Just returned from my eye exam. Glaucoma and according to her blood pressure has no influence. I am following yor advice now and will return to her in 6 months to examine again.
I used a beta blocker drop and almost fainted in Costco. I have low blood pressure, anyway, and that stuff put me over the line. Learning more from Dr. Richardson in a couple of vids than from lifetime of visits with my local dr.s.
I recently found out that I have severe glaucoma in both eyes. I am now taking dorzolomide 2 times a day, and now wonder if I should be taking that second dose earlier, than at bedtime. I am 61, relatively fit (10000 steps a day), not overweight, and a healthy eater, with lots of veggies. I certainly want to do everything possible to preserve my eye sight. I also have epiretinol membrain ( pucker) in both eyes. I had LASIK in 2004. My pressure is at 12 in both eyes now. I did, however experience an acute angle closure glaucoma attack in February. So I am very keen not to repeat that! thank for your videos. I find them helpful. Seeing is a gift!! I will take my 2nd dose earlier now. Thank you!
My general recommendation to my own patients is to take dorzolamide three times daily (upon waking, before bed, and half way between). However, when dorzolamide is prescribed as a "fixed combination" with timolol (brand name Cosopt) I recommend taking it in the morning and early afternoon (skipping the evening dose in order to avoid the potential negative effect of timolol on optic nerve perfusion pressure).
Glad to hear that. The literature is now quite compelling that maintaining a normal blood pressure (not too high or too low) is important in also maintaining the health of the optic nerve.
@@powerband5235 Only that it is getting much worse. Currently I have nearsightedness……macular degeneration…….glaucoma……and double vision. I started taking Vitamin A ( retinol ) plus Taurine. And it continues to worsen. I am desperate for solid advice. I take eye vitamins, too. And the dreaded Visual Field Test is looming in about 3 weeks. I literally panic when going thru that. My depth perception is horrible, but that probably is from the double vision. Thanks soooo much for asking !❤️
Thx! I just found your channel. Diagnosis just starting, classic characteristics: 59 years, etc. etc. Anyway, God Bless you helping us be smarter / better patients.
Great info. I have traumatic glaucoma for a eye injury in 2012. I have been on cosopt for the entire time twice a day. So I do 6am and 6pm. Now I know this was wrong. Thanks!
Hey Dr.Richardson! Thank you for sharing your videos I just stumbled upon your channel today my dad is 71 and He has glucoma it worsened the past 5 to 6 years and due to this he's been very depressed. He says his right eye he can barely see out of and the left eye is like 60percent ..he is in so much pain ..and refuses to take the eyedrops because of the side effects that you talked about in your other videos.I want him to change his diet and excercise but I feel like he's given up in general 😔😔 It's been like this for years I just want his eyes to get better so he can feel better because their gettin worse.
Interesting video. I just had cataract surgery and Istents put in for glaucoma. My eye pressure hasn’t improved. I take eye drops at night. I will switch to morning and see if that improves it. The video was a little hard to watch because of your driving while doing the video. It seemed unsafe.😊
Good information, but I don't understand why this was made in a car. Are you so busy you can't spare 12 minutes? I also question the safety of doing this while driving.
Great nicely solved my problem but many doctors don't listen they say we don't have evidence and research how can u do your part doctor to convince many other doctors in the world I am from Asia WHO can be the source u help us out many people in the world bcz it is an important isssueee
Views in the fields of medicine change slowly, but I’m beginning to see more physicians pay attention to lifestyle and nutrition. One major problem is simply the extreme lack of time most doctors face. Not sure how to solve that.
Thank you Dr. Richardson for this important video. My treatment includes Methazolamide, and the major side effect is weakness and fatigue. I'm confused whether the correct way of handling the situation would be by drinking more coffee, and perhaps include other stimulating foods and drinks. The problem is that, in my case, IOP can be measured only at the clinic, once or twice every three months, so it is hard to see in real time which food or drink causes an increased level of IOP.
I have secondary glaucoma and I'm on for eye drops for my pressure. I do have the history a family with high blood pressure so I'm trying not to get that because I don't want glaucoma and high blood pressure together.
