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Medical Forum / Diseases and Disorders / Glaucoma / July 2005

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Go blind from skipped dose?

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littleboyblu87@yahoo.com - 12 Jul 2005 05:28 GMT
Is it true that someone with glaucoma can go blind if they are several
hours late taking their eye drops?

The reason I ask is that my grandmother had an incident where she had
been admitted to the hospital. She remembered that she needed to take
her eye drops (she was about an hour late taking them) and she
mentioned this to a nurse. The nurse wouldn't let her take the drops
because of some reason I can't remember. My grandmother got upset and
told the nurse that if she didn't take the eye drops on time (or was
several hours late taking them) that she could go blind and that her
doctor had told her so. The nurse laughed and said that it wasn't
possible to go blind just because you were late taking a dose. My
grandmother ended up getting her drops thanks to her son-in-law.

So I'm wondering if it's possible or not to go blind. At this point it
doesn't matter but I think it may be something useful to know for
future reference.
Laura - 12 Jul 2005 09:53 GMT
Well, I'm not an eye doctor and I certainly am not qualified to say
this could never happen.  But if it can, it would be only under very
unusual circumstances and probably only with certain types of
glaucoma.

Vision loss from untreated glaucoma is normally very gradual -- so
slow that people don't becomee aware of it until considerable damage
has been done.  That's why it's recommended that you be checked for
glaucoma on a regular basis.

My sister is a nurse, and she has told me that most of the time
missing one or even two doses of a medication is not going to make any
big difference.  On that basis I once deliberately skipped a glaucoma
drop that I was uneasy about, because I wanted to talk to my doctor
before using that medication again.  I had no problems as a result.

Of course, that's not an excuse for sloppiness about taking
medication.

Laura

>Is it true that someone with glaucoma can go blind if they are several
>hours late taking their eye drops?
gudrun17 - 12 Jul 2005 15:59 GMT
> Is it true that someone with glaucoma can go blind if they are several
> hours late taking their eye drops?
[quoted text clipped - 13 lines]
> doesn't matter but I think it may be something useful to know for
> future reference.

I don't think anyone has gone blind from skipping or being late once
with one's eyedrops. Doctors sometimes do one-eye trials of eyedrops in
which patients go for several weeks without a particular drop in one
eye, and they don't go blind, so that's probably why the nurse laughed
when your grandmother said that. I imagine her doctor said it to scare
her into the importance of taking her eyedrops regularly--lack of
compliance is very common in glaucoma treatment.
-Gudrun
Tom - 13 Jul 2005 06:22 GMT
> Is it true that someone with glaucoma can go blind if they are several
> hours late taking their eye drops?
[quoted text clipped - 13 lines]
> doesn't matter but I think it may be something useful to know for
> future reference.

The evidence is not all that conclusive that taking
glaucoma medication will help to prevent glaucoma.

I have some of the more influential studies here,
and I am still not convinced.  I have not thoroughly
studied them yet but intend to do so in the near
future.

Does anyone have any studies on Vitamin C and
glaucoma?

I still fear that I am only enriching the drug companies
by putting these drops in my eyes.
John - 13 Jul 2005 13:52 GMT
>I still fear that I am only enriching the drug companies
>by putting these drops in my eyes.

Don't let your ideology cost you your eyesight.
Mark Schmidt - 25 Jul 2005 10:23 GMT
Please ignore Tom's responses.  He is the quinessential newsgroup stirrer
who enjoys ruffling feathers and extolling his irrelevent and erroneous
opinions on the unsuspecting public.  I am an optometrist and I can assure
you that a single late dose or even missed dose was likely to do little harm
to your grandmother.

I hope this clarifies your very sensible and logical question.  Thank you
for asking it in this forum.

Best wishes

Mark
Sydney, Australia

>> Is it true that someone with glaucoma can go blind if they are several
>> hours late taking their eye drops?
[quoted text clipped - 27 lines]
> I still fear that I am only enriching the drug companies
> by putting these drops in my eyes.
Sherry - 26 Jul 2005 01:35 GMT
"Tom" <lfs.1@spam.net> wrote in news:eYudnZRUH622OEnfRVn-
pw@comcast.com:

<snip>
> Does anyone have any studies on Vitamin C and
> glaucoma?
>
> I still fear that I am only enriching the drug companies
> by putting these drops in my eyes.

I did read one study on Vitamin C and glaucoma - however, it was done
by a local ophthalmologist who left country several years ago to hide
in Switzerland because of all the lawsuits against him for malpractice
- I'm serious.  I know two people whose eyes were ruined because of his
surgical techniques and my ophthalmologist has no kind words for the
quack!

Sherry
eyeguyrc@aol.com - 23 Jul 2005 17:35 GMT
No, you can't go blind from missing a dose of your drops or being late
on your drops.  Most drops have a washout period of several days or
even weeks till the beneficial effect has worn off.  Don't worry.
--Rick Cohn, MD
Glaucoma Specialist
Winter Park, FL
 
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