Dr. Shikha Gupta
Ophthalmology (Eye Care)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My grandmother is 83 years old and has been suffering from a mild form of glaucoma for three years now. When we consulted doctors earlier they suggested using eye drops than surgery. So we have been using Travo Z and Tear Drops daily and she is also able to see properly. Since one week she is experiencing pain in her eyes and has trouble looking at the light directly. Her eyes have also turned reddish. Please help.
Hello,
Welcome to icliniq.com.
Has she got operated for cataract? Any previous record of vision please share the latest one. Also, share the glaucoma test reports in which she was diagnosed as glaucoma and share the photo of eyes.
Patient's Query
Thank you doctor,
She has gone through cataract operation for both eyes in 2005-06. Since four years she is being treated in a big eye hospital and we do not have any glaucoma reports as they keep all reports with themselves at the hospital. I am attaching the prescription and photo. Just to remind you again, she has been suffering from pain in the eye and difficulty in looking at light for one week.
Hi,
Welcome back to icliniq.com.
In the picture (attachment removed to protect patient identity), it appears that she is having dry eyes. Pain may be because of that only, mild discomfort in looking towards light may also be because of that only. In reports, there is no mention of cup disc ratio, what type of glaucoma she has, severity? So whether to continue with drops or not cannot be said. This drop Travo z (Travoprost) increases redness, dryness, and inflammation so it can also be a cause. But in that case, the drop should not be stopped. You can change the drop and switch to Lotim 0.5% (Timolol maleate) eye drop twice daily. And increase the frequency of Refresh tears eye drop to 2 hours.
Patient's Query
Thank you doctor,
Good to know that there is no major issue. I will follow your instructions on this.
Hi,
Welcome back to icliniq.com.
You are welcome. Keep in touch for further doubts.
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Ophthalmology (Eye Care)
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