Amazing! What could be the other option apart from beta blockers that isn’t going to create issues on my eye style? Also, may I ask for a link to the study related to lower blood pressure and optic nerve damage? I want to challenge my glaucoma specialist with it.😊
This is freaking horrific I love to workout , I have normal blood pressure which means I'm at risk for not much circulation or lowered circulation to my Optic nerve at night, I have normal tension glaucoma which they don't know what to do with, when lifting light weights and breathing, if I don't correctly during my workouts , I'm at risk for more optic nerve damage !. what's the use really ???? And the glaring lack of advances in Glaucoma is quite alarming.... !
Hi Dr. Richardson, just found your channel. Good information, l have glaucoma and have been using drops, my blood pressure is good. I am very health conscious. My problem is that l cannot tolerate tasting the drop at the back of my throat. I was on conbigan, now on Rediop. I want to return to conbigan. I have just started the second bottle.. what is your thought on that.Thanks l will continue using the recommended vegetables, but you didn't say whether we should juice them , steam them or have them raw. Anticipate your recommendation
Very good insights. I can definitely anticipate my beta blockers in the early afternoon. Just a technical feedback, it's a bit hard to follow because of the poor audio quality and the background music. Thanks again for your good suggestions, I subbed the channel.
Good evening Dr Richardson. Thank you for the videos. My question concerns sleep positions in relation to low tension glaucoma in the patient who may 1) be hypotensive or 2) be hypertensive and taking medication to control. I understand that it is better to sleep in an elevated position, using perhaps a wedge pillow, or whatever one finds comfortable in order to achieve the recommended elevation. As the NTG glaucoma patient whose BP is low needs to ensure that their low pressures are not exacerbated. So. Question : 1) Will or won't the elevation cause the BP perfusion pressure to the eye to drop in the NTG patient, who is probably a dipper anyway ? Or 2) Whether the patient suffers from hypertension and takes meds to control that during the day, could the elevation cause a dip ? Or, if the NTG patient is really hypotensive and therefore could sleeping in an elevated position exacerbate the lack of a good perfusion ?? Your clarification on this point would be most gratefully received. Thank you for your time. Margaret Grant
Staring at TV screen while doing weights ( dumbbell) slow burn to failure I have noticed improve clarity ( conrasts sensitivity) and sharpness May be also the ketogenic diet has something to do with it too.
Thank you Dr. for such informative advice. I've been recently been diagnosed with glaucoma and yes I do take two types of blood pressure meds (one for persistent high blood pressure and the other for high blood pressure while asleep), as well as two types of beta blocking eye drops for the glaucoma. I fear that I may be making the pressure in my right eye far worse than what it originally was. Nausea has set in and there has been an acute blurriness in that right eye it seems over night. I fear my doctors are missing the mark or at least not communicating. I do take A LOT of meds. And lately I've been even more depressed than normal. It's actually unwarranted. I don't know I'm with Kaiser. Any words of advice would greatly be embraced.
16 or below. Not sure of the blood pressure but I would think such as 120/80. Mine runs around 110/70 until I take a full drop of Timolol in the morning. Then it plummets. 94/52. Trying to work it all out between cardiologist and opthomologist.
What happens if you cant take drops my eyes were a mess tryed 3 differant ones it eas awefull dr has me on prednisone for one week then try again with drops or surgery and i still have to take drops im so scared what do i do if i cant take the drops any help would be appreicated thank you
I am just watching this today, but I don't think he is saying that blood pressure affects ocular pressure. I've been told ocular pressure is a closed system, which is probably what your eye doctor meant. This doctor is advocating healthy blood pressure to make sure you get enough blood to your optic nerve. It doesn't matter if you lower ocular pressure if you aren't getting a good blood supply to the optic nerve.
You are correct that both timolol and brimonidine can result in reduction of the systemic blood pressure. However, in adults the effect of brimonidine tends to be much less than that noted with timolol (not true for everyone, of course). In infants and toddlers, however, brimonidine's effect can be severe and should generally by avoided.
Thanks for this video. This is something I am particularly interested in right now as I am concerned I am experiencing progression due to nocturnal dipping. You touched on many topics I was curious about so thank you. My current concern is that I am on Combigan 3x a day and I feel it is too much. The systemic side effects aren’t great. Will be buying a blood pressure monitor today to try and track my pressure at different times.
