-----

list mom in the middle

2008-02-26 23:13:05

What is top post. Is this it?All those who sent youtopical concerns could be encouraged to post them as well.Then you would not be Lost mom in the middle
andrea

Re: [glaucoma] no cheating possible - loss of sight

2008-02-26 13:31:39

Jan,

Your statement is so strong

"I blame myself for the loss of sight in my left eye, my stubborness cost me my sight!"

What happened, why do you blame yourself? Loss of sight is trouble enough without also blaming yourself.

Best.

Lilian

Re: [glaucoma] Editing please!

2008-02-26 00:49:22

Sherry, I find it impossible to reduce the message I am responding to. I can either eliminate everything or nothing. I can find no way out of this Delia. When I try it, I am left with what you see below. Just the heading showing who sent the email I am responding to. This means that other readers might not be able to understand why I am writing what I write. Any suggestions?

Dwight

From: Sherry

Editing please!

2008-02-26 00:26:24

Just a reminder - please edit your messages so only the comments that you're
responding to are included in the previous message. Don't include the whole
thread in your reply!
If you top post rather than bottom post, that is greatly appreciated by
those of our listers who use screen readers.
Some of the messages coming through lately have been confusing as to what
and where the response is!
Also, I've had a couple of listers post privately to me that they felt that
we've discussed the topics of visual field testing and floaters enough and
have said about all there is to say on these topics.
Thanks!
Sherry
List Mom

RE: [glaucoma] andrea

2008-02-25 18:44:11

That was very kind of you. Is there Continuiing education Credit and do they cost much? Thanks. Sometimes I look at Community Schools due to their inexpensiveness. Some have had diabetes education.
Thanks,
andrea

floaters and flashers

2008-02-25 10:22:28

Diabetic retinopathy is the leading cause of blindness in American adults,
Cataracts develop at an earlier age in people with diabetes and a diabetic
is twice as likely to get glaucoma than a non-diabetic.
(http://www.nei.nih.gov/health/diabetic/retinopathy.asp)
I don't think diabetes can actually *cause* floaters but diabetic
retinopathy is a risk factor for them. Since they're related to changes in
the vitreous and retina, it makes sense that a retinopathy could be a risk
factor for them.
Floaters are really nothing to even think about - 99% of the time they're no
big deal. The only time you really need to be concerned is if all of a
sudden you get a big swarm of them, especially if they're associated with
flashing.
http://www.eye-floaters.com/floaters-whatarefloaters.php
http://www.agingeye.net/visionbasics/flashesandfloaters.php
Back to glaucoma...
Sherry

andrea

2008-02-25 07:46:45

Hi Andrea

I'm not sure if it would interest you but the Hadley School for the Blind do a short course about Glaucoma, a course on Diabetic Retinopathy and I think another eye related course. They do offer a number of other courses although I thought the eye related ones may interest you. These courses can be done online and at your own pace.

I did the Glaucoma course at the end of last year and found it incredibly interesting. I just thought for general interest you may find it useful.

With best wishes

Becky

Re: [glaucoma] no cheating possible

2008-02-25 04:08:15

I just don't get it! Why on earth would anyone want to cheat on a diagnostic test? How could that possibly help?

Barb
I was trying to look better as well. It didnt work. I guess many could fake they could see tempoarily by just not clicking. It is impossible, I believe to 'fake' that you can see. I did it once like you did and it didnt work either. Thanksandrea

floaters and flashers

2008-02-24 21:19:01

I've experianced these floaters and flashers myself. I get startled thinking someone is there and it was a floater. Sometimes I think a rat or something just ran accross the room. And it was nothing but my vision playing games on me. I usually don't let it bother me, but thought I should ask the doctor about it and he didn't seem concerned at all and said, it had nothing to do with glaucoma. He also said he didn't know what would cause that to happen.

Liz
andrea schaerf <andreaschaerf@...

sounds great!
andrea

floaters and flashers

2008-02-24 13:36:04

the mayo info stated diabetis can be part of this. Diabetis can cause a lot of eye issue.
andrea

floaters and flashers

2008-02-24 07:57:15

good source. i ogten refer to the mayo clinic. the are well known for their knowledge of my heart rythme disorder.
andrea

floaters and flashers

2008-02-24 04:05:12

great, what about a flash? Aging is not good at all, but it beats the alternatives.
andrea

floaters and flashers

2008-02-23 18:51:40

I'd rather have floaters any day than the other health issues I'm dealing
with. They're just swirly things you see in your field of vision and really
aren't a health issue at all. Just more of a minor annoyance (in fact, my
tinnitus is more annoying than the floaters)
They come and they go and they change shape - sometimes watching them swirl
around keeps me from getting bored <rbg
Sherry

Re:glaucoma &amp;quot;educational&amp;quot; video

2008-02-23 08:06:27

david, this video was hilarious! good way to start the day and lower my IOP! thanks!

joanne

floaters and flashers

2008-02-23 07:20:43

Hi

I have also had previously experienced floaters. These were several years before a glaucoma diagnosis although I do have other retina problems so perhaps that is why? I may be wrong but I've always thought that they are quite a common thing for anyone to experience.

With best wishes

Becky

floaters and flashers

2008-02-22 23:18:52

Where do floaters come from and what are flashers. Are they an artifact from
glaucomic surgeries?andrea
To: glaucoma@...: Dshale1@...: Fri, 8 Feb 2008 16:43:57
+0000Subject: [glaucoma] Re: floaters and flashers
There are other boards and discussion groups devoted to floaters, butmost people
aren't all that bothered by them. I'll bet you do knowlots of people who have
floaters, but they just don't talk about them.Once my husband and I were looking
out at a snow-covered lake and hesaid, gee, everything's so white you really see
all your floaters! Isaid, you have floaters too? He said, of course, everyone
has them.I remember even as a college student comparing floaters with
otherstudents--even then I know no one I knew thought it was unusual to
seefloaters.If I start talking about floaters to friends and family, they all
saythey see them. It's just that for many people they aren't toobothersome. The
ones you get from a vitreous detachment are worse andpeople do usually notice
those, but for the most part get used to them.If you were to look at one of the
floater discussion boards, you'llfind people who are driven to distraction and
depression by floaters,but as you noticed, most people aren't bothered by
floaters enough toeven mention them.-Deah

floaters and flashers

2008-02-22 22:12:00

I am glad you are dealing so well with them. Since I dont know what they are
really or what causes them, I hope I dont get them. It is good to know that you,
sherry can deal with them so well. Good for you!andrea
To: glaucoma@...: sherdh@...: Fri, 8 Feb 2008
09:26:59 -0800Subject: RE: [glaucoma] RE: floaters and flashers
I know a lot of people with floaters. I've had them for as long as I canremember
- long before I was diagnosed with glaucoma. They're just bits ofdebris in the
vitreous fluid and high myopes are more likely to have them.I think most of us
who have floaters just deal with them and don't talkabout them!Sherry

floaters and flashers

2008-02-22 09:52:10

I know a lot of people with floaters. I've had them for as long as I can
remember - long before I was diagnosed with glaucoma. They're just bits of
debris in the vitreous fluid and high myopes are more likely to have them.
I think most of us who have floaters just deal with them and don't talk
about them!
Sherry
-----Original message-----

no cheating possible

2008-02-22 01:05:34

I was trying to look better as well. It didnt work. I guess many could fake they
could see tempoarily by just not clicking. It is impossible, I believe to 'fake'
that you can see. I did it once like you did and it didnt work either.
Thanksandrea
To: glaucoma@...: starlake52@...: Fri, 8 Feb 2008
07:09:29 -0500Subject: Re: [glaucoma] Re: cheating on Visual field tests
Agree with Deah, but once when , wanted to get good visual field , I clicked
too often, the doctor said, you have to repeat this test because you were as
good as the pilots, which is not realistic, since then I also focus only click
when I see the lights.
Julie

floaters and flashers

2008-02-21 23:15:28

I had one coworker once who had them. At a lunch discussion with two dozen other professionals he was the only one.Maybe I havent met the people you have. Hundreds of clients I worked with some had visual issues but not floaters or flashes. Issues from head injuries, glaucoma a few,macular degeneration, non age related and age related. The visual impairments were secondary to other disabling conditions such as mental illness. Most did not qualify for state help from the blind.
andrea

