Roger 2015-12-08 16:47:32
I’m 59 now and I got my first eyedrops more than 3 years ago, when my IOP
was measured between 24 en 27. I started with Timoptol (timolol), but it
didn’t get the pressure much lower. Afterwards I tried different other
drops, like Alphagan, Xalatan, Cosopt and I must have forgotten one or two.
Only Cosopt could bring the pressure down to 20-21. Although my
ophthalmologist considered this still a bit high, she eventually was
satisfied with the result, and I could keep it at this level for a couple of
years. My visual field is still relatively good: the test I did this year
was even better than last year’s.
But in August, my IOP had risen again to 23. So I was put on other drops
again, this time Xalacom (Xalatan + timolol). But a month later, my IOP was
24. As a last resort, I am now on Lumigan. I found on the Internet some
studies which show that Lumigan gives lower IOP’s than Xalatan en can even
work with people who don’t respond to other drops. But of course, my hopes
are not very high, and I suspect that on Monday, when the pressure is
measured again, my ophthalmologist will direct me to the laser.
My questions: are there others out there who respond so badly to eyedrops?
Are there still other and better drops (or combinations) possible? On the
other hand, how good are the results of laser surgery? Does it always bring
the pressure down, and how long lasting are the results?
Thanks for all possible help,
Roger (from Belgium)
Donald singlet 2015-12-08 16:47:36
Laser has worked very well for me, although the results have not been as
long-lasting as I had hoped. I had two rounds in both eyes; each time the
pressures were lowered to the 11-12 range, and each time the pressures rose
again to the 18-20 range over the course of two or three years. Currently,
Xalatan and Cosopt have been keeping them in the 11-13 range.
Good luck to you.
Stefanos 2015-12-08 16:47:39
As regarding the laser surgery I understand the new SLT is much, much better
than the older laser. It’s more selective in what it opens up and can be
redone many more times as opposed to just twice.
Obviously I’m no doctor and just posting (paraphrasing) what I remember from
It would be appreciated if someone with better knowledge of the SLT would post
so we can have better information to argue with when our doctors start
suggesting Argon lasers.
John 2015-12-08 16:47:43
SLT is not available in the San Diego area; suggesting that this relatively
inexpensive ($65000 per machine) treatment is not highly regarded by
Does Dr. Cohn have a comment?