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Medical Forum / Diseases and Disorders / Glaucoma / June 2006Hypotony - Need help
Hi everyone, Background: In December 2005, I wrote asking for suggestions on increasing the IOP after trab surgery because my pressure was so low (1). Thank you to those of you who replied. I am now 6 months out of surgery and have had revision surgery in April 06 that included not one but two patch grafts in an effort to increase the IOP. Bottom line is that my pressure is still around 4 and doesn't want to come up. The problem is that I have extremely blurry vision and the macula is folded or wrinkled and I now have hypotony. My vision went from 20/20 prior to surgery to 20/200 after surgery in that eye. In order to get rid of the folds in the macula and hopefully the blurry vision, the eye needs to be repressurized to about 20. We tried using gel (post surgery) and my IOP zoomed up to 70 in about 5 hours and would not go down to an acceptable level until almost all of the gel was removed. Question: Does anyone else have this situation and use Ibopamine (Trazyl) to increase the IOP? This drug is not available in the US but is available in Europe, particularly in Italy. I was told it was available via the Internet but cannot find a web site from which to order it. After about 6 months my condition is considered permanent, so my window of opportunity is closing. I would greatly appreciate any information anyone may have. Please respond directly to me at anderson99@cox.net if you prefer. Thank you so much. Beverly [sci.med.vision added to newsgroups line] >Hi everyone, Hi Beverly.... >Background: In December 2005, I wrote asking for suggestions on increasing >the IOP after trab surgery because my pressure was so low (1). Thank you >to those of you who replied. I wasn't subscribed to this group at that time. >I am now 6 months out of surgery and have had >revision surgery in April 06 that included not one but two patch grafts in >an effort to increase the IOP. That's a pretty delicate operation. >Bottom line is that my pressure is still >around 4 and doesn't want to come up. Yuk. >The problem is that I have extremely >blurry vision and the macula is folded or wrinkled and I now have hypotony. I looked hypotomy up on the web, but didn't find anything that I thought might be useful. I've crossposted this reply to sci.med.vision in the hope that someone there might be able to help. >My vision went from 20/20 prior to surgery to 20/200 after surgery in that >eye. Ouch! That must be very frustrating for you. >In order to get rid of the folds in the macula and hopefully the >blurry vision, the eye needs to be repressurized to about 20. We tried >using gel (post surgery) and my IOP zoomed up to 70 in about 5 hours and >would not go down to an acceptable level until almost all of the gel was >removed. So the gel works -- but all too well. :( >Question: Does anyone else have this situation and use Ibopamine (Trazyl) >to increase the IOP? Not me. I use eye drops to try and /lower/ my eye pressure. >This drug is not available in the US but is available >in Europe, particularly in Italy. I was told it was available via the >Internet but cannot find a web site from which to order it. I would strongly advise against ordering any drugs over the Internet, especially drugs not approved by the FDA. >After about 6 >months my condition is considered permanent, so my window of opportunity is >closing. You need to talk to a real professional in your field. If your current ophthalmologist can't help you, look for a local hospital that has a decent ophthalmology department. That would be your best bet, IMO, for getting quality help. It also occurs to me that you might find information on your condition at Medline on the web. Just do a search on "Medline + vision" and see what turns up. The US National Eye Institute might be another good source of information. Good luck, Henrietta K. Thomas Chicago, Illinois hkt@xnet.com http://www.vipbookreviews.us >I would greatly appreciate any information anyone may have. Please respond >directly to me at anderson99@cox.net if you prefer. Thank you so much. > >Beverly |
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