RE: floaters and flashers

2008-02-21 16:57:57

Hi, First I dont know anyone who has floaters except on here. Same with flashers. Maybe that is just a cooincidence. The eyes are the windows to the brain in many ways mot merely poeticly as has been stated. They are using vriouas tests including blue and yellow light tests to meansure small and smaller particles Do a search on the testing for the illness if interested. Glaucp,onc can get it from many areas. It is not just on4e illness.
andrea

glaucoma "educational" video

2008-02-21 14:13:07

http://fiteyes.com/blogs/dave/2008/02/08/glaucoma-educational-video

Re: cheating on Visual field tests

2008-02-21 05:26:00

My problem with the visual field tests is that I have done so many by
now that they are boring and by the time the test switches to my left
eye, my mind begins to wander. Fortunately that's my good eye, but I
wish I knew a way to stay focused.
-Deah

Re: [glaucoma] cheating on Visual field tests

2008-02-21 05:02:56

Actually if you read the top portion of your test it
tells the doc. how many times you clicked when you
shouldnt etc. I didnt know that in the beginning, but
the first test I did the doc looked at the result and
straight away said (rather kindly) that he thought I
was distracted when I did the test. What he meant was
I had been cheating!! And that made me wonder how he
knew so I looked up the meaning of all those little
bits on info. on the top of the result page and it
says exactly how many false clicks you have done etc.
Had a good laugh and resolved not to cheat!! One more
thing to remember. The flashing lights are not at
fixed intervals. There will be what seems like long
pauses when nothing flashes. So dont cheat at the time
by clicking - just in case you missed it. There was
nothing to miss.

cheating on Visual field tests

2008-02-20 17:19:06

Those tests cause so much anxiety the doctor narrowed the field checked. i tried to cheat to look metter, but I made as many errors in either direction. I see my Ophtho next week and already dread it. Sic minutes out of the month and it seems like forever!
andrea

Another Question for Dr. Ritch

2008-02-20 08:14:28

Hi Dr. Ritch,

I just watched a show where a doctor was recommending that everyone over the age of 40 take 2 baby aspirins a day. I would like to know what your opinion on this is with regards to glaucoma. I have had a few optic nerve hemorrhages so was a little afraid to try it but on the other hand, I suffer a lot from migraines and pain/inflammation so thought that it may have a positive benefit on that which in turn could help the glaucoma situation?? Just wondered what your thoughts were on this since it is a blood thinner. Thanks again!

Patricia

wolfberries/capsules, juice, growing own

2008-02-20 04:46:19

Hi,

By now some of you may be growing the plants, or using frozen wolfberries, or decided to forget the idea b/c of possible pesticides or preservatives. Since so many of you helped me, I decided to say that if you wish to know what kind of capsules [INLINE] and juice I found, please e-m me directly, not on the List. As far as I understand, the "wild" ones (supposedly no pesticides) from Himalaya are comparable to say, "wild" salmon compared to salmon raised in farms. I cannot certify this, of course. All I can do is share what I found and where, and what I am trying for a bit of time, even though as in all these sort of things, there is no real way to evaluate effectiveness.

Please don't e-m more comments on this topic on the List, at least not to me. We are lucky to have the experts on the list, I think we pretty well exhausted the topic, and I don't have new general information.

Best, and thanks to everyone.

Lilian

Re: Allergan: Botox and Memantine

2008-02-19 23:25:17

Monie what do you mean when you say "Merck will go away when Cosopt goes generic"? Are we about to see the end of the user-unfriendly 5ml bottle at last?

Re: methazolamide?

2008-02-19 21:00:36

yha, I'm currently on 50 mg 2 times per day. I experience the same
side effects. I also think I sometimes feel lethargic and lighteaded
and dizzy for it, but those side effects are ok to deal with.
Thanks for your info,
Tanis

Re: [glaucoma] methazolamide?

2008-02-19 11:49:45

I take 25 mg twice daily. I've been on this dosage for about 3 months
now. Before I had a trab done in my left eye (which was 2 years ago),
I was on 50 mg twice daily for a few months.
With the 50 mg dosage, I had tingling in my hands and feet, like they
were asleep. With the 25 mg dosage, I rarely get the tingling. Also, I
pee more often, but it's not too bothersome. Those are the only side
effects I feel.
Take care,
Jess

RE: [glaucoma] picture

2008-02-19 02:02:05

Tanis,
I just changed the group settings. Members can now upload pictures but
they'll go to a "pending" folder, visible only to the moderators. That way
we can make sure the pictures are appropriate!
We'll get notification that there are pictures to approve and once approved,
they'll be available for all to see.
Sherry
List Mom

methazolamide?

2008-02-19 00:11:07

Is anyone out there currently on or previously on Methazolamide? If so
how long have you been taking it and what do you find are your major
side effects experienced, if any?

Re: [glaucoma] Allergan: Botox and Memantine

2008-02-18 18:06:12

Dear Friends,

I have been dong Glaucoma screenings for over a decade now over $350,000 of my own money put in the first six years as a volunteer

I became a Consultant to Allergan to continue my own personal war on Glaucoma that had blinded both my mother and grand mother .

The National Medical Association NMA http://ophthalmology.nmanet.org has just named its Glaucoma screening program after me this year and the AGS has recognized my work at the 2007 meeting in San Francisco

At all Allergan supported Screenings the only one who keeps information is the attending physician and the patient! For the Past 3 years Allergan and I have been working with Lions Clubs International to form the largest volunteer army in the United States doing free glaucoma screenings. Every one of them getting some sort of media coverage TV, Newspaper or Radio educating millions under the The Lions Eye Health Program and All Eyes on the Family Banner

I contacted Allergan Marketing when I saw The Wall Street Journal article because this year at the American Academy of Ophthalmology (AAO) meeting The Allergan Booth was by Far the most exciting of my 12 years of attending AAO meetings

Allergan is committed to Glaucoma now and in the future and I believe for me, Allergan Lumigan with DR Ritch saved my sight!

Roger,

While the news on memantine was not what we would have hoped, Allergans glaucoma franchise and pipeline remains the best in the industry (by far.) A few key points on this:

- We have had 4 product launches in 7 years (Lumigan, Alphagan P 0.15%, Alphagan P 0.1%, and Combigan) with 2 in the last 24 months (the last 2)

- We are poised to introduce Lumigan X (not the real name) with some significant clinical benefits to Lumigan in 2008 (thats all I can release)

- We currently have at least 6 new molecules in Phase 1 or 2 development in glaucoma (more than in any other disease state, including our cosmetic business.)

- Allergans worldwide business is still over 50% Eye Care, with over 50% of that being glaucoma

In short, we are committed to glaucoma from an R&D investment standpoint all the way to the Field Sales level. Our nearest competitors, Alcon, Pfizer, and Merck, have added little in the last 7 years (Travatan Z with no clinical benefits yet demonstrated) and nothing on the horizon (Pfizer had a lay-off of 25% of its sales organization and has no new products, despite making over $1B off Xalatan in the last 11 years.) Merck is going away entirely when Cosopt and Trusopt go generic.

