Also, by laser PI do u mean things like glaucoma drainage implants?
Hi Dr Oyakawa,
Thanks for the prompt reply. To be very frank, I dont really know the difference between chronic angle closure and open angle glaucoma. I mean i have read the literature online and stuff. But is there a difference in the implications or symptoms of both types? I dont really know what 's the major distinction between both of them. As in is CACG more severe in its symptoms or more difficult to treat and open angle glaucoma is asymptomatic?
In addition, I would like to know in your clinical experience, does the side effects of Xalatan such as redness and itching usually subside with most patients as they get used to the drug?
I have read that Travatan Z uses a milder preservative compared to Xalatan. In terms of efficacy in lowering IOP, is it as effective as Xalatan?
Thanks.
Most of these questions need an exam to determine. Chronic angle closure is diagnosed with gonioscopy and the treatment is a laser PI. BAK causes a problem if you are allergic to it. Xalatan can cause redness of your eyes. This should have been discussed with you by your doctor when you started it.
Dr. O.
By the way i just wish to add that I have ocular hypertension in both eyes. Its usually higher in the morning around probably 25 or 26 in both eyes. But i have a thinner cornea which my opthamologist said would cause the reading to be lower than the actual value. Added to see if there could be a correlation between the pressure and the symptoms