After a routine eye exam, I was prescribed Lumigan for normal tension glaucoma. Is it better to consult a specialist or use eye drops?

Q. Is a lifetime of Lumigan eyedrop usage necessary for the treatment of glaucoma?

Answered by
Dr. Shikha Gupta
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 20, 2023 and last reviewed on: Aug 21, 2023

Hello doctor,

I am a 62-year-old male who went for a regular eye checkup. The doctor asked to perform 3D disc topography. According to the report, he said that typical tension glaucoma may be the cause, but he was unsure and asked to see an eye specialist. He prescribed Lumigan eyedrop and said once I start using eye drops, it needs to be used for a lifetime. I will go to an eye specialist hospital by the end of this month. I need a second opinion on the report and about the usage of eye drops. Should I start using eye drops till then? Kindly help.



Welcome to

I read your query and can understand your concern.

You had OCT (optical coherence tomography) ganglion cells which are also suspicious. Is there any family history of glaucoma? Are you diabetic, hypertensive, or have any other systemic illness? Any history of chronic medical illness or chronic medication? I suggest you should get your glasses. Wait for one year and then get your repeat OCT to look for any change. If it is progressing, then you can start medicines. If not, then again, wait for a year and get it repeated. Once any progression is found, you can begin to take medicines. Otherwise, till then, just use glasses. I hope this helps. Thank you and take care.

Hello doctor,

Thank you for the reply.

No family history of glaucoma is known.I am pre-diabetic but not currently using any diabetic medications. There are no chronic medical conditions or medications. I have been using bifocal lenses for a very long time. So, based on the report, it is safe to claim that there are no noticeable glaucoma symptoms present. I shall not start taking "Lumigan" eyedrops for the time being. Is it necessary for me to conduct OCT (Optical coherence tomography) every year to see how it is progressing? Please provide more information on ganglion cells. What does it represent? Kindly help.



Welcome back to

I read your query and can understand your concern.

No, hold off on using eye drops for the time being. You had an OCT (Optical coherence tomography) done on your rational ganglion cells to check on their health. I hope I have answered your question. Let me know if I can assist you further. Regards.

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