I hope that helps with some perspective on Allergan and glaucoma. The memantine was regrettable, but we are still the only company willing to take the risk of new products like that in glaucoma.

Warm Regards,

Monie

On Thu, 31 Jan 2008 16:35:55 -0500 "James Griffin" <JamesGriffin@...

Allergan finds more money in Botox than in Glaucoma Medicine ...

FW: Asian Journal of OPHTHALMOLOGY Online

2008-02-18 10:36:22

------ Forwarded Message
From: <AsianJOphthalmol@...
Date: Tue, 5 Feb 2008 05:08:31 -0500
To: <ritchmd@...
Subject: Asian Journal of OPHTHALMOLOGY Online
<http://seagig.org

picture

2008-02-18 01:05:19

How do I post my photo in the list album? I thought I'd post a before
my lens replacement surgey, after lens replacement/before ahmed
implant surgery, and after ahmed implant surgery pics.
Thanks, Tanis

Re: Re Xalatan question

2008-02-17 23:13:04

Thanks, Sherry. I got a big chuckle out of your saying I could be an
Australian sheepdog if I had one blue eye. Being a dog lover and dog
writer, I'd love it! Alas, my dear Dr. S.(recommended to me by this
group's wonderful Dr. R.) said it is not to be. So I'm stuck being
hazel-and-brown eyed.
Cindy

drops

2008-02-17 18:01:50

Hi,
Does anyone take Alphagan? After almost a week of 3 drops a day I need to take a day off. They burn aftere this many days. If I pause, then my eyes can take the, again.
andrea

Re: [glaucoma] drops

2008-02-17 12:04:22

Yes, Alphagan P twice/day. I use lots of lubricant, artificial tears 1/2 hr before and after, which helps.

best,

Lilian

Fw: [glaucoma] drops per ML

2008-02-17 07:00:54

I save an email from Dr Ritch about the drops from 2006

Re:Re Xalatan question

2008-02-17 04:39:11

Absolutely, I use Cosopt and Lumigan. The Lumigan bottle is fine. The Cosopt bottle is twice the size and if you look at the base of the bottle it has a V shaped hollow which goes all the way to the top and even right now I have some liquid left in the bottle, I am trying to squeeze the bottle but the Cosopt just comes out the head and bubbles and then gets sucked back in! I have only had this bottle two weeks! Whoever designed this bottle must have been mad pharmacist!

Re: [glaucoma] Re Xalatan question

2008-02-16 20:53:10

Yes, it's the bottle design. I complained to Pharmacia about it several years ago. They said to change the bottle design would involve FDA, patents etc. They sent me the Xal-Ease contraption (and a free bottle of Xalatan!) which helps. but recently I have had to pump it several times tiil the drop comes out. Other bottles seem to work just fine - e.g. Cosopt that I also use - so I don't understand why they could not use a bottle that works.
Angelika

Re: wolfberries/potassium sorbate preservative

2008-02-16 11:42:27

Lilian,
If it is of any help, wolfberries are recommended by some members on
an afib forum who would be unlikely to eat/drink anything dangerous!
I think I'm right in saying that pears contain 'natural' potassium
sorbate.
IMO it is one of the safer additives though I'd be more inclined to
eat the plain berries than to eat/drink anything processed from them.
Buy, pick over, wash and eat - lol!
If that still worries you then eat blackcurrants as I've also read
these are as good.
Joyce

Re: So Many Questions

2008-02-16 07:44:54

Sara,
None of us can learn all we can!
Panic and stress increase IOP.
Please look at and read www.fiteyes.com for some help.
Joyce

pills vs drops

2008-02-16 03:17:39

If I take Beta Blockers for my heart, does this eliminate the need for
them as drops?

RE: [glaucoma] So Many Questions

2008-02-15 19:23:05

Hi,
I am about your age, a year older maybe, but have lost most vision in my right eye. The DR narrowed the VF tested as I kept saying the machine was not turned on or warmed up. My other eye is good so far. She said for driving in my state one good eye is enough. The Visual Field test itself seems to make me very nervous. I feel like it is a right or wrong type test.

I get copies of my records. After I have looked at the circle with the black enough times, it can be desensitizing. As far as chest pains go, have you seen a doctor for that? I have a heart condition but it doesnt hurt. I get concerned when I hear chest pain and heart pounding. Have you had a good physical other wise. You do seem a bit lessfrantic now, I tend to go up and down like a roller coaster.
andrea

Re Xalatan question

2008-02-15 17:56:55

I started out on Lumigan (I have Normal Tension Galucoma), and because
of side effects, was put on Xalatan about a year ago. I seem to go
through it faster than the Lumigan. From the very beginning, I felt
that the drop size was larger and I always have some spillage, which I
did not have with Lumigan. I think it's the design of the bottle and
it's extremely annoying to have to mop my face every time.
At least my health plan covers the cost of my drops. I never ever had
a problem getting that perfect one drop with the Lumigan bottle.
My late Mother also had glaucoma (although a different type), and she
was on Xalatan. She always used to complain about not being able to
just get the one drop out. I thought that because she was in her late
80's she was probably just unsteady. Now I know better. (She also
started out on Lumigan and had no problems with their bottle and was
sorry she had to switch to Xalatan - also because of side effects.)
Does anybody else think it's the bottle design?

Re: [glaucoma] Xalatan question - plastic dispenser/holder

2008-02-15 07:31:08

Hi David,

I have a plastic dispenser "holder" part to help hold Xalatan bottle. I never used it and could mail it to you, still in original box if the company is no longer making them available. I no longer use Xalatan, I think it fits only that bottle.

http://www.xalatan.com/consumer/xalease.asp?source=google&HBX_PK=s_xal-ease&HBX_OU=50&o=23046681|165672427|0

1-866-846-9005

I obtained it free from the company that makes Xalatan, it is called Xal-Ease, the box indicates "Pharmacia" part 0013-4744-62, made in Taiwan and manufactured for

Pharmacia & Upjohn Co., Lalamazoo, MI 49001.

Best,

Lilian

RE: [glaucoma] wolfberries/potassium sorbate preservative

2008-02-15 04:20:51

Lilian,
I'll leave your question about potassium sorbate for Dr. Ritch to answer as
I have no idea.
However, regarding the wolfberries, my concern isn't where the product is
manufactured but what the *source* of the ingredients is! If you note in
the Wikipedia article, wolfberries are commercially grown in China and
that's where the berries are coming from.
Sherry
-----Original message-----

wolfberries/potassium sorbate preservative

2008-02-14 14:14:51

Hi,

Does potassium sorbate raise IOP? I notice that it is used in some eye drops like Timolol.

http://otasia.advanstar.com/otasia/Ophthalmology+Times+Articles/Efficacy-once-daily-convenience-make-drug-good-cho/ArticleStandard/Article/detail/283763

I did find wolfberries in both juice and capsules through a pharmacy where I have shopped for 30 years. The product is, according to label, made in the U.S. I am inquiring into the pesticide issue per Sherry's good comment. The juice is more absorbable than the capsules, but comes with potassium sorbate. I stopped eating or drinking anything with preservaties years ago b/c I worried about raising IOP. Trying to research that question, I was surprised it is actually used in glaucoma eye drops.

I can later share share the name of the companies and the pharmacy (which discounts, in the U.S.) if people send provide me their e-m, but I wonder about the preservative first.

