This question concerns my father who is 90 years old. He will not consult a doctor for his medical problems.
He suffers from "eye attacks" in which the centre of his vision disappears. This small area then expands so that he has shimmering lines around a central area of his vision. In about 1/2 hour the circle expands out of his field of vision and his vision returns to normal. He has been diagnosed as having angle closure glaucoma and has had laser surgery to correct this, however the surgery apparently did not work for him.
He currently takes pilocarpine drops, which seem to control the eye attacks, however he complains that after using the drops he can't see very well. This is apparently because of severe constriction of the pupil, which becomes very small and admits little light. The poor vision after using the drops has led him to limit their use and he suffers attacks sporadically as a result. I am worried that he might be permanently damaging his vision.
My question is whether there is another class of drugs that could be used to treat his condition that didn't constrict the pupil. If that were the case I might be able to convince him to consult someone about his problem.
Note: He will not consult a GP because he doesn't want to go into a hospital, nor an eye doctor for fear that his driving licence will be cancelled. Any advice would be appreciated. Thank you.
Since driving is important to him, you might be able to convince him to see an ophthalmologist by saying that if he loses his sight, he won't be able to drive. He really does need to see an ophthalmologist. His episodes sound like migraine, which is unusual in a man of his age. If he has a cataract, cataract surgery will open his angle and he won't need the pilocarpine drops. There is no good alternative drop to pilocarpine for this; other eye meds lower the eye pressure, but do not constrict the pupil. If he has plateau iris, this can be treated with an intraocular laser at the same time as the cataract surgery.
From Hollywood stars to your yoga teacher, it seems that everyone swears by a detox diet. But does it actually work? And is it even healthy? Cardiologist and weight loss expert James Beckerman, MD, weighs in
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.