Hello Jon, I'm glad you found this video to be of value. With regard to Combigan, I now rarely prescribe this to be used even twice daily (let alone three times a day!). Instead I will prescribe it to be used only once in the morning. I provide a separate prescription for brimonidine to be used in the afternoon and evening. In this way my patients are able to get all the benefit of both classes of medication without the risks of PM dosing of timolol.
I was diagnosed with IIH, bilateral venous sinus stenosis and papiladema. I was loosing peripheral vision fast on both eyes but my left was severe, I have a big blind spot on my left peripheral vision. Two stents were placed on the dominant side just 3 weeks ago. I want to know what are my chances of getting glaucoma????????? This would be so helpful if someone can answer me.
Hey Doctor, glaucoma patient here. What causes halos exactly? Also, my halos are intermittent as far as some evenings they are present and some not. Seems like possibly screen time in a dim room may bring them on. Is there a possible connection between my activities in the evening and the halos/blurred vision. Everything seems to be normal the following morning.
You didn't mention pneumonia which an antagonist blood pressure lowering agent which when I used it As an eye drops lowered my bp by 30 mm Hg. What is the ideal bp at night???
Sometimes You Tube drives me crazy by substituting words for instance CZcams put in the word pneumonia where I had written in the drug name nominations (and it just substituted nominations for brimodinine) I hope this makes more sense now. I wasn't able to edit the original comment.
He should not drive! He is a careless driver I do not think he is a doctor anyway if it is true he is a stupid driver who will do texting too while behind a wheel
It’s a caricature, which (like all caricatures) is meant to be light hearted and somewhat self-deprecating. So no, I’m not full of myself-just trying to share some information which I felt is both difficult for patients with glaucoma to find elsewhere and might be of benefit to them.
@@DrDavidDRichardsonMDSanMarino the so called caricatures have nothing to do with glaucoma or where does that fit in? Nothing humorous about having glaucoma.
Just returned from my eye exam. Glaucoma and according to her blood pressure has no influence. I am following yor advice now and will return to her in 6 months to examine again.
I used a beta blocker drop and almost fainted in Costco. I have low blood pressure, anyway, and that stuff put me over the line. Learning more from Dr. Richardson in a couple of vids than from lifetime of visits with my local dr.s.
I recently found out that I have severe glaucoma in both eyes. I am now taking dorzolomide 2 times a day, and now wonder if I should be taking that second dose earlier, than at bedtime. I am 61, relatively fit (10000 steps a day), not overweight, and a healthy eater, with lots of veggies. I certainly want to do everything possible to preserve my eye sight. I also have epiretinol membrain ( pucker) in both eyes. I had LASIK in 2004. My pressure is at 12 in both eyes now. I did, however experience an acute angle closure glaucoma attack in February. So I am very keen not to repeat that! thank for your videos. I find them helpful. Seeing is a gift!! I will take my 2nd dose earlier now. Thank you!
My general recommendation to my own patients is to take dorzolamide three times daily (upon waking, before bed, and half way between). However, when dorzolamide is prescribed as a "fixed combination" with timolol (brand name Cosopt) I recommend taking it in the morning and early afternoon (skipping the evening dose in order to avoid the potential negative effect of timolol on optic nerve perfusion pressure).
I have had Glaucoma for the past 40 years, but my blood pressure has always been good.
Glad to hear that. The literature is now quite compelling that maintaining a normal blood pressure (not too high or too low) is important in also maintaining the health of the optic nerve.
Have you noticed any changes to your vision?
@@powerband5235 Only that it is getting much worse. Currently I have nearsightedness……macular degeneration…….glaucoma……and double vision. I started taking Vitamin A ( retinol ) plus Taurine. And it continues to worsen. I am desperate for solid advice. I take eye vitamins, too. And the dreaded Visual Field Test is looming in about 3 weeks. I literally panic when going thru that. My depth perception is horrible, but that probably is from the double vision. Thanks soooo much for asking !❤️
What a detailed and yet simple explanation to a medical issue, thank you Doctor.