Lilian

So Many Questions

2008-02-14 09:45:06

I am reading your messages to me over and over. I still am in fight
or flight mode, backache, chest hurting, heart pounding. As I look
back to my appointment, I am remembering something the doc said, when
he looked at the visual field result. He said "Your right eye is
normal. The left eye...is from the glaucoma." I could see a slight
darkened area on the field but he did not show it to me. When I took
the test, I know there had to be 2 tests that came out the same,
which they did in sequence. In the middle of the test, I heard a beep
and thought the test was over. I kind of zoned out my vision, removed
my chin slightly from the chin rest, looked down very slightly, and
stared into space, thinking the test was over. I began to wonder why
the technician did not take off the patch, then refocused on the
screen, saw a green light, and resumed the test. I told her afterward
I had stopped for a minute, and she said "You did fine." Now I am
wondering if that could have messed up the results. This is the scary
thing as I reflect back. When I was 50-52 years old, I had a routine
pressure check, and my pressures were normal, around 15. When I look
back at those records, there is no hint of anything abnormal. When I
was 54, my high pressures were diagnosed at around 21. At that time,
my left nerve looked a little funny. The optha gave me a field test
which she said looked scary, but it was with a 10-year-old glasses
prescription, and I could not see. I know that one was not valid. I
got to a specialist within a couple of months after the initial high
reading. The pressures had gone up to 22 and 24. The field tests I
believe were okay. The doc said my funny-looking left nerve was
probably from my severe myopia in that eye, that it was too soon for
damage and vision loss. My left eye was also the one with the
slightly lower pressures. Xalatan took the pressures down to 15 and
17, plus I was also riding my bike 12 miles a day and walking 2
(though my doc says exercise doesn't matter). That was seven months
ago. Now (age 56) after a month the pressures have moved from 19 up
to 24 again with xalatan (I now am not exercising much). And now the
comment about "The left eye is from the glaucoma." Then he looked at
another paper and said either "all right" or "it's all right". At the
time I was not wanting to hear that I had vision damage so I didn't
ask more. Now I am thinking if my left eye has gone from normal
pressure pre-diagnosis to having a suspicious-looking nerve in two
years, and some slight vision loss in 4 years, that is a sign my
glaucoma is going to be very aggressive. That is why I am really
panicky right now. I am also wondering if your docs show you the
results of the visual field and optic nerve tests, or share more
information with you. When my doc told me I could have either laser
or another drop, he didn't offer any pros or cons, side effects, or
tell me anything about either treatment. When he said I might have to
have surgery, he referred to it as making a slit. That is all the
information I got, and when I asked for more I got one-word answers.
Is this typical? The optha who referred me to him said there was no
one else she would refer me to. Others I've heard say he is supposed
to be the best in town. I have also read articles that say in Europe
it is common to do surgery first and a couple of studies that say
this may be more effective in the long run. I can see that I am
really going to need to be my own advocate here. And I have learned
all I can and taken my drops religiously. What do you think? And are
you ever able to get past the fear to get out and enjoy life again?
Right now everything I do has a huge black cloud hovering over it.

Xalatan question

2008-02-14 02:17:47

Hi y'all -
I have a question about Xalatan, which I have been using for maybe ten years. I asked a while back about refrigeration and Deah kindly directed me to some literature saying it needs to be refrigerated only before it's been opened.
OK, here's what's happening: I find that I go though a bottle every two weeks or so, even though I use it only once a day. I use Trusopt and pilocarpine three times a day and they last much longer. And the contents of the bottles are the same amount.
I don't have prescription insurance and those tiny bottles of Xalatan cost me $65 each.
Does anyone have any thoughts on why it goes so quickly? I use punctal occlusion; so it isn't spilling. I even keep the extra top it comes with on after taking it out of the box, to try to keep it from drying up.
I live in an old building with a stingy landlord. He won't give me a new refrigerator. The one I have froze four bottles of Xalatan at one time and I have never put them in again. Please don't suggest that I buy one on my own. I am kind of appalled at how long I have lived in this apartment this long and hope to move reasonably soon; so it would not be practical.
Thanks and take care --
David and Xia
**************
Biggest Grammy Award surprises of all time on AOL Music.
(http://music.aol.com/grammys/pictures/never-won-a-grammy?NCID=aolcmp00300000002548)

RE: [glaucoma] Xalatan question

2008-02-14 00:30:46

Hi. I do not understand why you only get two weeks out of xalatan bottle. The bottle of xalatan has 2.5 ml and if you allow it only to just drop out of the bottle, do not press the sides. you should get 30 days used once a day in both eyes. What this means is that for each 2.5 ml you have 60 drops. Trusopt is available in 5 and 10 ml bottles.If you get the 5 ml bottle you have 120 drops and using it twice a day a bottle represents 1 month. I keep mine in the frig all the time. Should the bottle become warm if left outside the refrigerator it may become more viscous and so each drop may be larger than it should be. Drop size depends on the outlet size and temperature of the liquid.
WWK

RE: [glaucoma] new to list

2008-02-13 20:01:51

Andrea,
The Wills Glaucoma Service has an excellent website at
http://www.WillsGlaucoma.org. On Wed nights, they have an online chat with
one of the glaucoma specialists from the hospital. Topics vary and
transcripts of previous topics are posted to the site. Go to the "Glaucoma
Support" link on the left side of the page for chat schedules, etc.
There are also patient only chats on other days of the week.
Sherry
-----Original message-----

Good specialist in/near Santa Cruz, CA

2008-02-13 07:48:35

So far, I am still seeing the opthalmologist who is more a cataract
specialist, and did my recent cataract surgery. He doesn't seem to
monitor me adequately or be interested in doing so. I have the
glaucoma only in the other eye which had a macular pucker which was
removed last March. It already also has loss of vision due to damage
to the retina from the pucker, so I'd hate to lose more vision if it
is preventable. I have had spikes up to 45 when I can barely see out
of the affected eye, but my present doc just gives me a different drop
and sends me home for 2 weeks. When I have another spike (I can tell
by the vision loss) he just says to take a diamox and come in for my
next appointment. This is not satisfactory for me, but I don't know
anyone else in this area, and it seems important to have the doctor
available nearby on short notice in case of spikes and while trying to
find drops that work for more than a week or so. So far only the
dreaded Diamox seems to do the trick dependably. Anyone have any
suggestions in this area? Thanks, Marjorie

Re: disability etiquette

2008-02-13 00:32:05

I am soo very non rigid. This is just about respect. Thanks, Andera

Re: [glaucoma] disability etiquette

2008-02-13 00:15:09

Andrea, if you try to follow any rigid rule on such a thing, you'll run into trouble.

Has somebody been picking with you about it, or are you troubled about not everyone following the same rule all of the time?

Yours,
Dora Smith
Austin, TX
tiggernut24@...

