HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Remedies For Open Angle Glaucoma, Macular Edema With Severe Vision Loss

default
Posted on Tue, 4 Oct 2016
Question: What is the best action to take for 83-year old female patient with open angle glaucoma, BRVO and macular edema with severe vision loss in the last 3 months?
doctor
Answered by Dr. Prasanna Heijebu (6 hours later)
Brief Answer:
Intravitreal implants will be helpful

Detailed Answer:
Hello, Madam

I can certainly understand your concern.

I have worked through your query in detail.

The macular edema is a consequence of BRVO.

To treat this condition, intravitreal dexamethasone will help.

Likewise, open angke glaucoma has to be first graded for severity, later has to be treated with oral pills and eye drops.In case the glaucoma is still not brought under control, then surgery is preferred.

This is the usual protocol of treatment in her case.

Please check with your opthalmologist if he shares my name and if can prescribe this treatment to you.

Post your further queries if any.
Thank you


Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
default
Follow up: Dr. Prasanna Heijebu (2 hours later)
Can anti-vegf injections start at the same time or after dexamethasone? Which one woul be more effective?d
doctor
Answered by Dr. Prasanna Heijebu (26 hours later)
Brief Answer:
Anti VEGF are more effective

Detailed Answer:
Hello Madam

Intravitreal dexamethasone will provide short term efficacy and intense protection for 3-6 months.

Where as Anti VEGF's will provide sustained efficacy and protection over a long period of 2 years.

Hence the choice of therapy wil depend both on physician and patient factors.

Thank you.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
Answered by
Dr.
Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Remedies For Open Angle Glaucoma, Macular Edema With Severe Vision Loss

Brief Answer: Intravitreal implants will be helpful Detailed Answer: Hello, Madam I can certainly understand your concern. I have worked through your query in detail. The macular edema is a consequence of BRVO. To treat this condition, intravitreal dexamethasone will help. Likewise, open angke glaucoma has to be first graded for severity, later has to be treated with oral pills and eye drops.In case the glaucoma is still not brought under control, then surgery is preferred. This is the usual protocol of treatment in her case. Please check with your opthalmologist if he shares my name and if can prescribe this treatment to you. Post your further queries if any. Thank you