Guest guest Posted June 27, 2004 Report Share Posted June 27, 2004 > > > " Danny Levin " <dan_lv > > I have received a patient with a glucoma in a near acute stage with > eye ball pressure of 40 mmHg. > She is seeking urgent alternative to surgery, she is unable to stand > acupuncture and wants to be treated only with herbs. > > > Dear Danny > > Do you know what type of glaucoma this is? > I assumed it was 'primary open angle' (The 'angle' is the area > roughly between the base of the iris & the cornea); however reading > your post it seems that this may be 'closed angle' ie that there > antomically isn't a lot of space. > I am new to tcm (a mere 2nd yr student), so I am still discovering > what TCM can do. Perhaps it is my conventional background, but is TCM > able to help if this a structural problem? > You don't give any details about your patient (history of > inflammatory eye disease, age, ethnicity etc) - I am assuming no > inflammatory eye disease. Ethnicity may give a clue about angle > structure or pigment blocking the trabecular meshwork. > > 40mmHg will cause damage to the optic nerve head & cause > irretrievable sight loss if allowed to continue. > > FYI, if this is primary open angle glaucoma, there is usually a > diurnal variation in intraocular pressure, with pressures highest > around 11am. I thought this may influence your choice of herbs, but > am wondering about you taking a case on like this without ( I assume) > being able to monitor intraocular pressure yourself. Perhaps you > could consider joint management with the ophthalmologist to 'cover' > yourself? > > I hope everything works well > Esther > > > > > > Chinese Herbs FAX: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2004 Report Share Posted June 28, 2004 Its a Pigmentary Glaucoma in its late stages (most of the pigment has rubbed off of the iris). After a laser treatments her eye pressure drop to 30. >>am wondering about you taking a case on like this without ( I >> assume) being able to monitor intraocular pressure yourself. >>Perhaps you could consider joint management with the phthalmologist >>to 'cover' yourself? I don't know what you where implying.. but i see no other way of treating a glaucoma patients without constant monitoring of their eye pressure. (by a doctor of course). 'covering myself' is not the issue here,.. its the patients eyes. Dan.L > > Dear Danny > > > > Do you know what type of glaucoma this is? > > I assumed it was 'primary open angle' (The 'angle' is the area > > roughly between the base of the iris & the cornea); however reading > > your post it seems that this may be 'closed angle' ie that there > > antomically isn't a lot of space. > > I am new to tcm (a mere 2nd yr student), so I am still discovering > > what TCM can do. Perhaps it is my conventional background, but is TCM > > able to help if this a structural problem? > > You don't give any details about your patient (history of > > inflammatory eye disease, age, ethnicity etc) - I am assuming no > > inflammatory eye disease. Ethnicity may give a clue about angle > > structure or pigment blocking the trabecular meshwork. > > > > 40mmHg will cause damage to the optic nerve head & cause > > irretrievable sight loss if allowed to continue. > > > > FYI, if this is primary open angle glaucoma, there is usually a > > diurnal variation in intraocular pressure, with pressures highest > > around 11am. I thought this may influence your choice of herbs, but > > am wondering about you taking a case on like this without ( I assume) > > being able to monitor intraocular pressure yourself. Perhaps you > > could consider joint management with the ophthalmologist to 'cover' > > yourself? > > > > I hope everything works well > > Esther > > > > > > > > > > > > > > Chinese Herbs > > > FAX: > > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.