Re: glauacomic specialist

2008-02-12 16:15:13

Normally glaucoma specialists just see patients with glaucoma or
glaucoma suspects. It would be the same thing with say, a retina
specialist--if you don't have retina problems, or are at risk for
retina problems, you don't need to see one.
Glaucoma is defined as progressive optic nerve damage. The goal of
treatment is to slow or halt progression. By remission, what do you
mean? Primary open angle glaucoma is chronic so it doesn't go away.
Some kinds of glaucoma might be "cured" in the sense that if someone
has narrow angle, iridotomy to prevent angle closure may eliminate the
risk.
For the most part glaucoma is like a number of other kinds of chronic
diseases; it can be managed but not cured and you have it for the rest
of your life. We all hope for glaucoma research to discover a cure
within our lifetimes.
-Deah

glauacomic specialist

2008-02-12 15:52:42

Ophthalmologists will see a variety of conditions. Glaucoma Specialists
focus only on glaucoma.
The website of the American Glaucoma Society
(http://ags.affiniscape.com/associations/5224/ags_map.cfm) shows three
specialists in Minneapolis:
BROWN, J David
420 Delaware Street SE, MMC 493
Minneapolis, MN 55455
(612)626-5010
SAMUELSON, Thomas Ste 106
710 E 24th St
Minneapolis, MN 55404-3810
(612)813-3628
WRIGHT, Martha Dept of Ophthal/MMC 493
420 Delaware St SE
Minneapolis, MN 55455
(612)625-6469
It looks like Dr. Samuelson and Dr. Wright are at the Phillips Eye Institute
- try to see either one of them.
Glaucoma is such a complex condition that it's really imperative that you
see a good specialist who knows what they're doing. Ask the glaucoma
specialist about the steroids..... Sometimes when we have multiple health
conditions treatment for one can mess about with treatment for another - if
you do have glaucoma and are on steroids, you especially need to be closely
monitored by a glaucoma specialist.
I understand how hard it is dealing with multiple conditions which may be
compounding your problems... I deal with the very same sort of thing (not
the same conditions but the same multiplicity of issues).
Sherry
-----Original message-----

Re: newly diagnoised

2008-02-12 03:09:30

Myrna, your doctor was not definite because glaucoma cannot be
diagnosed with just one visual field test or nerve fiber analysis.
Glaucoma is progressive optic nerve damage. At this point he is just
saying there are signs that you might have glaucoma.
With MS, the first thing that would spring to mind is optic neuritis,
as this is closely associated with MS. When I was diagnosed with
normal tension glaucoma I was sent to a neurologist to make sure I
didn't have MS.
I agree, a second opinion with a glaucoma specialist would be a good
idea, and if were you I'd also talk to the doctor who is treating your
MS about whether it may have affected your optic nerve.
Glaucoma can be tricky to diagnose and treat--that's why it is
important to see a specialist.
-Deah

Allergan: Botox and Memantine

2008-02-12 02:16:03

Allergan finds more money in Botox than in Glaucoma Medicine ...

Re: [glaucoma] One more question

2008-02-11 12:21:28

Hi Tina

I'm based in the UK but I do know of someone who has one of the ultra canes. I don't know a lot about these new canes myself but perhaps someone on this list could direct you to an appropriate organisation near you.

I've purchased from MaxiAids.com who I think are in the US who provide lots of equipment.

Sorry not to be able to be of more help.

Becky

Re: [glaucoma] Struggling to keep the strength up, more info

2008-02-11 09:26:59

Hi Tina

Lovely to hear from you and I'm sorry to hear that you're going through all of this.

It is always nice to hear from you on the list and I really hope you are doing ok.

Take care and lots of best wishes

Becky

RE: [glaucoma] newly diagnoised

2008-02-11 01:30:24

Myrna,
A second opinion with a glaucoma specialist would be a good idea. Your
pressures are fairly high and should be brought down, esp with the evidence
of optic nerve damage but there's nothing like the opinion of a specialist!
Where do you live?
-----original message-----

RE: [glaucoma] smoking marijuana for glaucoma

2008-02-11 01:27:03

Not really . this has been discussed several times in the Wed night chats
with Wills glaucoma specialists:
P: When people hear you have glaucoma, one of the first responses is
usually something about smoking marijuana. What can you tell us about the
effects on the eye and the body of smoking marijuana? What is your opinion
about using it in place of, or in conjunction with, traditional glaucoma
medication?
Dr. Doug Rhee: Marijuana can lower eye pressure. Marijuana has been very
well studied. Marijuana will lower intraocular pressure approximately 20%
in nearly 60% of people who try it. However, it is only effective for two
hours. A 60% response rate is terrible compared to the rate for modern eye
drops. A 20% lowering is also terrible compared to modern eye drops.
Moderator: How about the side effects?
Dr. Doug Rhee: The mental status changes, pulmonary dysfunction from the
smoke, etc., are not good when considering that the average age of a patient
with glaucoma is 64 years. To summarize, although marijuana can lower IOP
in some people, it is very poor compared to modern treatments with regard to
effectiveness, non -response rate, and side effects. That it is also
illegal is another important issue.
http://www.willsglaucoma.org/supportgroup/20030618.php
and in a chat with a different Wills doc:
P: Is there any truth to the claims that marijuana is an effective
treatment for glaucoma?
Dr. George Spaeth: No! Marijuana is NOT an effective treatment for
glaucoma. Marijuana can lower intraocular pressure, but then so does
alcohol and so does making a hole in the eye. The goal of treatment is to
help more than you harm. Marijuana lowers blood pressure at the same time
it lowers eye pressure, and so reduces the blood flow to the nerve. It thus
can make the person's glaucoma worse at the same time it is lowering the
pressure.
http://www.willsglaucoma.org/supportgroup/20020220.php
Sherry

newly diagnoised

2008-02-10 23:49:19

I have been lurking here for about a week.

Well, looks like I have glaucoma.

I went to the eye doctor, he said my pressures were up a little. 28 and 26. He said the optic nerve in my right eye was twice the size of the left one. They did a peripheral vision test that showed one small area of vision loss on one eye and two on the other.

He also did another test that measured the thickness of the back part of the eye. He explained the red area on the print out indicated thinning. He said the test looked terrible. But, the important part was that I only have a small amount of vision loss. I do not remember his exact words, but he indicated that I probably had glaucoma and has started me on one drop of Travatan in each eye every evening. I am to return in 6 weeks.

He was not real convincing in stating I had glaucoma, and I was wondering if there were other conditions might cause these kinds of test results. I also have MS, diabetes, and have had chemo and radiation for cancer treatment about 2 years ago. He also said I have cataracts beginning. I am 61 years old.

The only family history of glaucoma is my sister, who was diagnosed about a year ago. She had a heart transplant about 8 years ago and because of the anti-rejection drugs she has been on long term, I do not always consider her medical conditions as a hereditary factor. Other hereditary factors include cataracts, mother and sister, retina detachment, father and uncle.

I am considering getting a second opinion. And considering trying to find a glaucoma specialist, although it would be a hardship cause I would have to drive aprox. 35 miles to find one.

I would greatly appreciate input from the group. Is this typical of glaucoma? How important is having a specialist? Please advise me!

Thanks!

Myrna

Memantine Update

2008-02-10 11:17:55

Memantine Update

Earlier this week, Allergan unmasked the second Phase 3 clinical trial

examining the safety and efficacy of oral memantine as a treatment for glaucoma.

Although the study showed that the progression of disease was significantly lower

in patients receiving the higher dose of memantine compared to patients receiving

the low dose of memantine, there was no significant benefit compared to patients

receiving placebo. Therefore, the study failed to meet its primary endpoint and to

sufficiently replicate the results of the first Phase 3 trial. While additional analyses

are ongoing, the company does not believe that these analyses will support an

approval of the drug.

--IRVINE, Calif., Jan 30, 2008 (BUSINESS WIRE) -- Allergan, Inc

Re: [glaucoma] FW: Academy Express - Academy Member Communication

2008-02-10 10:34:43

Thanks to Dr. Ritch's post, I just read this one of many abstract. Those of us who have/had allergies and other reactions to eye drops over time, e.g. blepharitis and cornea sensitivies know from experience this finding is accurate. Other than switching drops, when possible, and artificial non-preservative tears, does anyone know of anything else we can do to prevent or minimize the problems?