Appreciate your comment. I will endeavor to create more videos like this one.
Thank you Dr. for all this great information. Please keep the videos coming.
Thanks you! I’m working on my next one now.
Thx! I just found your channel. Diagnosis just starting, classic characteristics: 59 years, etc. etc. Anyway, God Bless you helping us be smarter / better patients.
Great info. I have traumatic glaucoma for a eye injury in 2012. I have been on cosopt for the entire time twice a day. So I do 6am and 6pm. Now I know this was wrong. Thanks!
Hey Dr.Richardson! Thank you for sharing your videos I just stumbled upon your channel today my dad is 71 and He has glucoma it worsened the past 5 to 6 years and due to this he's been very depressed. He says his right eye he can barely see out of and the left eye is like 60percent ..he is in so much pain ..and refuses to take the eyedrops because of the side effects that you talked about in your other videos.I want him to change his diet and excercise but I feel like he's given up in general 😔😔 It's been like this for years I just want his eyes to get better so he can feel better because their gettin worse.
They will not get better! Glaucoma can only be stopt! He must take his eye drops to avoid getting blind
Any updates?
Thank you Dr. Richardson!
Thank you Doctor....just what I needed right now.
Interesting video. I just had cataract surgery and Istents put in for glaucoma. My eye pressure hasn’t improved. I take eye drops at night. I will switch to morning and see if that improves it. The video was a little hard to watch because of your driving while doing the video. It seemed unsafe.😊
Thank you, quite clear and straightforward.
Good information, but I don't understand why this was made in a car. Are you so busy you can't spare 12 minutes? I also question the safety of doing this while driving.
William Rutledge it’s not easy to make these videos many feel more comfortable when they can look away
@@cristinalee6606 Sorry, that doesn't cut it. When you're driving, DRIVE.
@@cristinalee6606
He is a stupid doctor! Are you sure this stupid driver is an eye doctor???
Good explanation, thank you. I’m a dipper. This is important for me to be aware of.
Great nicely solved my problem but many doctors don't listen they say we don't have evidence and research how can u do your part doctor to convince many other doctors in the world I am from Asia WHO can be the source u help us out many people in the world bcz it is an important isssueee
Views in the fields of medicine change slowly, but I’m beginning to see more physicians pay attention to lifestyle and nutrition. One major problem is simply the extreme lack of time most doctors face. Not sure how to solve that.
Thank you Dr. Richardson for this important video. My treatment includes Methazolamide, and the major side effect is weakness and fatigue. I'm confused whether the correct way of handling the situation would be by drinking more coffee, and perhaps include other stimulating foods and drinks. The problem is that, in my case, IOP can be measured only at the clinic, once or twice every three months, so it is hard to see in real time which food or drink causes an increased level of IOP.
I do not have high blood pressure just annoying glaucoma for which I take eye drops. I do not have diabetes and have been tested for it. I am slim.
THANK YOU SO MUCH, YOU ARE AMAZING AND YOUR VIDEOS ARE VERY INFORMATIVE
I have secondary glaucoma and I'm on for eye drops for my pressure. I do have the history a family with high blood pressure so I'm trying not to get that because I don't want glaucoma and high blood pressure together.
Thank you for this video doctor, now I’ll recommend to my husband to change his eye drop time in the morning instead of bedtime.
Amazing!
What could be the other option apart from beta blockers that isn’t going to create issues on my eye style?
Also, may I ask for a link to the study related to lower blood pressure and optic nerve damage? I want to challenge my glaucoma specialist with it.😊
This is freaking horrific I love to workout , I have normal blood pressure which means I'm at risk for not much circulation or lowered circulation to my Optic nerve at night, I have normal tension glaucoma which they don't know what to do with, when lifting light weights and breathing, if I don't correctly during my workouts , I'm at risk for more optic nerve damage !. what's the use really ????
And the glaring lack of advances in Glaucoma is quite alarming.... !
