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How to treat visual field loss in glaucoma patients?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 60-year-old female, who weighs 198 lb and 5.7 height. I was diagnosed with metastatic breast cancer 20 years ago. I am suffering from chemical depression due to chemotherapy, and so, I am on antidepressants for 20 years and on Celexa for the past three years with good results. Before five years, I was diagnosed with 90 % optic nerve damage in the right eye and 75 % damage in the left eye due to open-angle glaucoma. I am under Brimonidine Tartrate and Dorzolamide twice daily and Latanoprost once daily for the past five years with good control of glaucoma and proper visual fields. The recent visual field test showed a decrease in the visual field. Laser treatment was done again for open-angle glaucoma before a week.

Answered by Dr. Souhad Abdulhalim Lawand

Education:

MD

Professional Bio:

Dr. Souhad Abdulhalim Lawand is an experienced Ophthalmologist specializing in the surgical management of anterior chamber pathologies, glaucoma, and retinal disorders. With a strong academic and research background, he has contributed significantly to advancing treatments for chronic and complex eye conditions. His expertise spans refractive, dry eye, and retinal diseases, combining clinical excellence with innovative research.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I am sorry to hear about what you are going through and wish all the health in the world. Fortunately, Celexa (Citalopram) is not significantly correlated with glaucoma as a side effect, and I doubt that the progression of your disease is related to your intake of the antidepressant. Glaucoma is a chronic disease that tends to progress regardless of all actions taken by the ophthalmologist slowly. Our main approach towards glaucoma is to keep it under control because we are not able to treat it and based on your history of ophthalmic care you seem to be in good hands, but you should be very punctual on your follow-up and doctor's recommendations. You can also add artificial tears four times daily at least to that list of eye drops that you are using. Dry eye is inevitable with all the medications that you are using.

Medically reviewed by Dr. Nithila. A
Published At May 26, 2019
Reviewed At May 13, 2026

Education:

MD

Professional Bio:

Dr. Souhad Abdulhalim Lawand is an experienced Ophthalmologist specializing in the surgical management of anterior chamber pathologies, glaucoma, and retinal disorders. With a strong academic and research background, he has contributed significantly to advancing treatments for chronic and complex eye conditions. His expertise spans refractive, dry eye, and retinal diseases, combining clinical excellence with innovative research.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Nithila A is a Dental Surgeon specializing in providing comprehensive oral healthcare. She focuses on preventive care, routine dental treatments, and patient education to maintain optimal oral health. Known for her compassionate and patient-centered approach, she ensures comfortable and effective dental care tailored to the individual needs of each patient.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Souhad Abdulhalim Lawand is an experienced Ophthalmologist specializing in the surgical management of anterior chamber pathologies, glaucoma, and retinal disorders. With a strong academic and research background, he has contributed significantly to advancing treatments for chronic and complex eye conditions. His expertise spans refractive, dry eye, and retinal diseases, combining clinical excellence with innovative research.

This doctor is not available for online consultations on the platform anymore.

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