Lilian

Long-term topical antiglaucoma drugs are associated with complex inflammatory reactions <http://aaoblasts.aao.org/t/171311/16747335/186396/0/
This case-control study involved 70 chronic primary open-angle glaucoma patients treated for more than one year with a prostaglandin analog, -blocker preservative-containing timolol, or multiple topical treatments, and 18 normal subjects. Analysis of impression cytologic specimens from the subjects eyes determined that the level of HLA-DR-positive conjunctival cells, a non-specific inflammation indicator, was significantly higher in the multitreatment group compared with the control and prostaglandin analog groups. Results suggest that both allergy and toxicity are at work in the inflammatory response of patients treated over the long term. Ophthalmology, January 2008
<http://aaoblasts.aao.org/t/171311/16747335/186396/0/

One more question

2008-02-09 19:14:25

Can you guys please tell me the different types of helpful "blindy" equipment out there? In particular, canes with new technology. Okay, maybe more than one question. Does anyone know of any in-person support groups for visually impaired people or blindies like me? I live in Long Beach, California.

I'll write you again when I get a chance,

Tina

Struggling to keep the strength up, more info

2008-02-09 15:07:46

Hey, what's up everyone?

I finally got a chance to email the group again although I listen to everyone's emails on a daily basis. It's so annoying having to have help typing replies to emails when I want to on this list. Another thing that really drives me crazy is, obviously, I'm still legally blind, getting worse and it isn't going away...how rude is that?! Furthermore, not to get off the topic of glaucoma too much, but I'm also in a wheelchair and have problems with coordination and balance...which really sucks! I've been having more and more unsolvable issues with the skin around my eyes getting red...and of course, my eyes themselves from eye drops. My right eye is noticeably more irritated and hotter than my left eye, even though that one is very sensitive to touch as well. I do speak with a glaucoma specialist, however, it's not very fair because the glaucoma specialist I was seeing, well, at least a few times, has left the office that I knew of and I'm seeing a new glaucoma specialist
on Friday. I'm so nervous! I was wondering if you guys knew when you're using so many different types of eye drops, is it okay to go swimming without goggles?

Thanks, I'm always listening,

Tina

computers and talking books

2008-02-09 09:09:38

JAWS is a good program to use for test to speech but can be expensive, another good one is readPlease and it is free.
For talking books DAISY is the new way to do. You can ahve a 25 hour talking book on one CD and it is MP3 based technology. Some libaries for the blind and vision impaired send these machines out free to you so you can listen to the DAISY format books. If you want you can download the software fro free to listen to the DAISY on your PC at the url below
www.daisy.org/dkn/modules/daisy.tools.playback.overview.2004.11/page16.html

A DAISY player can run for 8 hours on its internal battery before needing recharging
Regards
Jim

Re: [glaucoma] clarification

2008-02-09 04:54:13

Andrea, 8 years ago when I was seeing my optomologist, who was very good by the way, I had argon laser done. It didn't help much. But at the time I was young and they say that doesn't help much but worth a shot at that age.
Anyhow he also had me use about 6 different drops over the years. Usually only 2 at a time till we found the right fit and they worked for years. Eventually when they stopped working on left eye, I went to a specialist and had Trab surgery. My first Dr. told me I had the worst nerve damage in my left eye that he had seen with the amount of sight I still have. To me I hardly notice any missing sight. I suppose there is some there. Maybe I have to turn my head a little farther when backing up the car, but otherwise I don't notice. Anyhow. I had the Trab. I needed to take off one week from work because there is no bending, lifting, plus the eye looked very bruised so looked creepy. BUT there was never any pain. Never. The only thing I can say is that occassionally the eye feels dry and a little scratchy but my Dr. says use lubricating drops and it works. I didn't need drops for 5 years in that eye since the surgery. Just recently the pressure started going up a little 19, so I
went back on one drop a day. I use 2 in the other eye. I had SLT in right eye which took the pressure down a little. It was not painful. Done in the Dr.'s office. Took 5 minutes. Don't worry about it if you can help it. Believe me, there is no bigger wimp then me. I was one who said I would never ever wear contacts because I couldn't put anything in my eye, but you adjust.
I have not noticed any real change in life style. I work on a computer all day. At night after exercise I do needle work almost every night. I use my eyes a lot and it's now been 10 years and I don't see any significant change in my eyes. I did get cataracts though and had one removed in the right eye. But that could have happened with or without glaucoma. Runs in the family.
Good luck, Try not to worry so much. It's scarry at first but for many of us, if you do what your GOOD dr. tells you to do, he will take care to keep you seeing for years. Mine says he doesn't believe I will ever go blind. I believe him. E

Re: wolfberries

2008-02-08 18:35:25

I eat a few dried ones most days - supposed to be good source of
anti-oxidants - stop us getting rusty!
Joyce

RE: [glaucoma] I'm Trying Not To Be Afraid But I Am

2008-02-08 17:32:19

I dont know if this is helpful, I had my psychologist and opthamologist get permission to talk.In addition to interviewing a Optho you feel comfortable with, I would suggest your psychotherapist stop being an opthomologist. If she cant then the same goes as well. Usually therapists have an emergency contact. Is there anyone to call who could help. When I need to get grounded I focus on my sesnses. Like I feel the seat of the chair, my feet on the floor, what I hear etc. Maybe ifyou asked those treating you to put important information in writing it could help to read it. I journal a lot and it seems to help. The next time I freak out everyone can tell all this back to me.
andrea

I'm Trying Not To Be Afraid But I Am

2008-02-08 15:45:14

Thank you for your replies. I am listening to everything. I know I am
panicking. I know I am. What I don't know is whether the panic is
justified or not. I am so upset that I feel I can't go to school and
teach tomorrow. I hope I am being ridiculous, but I feel the fear. It
is not now that I am afraid of, it is the future. I do already have a
therapist, because of my divorce, and when I told her about the eye
problem, she told me about someone she knew with this that she had
watched move from being sighted to legally blind, and started telling
about how I would have time to learn to read Braille, etc. My
previous therapist who retired said it was nothing to worry about,
that a friend of hers had been on drops for years, that all I would
need to do is put drops in my eyes, and everything would be fine. The
bottom line is they don't know anything about glaucoma. I know that I
have to learn to stay in the present, and enjoy one day at a time,
but I am not there. Now I am remembering that my doc said the visual
field in my right eye was normal, and the left he said was from the
glaucoma, then he looked at the first test I did and said "IT's okay"
or something to that effect. Why didn't I ask him to clarify? Because
I was afraid he would say it indicated damage, and I couldn't stand
to hear that. Now the wondering will eat me alive.
Before this happened, I was already feeling pretty much alone and
frightened, and now with this, somehow it is overwhelming. Yet I know
in the course of all life and the things with which everyone deals, I
have been greatly blessed. I am just scared out of my mind of going
blind.

