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Medical Forum / General / Vision / October 2005

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Tobradex and increased eye pressure

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CarlosWA - 16 Oct 2005 04:21 GMT
I had an epiretinal membrane removed from one eye on June 2. The
surgery went well without complications. After the operation the
surgeon put me on the following drops:

June 3 (saw surgeon)
    Started Isopto Atropine (relaxes the eye) one drop a day.
    Started Tobradex 4 drops a day (prevents irritation and
    infections).
June 10 (saw surgeon). I was not told my eye pressure was high.
    Continued Isopto Atropine one drop a day.
    Started Cosopt twice a day (decreases eye pressure).
    Decreased Tobradex 3 drops a day
July 11 (saw surgeon)
    Stoped Isopto Atropine.
    Continued Cosopt twice a day.
    Decreased Tobradex to 2 drops a day.
September 20 (saw surgeon)
    My eye pressure was 30. The surgeon said this was a side
    effect of the Tobradex
    Continued Cosopt twice a day.
    Decreased Tobradex 1 drop a day.
    Started Alphagan drops, twice a day (decreases the eye
    pressure).
October 5
    Stoped Tobradex.
    Continued  Cosopt and Alphagan.
I will see the surgeon in a few days.

My vision improved after the surgery although still changes a bit
about every two weeks.

My questions are:

Was it too long to use Tobradex for 14 weeks?
If my eye pressure was at 30 for 2 to 10 weeks is it likely that this
affected my optic nerve?

Thank you,
Carlos
p.clarkii@gmail.com - 16 Oct 2005 05:40 GMT
sometimes it is necessary to use a steroid-containing drop to prevent
inflammation.  a possible side effect of tobradex in some people is
increased intraocular pressure but the need for the drug may outweigh
the risks of the side effect.  an IOP of 30 for 2 weeks will not affect
your optic nerve.  once the steroid has worn off (takes a while
sometimes) the glaucoma drops can be withdrawn and everything should be
fine.  sounds like your eye doctor is on top of the problem.
 
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