Hi Dr. Richardson, just found your channel. Good information, l have glaucoma and have been using drops, my blood pressure is good. I am very health conscious. My problem is that l cannot tolerate tasting the drop at the back of my throat. I was on conbigan, now on Rediop. I want to return to conbigan. I have just started the second bottle.. what is your thought on that.Thanks l will continue using the recommended vegetables, but you didn't say whether we should juice them , steam them or have them raw. Anticipate your recommendation
Hello,why would you get lowered circulation to your optic nerve at night. Because you work out?
I am from india watch ur videos comforts and helps for my son thanks. Accupuncture treatment gives benifit doctor?
Very good insights. I can definitely anticipate my beta blockers in the early afternoon. Just a technical feedback, it's a bit hard to follow because of the poor audio quality and the background music. Thanks again for your good suggestions, I subbed the channel.
Good evening Dr Richardson. Thank you for the videos. My question concerns sleep positions in relation to low tension glaucoma in the patient who may 1) be hypotensive or 2) be hypertensive and taking medication to control.
I understand that it is better to sleep in an elevated position, using perhaps a wedge pillow, or whatever one finds comfortable in order to achieve the recommended elevation. As the NTG glaucoma patient whose BP is low needs to ensure that their low pressures are not exacerbated. So. Question : 1) Will or won't the elevation cause the BP perfusion pressure to the eye to drop in the NTG patient, who is probably a dipper anyway ? Or 2) Whether the patient suffers from hypertension and takes meds to control that during the day, could the elevation cause a dip ? Or, if the NTG patient is really hypotensive and therefore could sleeping in an elevated position exacerbate the lack of a good perfusion ?? Your clarification on this point would be most gratefully received. Thank you for your time. Margaret Grant
Staring at TV screen while doing weights ( dumbbell) slow burn to failure I have noticed improve clarity ( conrasts sensitivity) and sharpness
May be also the ketogenic diet has something to do with it too.
Thank you Dr. for such informative advice. I've been recently been diagnosed with glaucoma and yes I do take two types of blood pressure meds (one for persistent high blood pressure and the other for high blood pressure while asleep), as well as two types of beta blocking eye drops for the glaucoma. I fear that I may be making the pressure in my right eye far worse than what it originally was. Nausea has set in and there has been an acute blurriness in that right eye it seems over night. I fear my doctors are missing the mark or at least not communicating. I do take A LOT of meds. And lately I've been even more depressed than normal. It's actually unwarranted. I don't know I'm with Kaiser. Any words of advice would greatly be embraced.
Your videos are informative,
Pls what is the ideal ocular perfusion pressure, so that one can regulate their blood pressure and IOP to fit
Good question
Any one can answer this the doctor seeema to busy
I was told at least 16. But check with your doctor.
16 or below. Not sure of the blood pressure but I would think such as 120/80. Mine runs around 110/70 until I take a full drop of Timolol in the morning. Then it plummets. 94/52. Trying to work it all out between cardiologist and opthomologist.
Thanks for all the useful information
I have glaucoma and thought blood was going to be spurting out today.
Very helpful. Thank you.
My glaucoma is terrible. My blood pressure is awesome.
Excellent video. Thanks
What happens if you cant take drops my eyes were a mess tryed 3 differant ones it eas awefull dr has me on prednisone for one week then try again with drops or surgery and i still have to take drops im so scared what do i do if i cant take the drops any help would be appreicated thank you
Excellent
Hi Doc... Thank you for the brief informstion.. but By any chance... Will the hypertension medication can affect the glaucoma ?
How does white coat blood pressure fit in . I have that
I’ve been told the opposite by my eye doctor; my hbp does not affect my ocular pressure and I have type 2. So…
I am just watching this today, but I don't think he is saying that blood pressure affects ocular pressure. I've been told ocular pressure is a closed system, which is probably what your eye doctor meant. This doctor is advocating healthy blood pressure to make sure you get enough blood to your optic nerve. It doesn't matter if you lower ocular pressure if you aren't getting a good blood supply to the optic nerve.
Thanks a lot doctor....very very useful
Great informations ; thanx doctor.
Sir Glucoma hai mujhe kya thik Ho sakta hai plz ilaj bataye mujhe center viewing pata nahi chalta hai
You didn't mention the possibility of hypotension with brimonidine which has a side effect similar to that of clonidine.