Re: More Frightened Than Ever

2008-02-08 07:24:19

Well, he didn't just volunteer that, he said that when I specifically
asked him that. When I also said I was feeling as if my life is over,
he said nothing, which to me is agreement. It may be that he just
doesn't know how to address emotional issues. He is supposed to be an
excellent doctor, and teaches at the local medical school.
Would you please tell me more about your trabulectomies? Are you glad
that you had them? Did you have to stay off your feet or work for a
long time? I'm so relieved to hear that you never feel them. What was
it like for you? I feel sure it is going to come to that for me. And
thank you so much for listening. I am alone with this here. No one in
the general public really seems to know much about glaucoma. They
usually say you just put drops in your eyes and its no big deal
anymore.

freak out - reply to andrea

2008-02-08 02:24:16

Thanks for telling me the good things too or at least some of them. Maybe the camel had a crush on you. Now that is a scary thought.
andrea

senses

2008-02-07 17:02:28

I am so sorry about your dog. Mine didnt mind and adjusted so fast. That could be unusual. I think my beagle is nearsighted and maybe has some IQ issues. I love her dearly. My favourite dog never indicated any suffering. Even for her insulin shots, she would remind me and go to the fridge when it was time. I think she may have liked the alcohol swab. She didnt mind the shot a bit. I am sorry about your dog though. I guess they can be as different as people can.
andrea

RE: [glaucoma] More Frightened Than Ever

2008-02-07 15:13:18

Trabs do not cause "pain for life"! I had trabs in 2000 and never feel
them!
Can you see another glaucoma specialist for a second opinion?
Sherry

freak out -- and seeing out of one eye

2008-02-07 11:59:57

IE has those options also. I always have "ignore font sizes on websites"
selected so I can get larger fonts easier. Sometimes I ignore the option to
ignore colors specified (that removes the horrid backgrounds and gives black
on white - pictures are intact) and there is also an option to select your
own style sheet.
The problem is that not all websites will accommodate the accessibility
options of the browser!
In IE, go to Tools
on the General tab. Just change the font sizes by holding down the ctrl
button while rolling the wheel on the mouse or in IE6 go to View
or in IE7, click on the Page menu to find Text Size or Zoom (there's also a
Zoom control in the lower right corner of the browser window).
Sherry

More Frightened Than Ever

2008-02-07 05:18:00

Dear Friends, and I hope you are friends, because I need them. After
visitng my doc today I am far more scared than I already was. I had
been hoping against hope that my glaucoma would remain at the
glaucoma suspect state. In 2002 my pressures were normal. In 2006 I
was diagnosed with high pressures of around 21. Then when I first
visited my glaucoma specialist, they were 24 and 27. Xalatan dropped
them to 15 and 17. When I went a month ago, they were back up to 19.
Today they were at 24, with Xalatan. So now I am going to have SLT.
My doc says there is an 80% chance of it being effective, with 50-60%
chance of it still being effective in 5 years. That's not very good.
If that doesn't work I will try a second drop. If that doesn't work
its trabs, which my doc said can cause pain for life. I asked him if
I am in for a string of surgeries the rest of my life, and he said
maybe. It sounds like my glaucoma is going to be hard to control. I
am 56 and working two jobs, depending on myself. No one at the doc's
gave me any encouragement, just stuff like, it is scary, isn't it?
When I asked if it was possible to keep my sight for 30 years, he
said yes. But it seems like even if I get the pressures under
control, it may last for 3 months or for years. What do you do when
you run out of options? I have only been diagnosed for 2 years, and
my pressures are just going up. I definitely am not going to be one
of those who have high pressures that never turn into glaucoma. I
know you will say I am being a baby, but I feel like throwing up
right now and that I can't go to work tomorrow. I wonder if I should
sell my house and look toward being dependent on care. I hope I AM
being silly, but right now it feels like a reality to me. I would so
appreciate any words of encouragement and support, and I know you all
have given them to me, yet I am in a major state of panic.

senses

2008-02-06 13:28:27

What some Vets will do for money. That's terrible.

RE: [glaucoma] wolfberries

2008-02-06 06:15:40

Looking at http://www.phytochemicals.info/plants/wolfberry.php, the article
says
"Wolfberry fruits have traditionally been used in China to improve vision
disorders such as cataracts, retinopathy and macular degeneration. Studies
have shown that wolfberry reduce dark adapting time and improve vision under
subdued light. This action may be attributed to the phytochemicals lutein
and zeaxanthin, which neutralizes the free radicals formed by sunlight."
Don't know if they're of any help for glaucoma. If the instructor is
*selling* the juice or extract, then take a close look at the claims and
prices.....
Wolfberry is also known as Goji berry.
Sherry

senses

2008-02-06 02:54:35

I have posted this before, but would like to again as I got no answers and I am curious as to whether anyone else has experienced this...

After my eye surgery for then pretty much legally blind eye...at night before sleeping my eye would register sounds...

Outside our room was an aerosol device that would piff off every few minutes, my eye would register the sound before my ear reacted....I questioned my specialist but he said he had no understanding of what I was trying to say..

In the end to get some peace I took the spray down!!

To Andrea my favourite dog developed retina atrophy at an early age, the vet thought she was blind and her eyes were so painful he took both them out! It was the worse thing I have ever done, she obviously had some light before! and on loosing her eyes freaked out....I had to have her put down 2 months after operation,,it was a hard lesson for me.....Jan

wolfberries

2008-02-06 01:52:06

I'm taking a health cooking class and the instructor is promoting
wolfbeeries and the juice for glaucoma. Does anyone have any
experience or knowledge of using wolfberries?
Delia

Re: freak out - reply to andrea

2008-02-05 23:39:06

Yes, I saw plenty of wonderful things too. At night the stars in the desert are
like giant
wheels in the sky and it's so quiet that at first you wonder if you'll get to
sleep. If the wind
moves over the sand it sounds like little whirlwind voices. One night a camel
cuddled up
next to my tent, I think he believed my tent was a new love! We woke up about
the same
time and I screamed, he loped off over a dune. But I liked camels very much and
could
study their magnificant design for hours.
I was most impressed with the people I met. By Western standards they had
'nothing' yet
their life was incredibly rich in other ways. Even people in difficult
circumstances had a
generosity of spirit and an optimism about life. There were some kids I met in
Swaziland
who were so funny, so alive, and energized. I can still see them running along
a road in
their school uniforms, waving and laughing, the red earth below their feet and a
giant blue
sky above. I love Africa. It's a powerful combination of so many things -
tremendous
difficulties yet people bring such a sense of vitality and dignity to their
daily life. I cried, I
laughed, I learned. I hope to go there again.
Thanks for asking!
Patricia

freak out

2008-02-05 11:20:51

My all time favorite dog went blind from her diabetis. I gave her insulin and measured her sugar levels along with seeing the vet. Anyway she would wonder around once or twice and slowly bump into things. Then she went around as if she could see as well as she ever did.
andrea

freak out -- and seeing out of one eye

2008-02-05 03:45:02

There is an organization called WebAIM that details how to make a website accessible for visual difficulties. It's at http://www.webaim.org/articles/ There are several links for Evaluation, Testing and Tools.

Sherry

freak out -- and seeing out of one eye

2008-02-05 02:55:25

There is a way web designers can check to see if their sites are accessible and, if they're not, to make them so. I can't at the moment think of the organization but the tool is called Bobby. A site that is Bobby approved is accessible to the visually impaired and blind.
If anyone wishes, I can research this further. I have used it with some of my committee work -- just not recently, as I am not by professional a web designer.
David

I wish some of the web designers would get with it!
**************
Start the year off right. Easy ways to stay in shape.
http://body.aol.com/fitness/winter-exercise?NCID=aolcmp00300000002489

Re: driving

2008-02-04 18:03:13

Some of the eyedrops might cause constricted pupils.
The pupil is always smaller in my damaged eye, but the doctors said
that since the pupil still responds to light, it doesn't mean
anything. Everything also looks dimmer in that eye, I assume from the
glaucoma but I suppose the smaller pupil may contribute.
I don't think anyone but me and my doctors have ever noticed that my
pupils are unequal in size.
-Deah

computer programs and talking books

2008-02-04 17:18:37

JAWS is the best screen reader. It is infinitely better than what comes with Windows XP. If anyone would like to know more, you can go to FreedomScientific.org or look up JAWS For Windows on Google. You can also write me privately. I use it.
There is a magnifying program called ZoomText that is also very good. It is expensive, as is JAWS; but many states will subsidize or pay for these entirely. Lions' Clubs are also helpful in paying for such things.
As to talking books: Yes, they are free. Yes, they have lots of nonfiction. That's what I prefer.
It is also possible to read the newspaper by calling an 800-number. This is a service by and for the blind and visually impaired called Newsline.
Sometimes I will be at a concert with a friend and my guide dog and say, *Did you read that article on the front page of the Times?* People seem surprised that I can and of course I can't actually read it.
But having a computerized voice read it over the phone is a lot better than not reading it.
I just read the current issue of the New Yorker that way last night.
David and Xia
David and Xia

Besides Windows Narrator, there is also Windows Magnifier plus numerous
third-party programs which help with accessibility. I've heard Dragon
Naturally Speaking is quite good.
**************
Start the year off right. Easy ways to stay in shape.
http://body.aol.com/fitness/winter-exercise?NCID=aolcmp00300000002489

freak out -- and seeing out of one eye

2008-02-04 09:42:00

I wish some of the web designers would get with it! I've been to so many
websites that are so hard to see if your vision is in any way limited, even
with contrast sensitivity!
Sherry

driving

2008-02-04 03:25:29

I first noticed I didnt see when in parking lots, I would look and not see anyone, then start to back up and suddenly someone would be there. The same thing at stop l;ights or stop signs. I didnt see anyone and then in front of me there would suddenly be a person. It is scary. Now I go very sloww and get honked at at yelled at. I thought of getting a bumper sticker that said'blind driver'. Just kidding. At work I had trouble with my staff. They would walk by my door and i wouldnt see them. Before I would and would acknowledge them. They thought I was ignoring them. Even when I said i didnt see them and they should say something, they had a difficult time believing this.It was easier to think I was being rude.

Has anyone had issues with their pupils not moving with light changes or being uneven in size? I think some of my staff thought I had started using drugs. Is this an eye drop side effect?
andrea

freak out

2008-02-03 18:38:13

Thanks for the reminder. We so often forget that in the industrialized
nations we have such good medical care compared to the rest of the world.
Here in the US we're such a bunch of ninnys and run to the doctor for every
little thing.
We are particularly blessed to have such good eye care, if we will only take
advantage of it. One thing I tell people who have 20/20 vision and don't
think that they need to go to an eye doctor is *GO*. Glaucoma is a silent
disease until it's too late. It doesn't just happen to us myopes who see
the eye doc regularly. These people with really good vision are at great
risk if they develop glaucoma and don't know it because they've never seen
an eye doc.
Sherry

freak out

2008-02-03 10:41:44

I have a pacemaker/defibrillator implanted. I am sure no one in the conditions you desribed has access to that. I dont like to compare missery as no one gets understoood or heard. Looking at lofe this way, you will always find someone worse off or better off.

Re: freak out -- and seeing out of one eye

2008-02-03 10:06:37

Most of the newer TV sets are set up to have the voice description
due to the ADA. Just like in use of computers. The Blind have been
great in lobbying for rights. The work incentives, if you are more
than legally blind, are better than for other disabilities.

Newly diagnosed and under 40

2008-02-02 20:03:00

< = less than,
Robert Ritch, MD
Shelley and Steven Einhorn Distinguished Chair in Ophthalmology
Professor of Clinical Ophthalmology
Chief, Glaucoma Service
Surgeon Director
The New York Eye and Ear Infirmary
310 East 14th Street
New York, NY 10003
Medical Director and
Chairman, Scientific Advisory Board
The Glaucoma Foundation
Director of Intelligence: Karen Cheifetz
Direct Tel: 212-673-5140
kcheifetz@...
Patient Appointments - Tel: 212-477-7540
Fax: 212-420-8743
e-mail: ritchmd@...
http://www.glaucoma.net
http://www.nyee.edu

Re: [glaucoma] Retina Specialist in New York City?

2008-02-02 19:33:19

Many of them. The place is overflowing. Lots of good ones. Subspecialized in many cases. Do you want medical retina? Surgical retina? Macular degeneration? Retinal detachment? Retinitis pigmentosa? Retinal membranes? Other diagnosis?
On 1/29/08 2:16 AM, "Hey Boo" <xiaoyuboo@...

Does anyone know of a good retina specialist in New York City?

Lyn

Re: freak out

2008-02-02 06:05:42

Hi folks -
I had a humbling experience when I visited South Africa, Swaziland and Lesotho
this past
October. Once you leave the larger cities and are in the countryside, many
people (black
Africans) still live in communities with limited infrastructure. I saw some
pharmacies, but
you'd have to drive (if you even had a car) for quite a while to get to one. I
am told that
some of the the soft drink companies like Coca Cola were using their
refrigerated delivery
trucks to also carry needed medical supplies to rural communities. This is a
practical
solution for how to transport a temperature-dependent medicine like Xalatan to a
remote
area.
I have also visited Mauritania (Western Sahara near Senegal and Morocco) and
seen heart-
breaking things in the nomadic communities there. They have traveling doctors,
like
Medicins sans Frontieres, but lack of equipment means only basic care. How to do
a
pressure check on a dune?! I saw a kid with an eye infection, eye swollen shut
and liquid
oozing out the side, flies crawling on his eye. His sisters matter of factly
said "he is going
blind". I felt helpless and sick to my stomach to see his suffering. Other
people asked us
if we had any aspirin, their kid was severely burned when an oil lamp fell on
him. The
nearest medical facility was a full 8 hours away, over an expanse of desert with
no modern
roadway, just tracks in the sand. Two months after this trip, I had
appendicitis and was
successfuly operated on before infection set in. I know for sure that if I had
this same
problem in Mauritania, chances are good that I would have died before they could
have
gotten me to a hospital.
This is off the topic of glaucoma, sorry for that, but this is another
perspective to point out
that we are really lucky to have good medical care, modern equipment, the latest
drugs,
and a variety of treatment options. A lot of people don't!
Thoughtfully
Patricia

Retina Specialist in New York City?

2008-02-02 04:32:08

Does anyone know of a good retina specialist in New York City?

Lyn

Re: [glaucoma] freak out -- and seeing out of one eye

2008-02-02 01:05:34

Also, many DVDs and TV shows have DVS. This is a track that has a narrator describing all the action. Movies theaters around the US show movies with DVS too.
This technology was pioneered by educational channel WGBH in Boston.
On another thread: I have seen out of only eye for most of my adult life. I've had good jobs, traveled, had a lot of fun. It's not a difficult adjustment, or I didn't find it to be.
Now it is because the retina of one eye is detached; so we are talking fairly permanent. However, I developed a cataract very early: maybe at 30. My ophthalmologist said let it keep growing because of my tricky retinal problems. He didn't want me to have surgery till the other eye developed one, which was maybe 20 years later.
I couldn't see a thing out of that eye but my young adulthood was a fantastic time for me in all regards. I'm not bragging, please understand. Just hope it provides a little optimistic touch for those who are concerned about a similar prospect.
Regards,
David and Xia

Well as David said, there
are movies that you can follow without seeing all of what's going on
**************
Start the year off right. Easy ways to stay in shape.
http://body.aol.com/fitness/winter-exercise?NCID=aolcmp00300000002489

low blood presure

2008-02-01 23:12:05

Sometimes life can be frustrating: In Dr. Ritch's excellent, thorough comments today, he stresses the importance of low blood pressure.
I didn't even know this was a factor for glaucoma until Deah told me on the list a few months ago.
And here I have for years been proud of my 90 over 60 blood pressure!
I never use salt, try to avoid salty foods, am a semi-vegetarian, exercise a lot, hardly ever eat animal products, never smoked, etc.
AND my father had and my mother and sister have high blood pressure.
I was so proud of it and here it is, contributing to my glaucoma. LOL.

The world