You are correct that both timolol and brimonidine can result in reduction of the systemic blood pressure. However, in adults the effect of brimonidine tends to be much less than that noted with timolol (not true for everyone, of course). In infants and toddlers, however, brimonidine's effect can be severe and should generally by avoided.
Thanks for this video. This is something I am particularly interested in right now as I am concerned I am experiencing progression due to nocturnal dipping. You touched on many topics I was curious about so thank you.
My current concern is that I am on Combigan 3x a day and I feel it is too much. The systemic side effects aren’t great. Will be buying a blood pressure monitor today to try and track my pressure at different times.
Hello Jon,
I'm glad you found this video to be of value. With regard to Combigan, I now rarely prescribe this to be used even twice daily (let alone three times a day!). Instead I will prescribe it to be used only once in the morning. I provide a separate prescription for brimonidine to be used in the afternoon and evening. In this way my patients are able to get all the benefit of both classes of medication without the risks of PM dosing of timolol.
Hey good job with all these videos 👍🏾
I was diagnosed with IIH, bilateral venous sinus stenosis and papiladema. I was loosing peripheral vision fast on both eyes but my left was severe, I have a big blind spot on my left peripheral vision. Two stents were placed on the dominant side just 3 weeks ago. I want to know what are my chances of getting glaucoma????????? This would be so helpful if someone can answer me.
diagnosed at 21, now 26 I was slightly loss my right vision, have been using eye drops, how to minimize redness of eye while using drops
How do you feel now??? What about your sight
Doctor, do you have glaucoma? Did I hear it correctly? Can someone answer me?
No, I do not have glaucoma but I do have family members with glaucoma.
Thank you!
I take latanaprost once at night n brimonidine 2% once in day n once at night is this OK what do u recumend n they are not lowering my eye pressure
Being a vegetarian I would like to know the various sources of omega 3 fatty acids. Will the consumption of flax seeds meet the requirement?
Try Purslane, one of the highest sources!! And try milk thistle oil too.
Hey Doctor, glaucoma patient here. What causes halos exactly? Also, my halos are intermittent as far as some evenings they are present and some not. Seems like possibly screen time in a dim room may bring them on. Is there a possible connection between my activities in the evening and the halos/blurred vision. Everything seems to be normal the following morning.
You didn't mention pneumonia which an antagonist blood pressure lowering agent which when I used it As an eye drops lowered my bp by 30 mm Hg. What is the ideal bp at night???
Sometimes You Tube drives me crazy by substituting words for instance CZcams put in the word pneumonia where I had written in the drug name nominations (and it just substituted nominations for brimodinine) I hope this makes more sense now. I wasn't able to edit the original comment.
I’m on twice a day drops 😮
I love you....Big heart.😍
My forther has Glaucoma he is 70 year old eye go Biden please help me to find it out
Great video, unique style while driving but hard to concentrate as You're driving :)
He should not drive! He is a careless driver I do not think he is a doctor anyway if it is true he is a stupid driver who will do texting too while behind a wheel
Beta b car anhydase combo
What's the meaning of the picture @ the bottom of the screen? If you're full of yourself and need it there make it smaller.
Could you people leave the man alone and appreciate the video
@@semoneg2826 The picture is distracting from view. This statement is not an attack just advice.
It’s a caricature, which (like all caricatures) is meant to be light hearted and somewhat self-deprecating. So no, I’m not full of myself-just trying to share some information which I felt is both difficult for patients with glaucoma to find elsewhere and might be of benefit to them.
@@DrDavidDRichardsonMDSanMarino the so called caricatures have nothing to do with glaucoma or where does that fit in? Nothing humorous about having glaucoma.
@@semoneg2826 public criticism is meant for presentation expressed dislikes for viewing improvement.
Super , HalLeLu YAHshua +++++++++++++++
I was told to put drops in at night. I will put them in at morning instead.
DO NOT DO IT! LISTEN TO YOUR OWN DOCTOR NOT A CZcams SO-CALLED DOCTOR! Do you know for sure he is an eye doctor?
Pardon me please, but. Doc is kind of cute 😊
You're reading a script! Shouldn't you know your stuff without that?!
黙って
Shut up