need help in knowing the most appropriate treatment available for Rubeotic glucoma

[pramod_j13]

Dear Doctors,

My uncle is a known case of lasered PDR with bilateral pseudophakia with rubeotic glaucoma. He had undergone through (R) V-R surgery in '08. -c(R) cyclocryo & ARC  in '09.

He has received multiple injections of avastin in both eyes and at present on :-
G.Travatan           ]
G.Doizox             ] B/E
G.Alphagan         ]
G.Pilocar (R)

IOP is 14mm Hg by applanation today with no rubeosis at present.

Also, he is hypertensive and a diabetic. At present he is 60% blind and cannot see a distant object. Please help with your opinions on the following concerns:_

1. Is he on the right medication?
2. Is there any better cure to the above mentioned ailment?
3. Is there any treatment with which he can get back his normal sight?
4 If yes then what are those medical options...?

Anticipating your early response on the same.

Best Regards,
Pramod

[pramod_j13]

Dear Dr. Ray,

My apologies for the delayed response and sincere gratitude for your kind reply. So that means there is no ray of hope as far as his ailment is concerned and just the ongoing treatment is the best he could opt for....?

Looking forward to your response.

Best Regards,
Pramod

[Ray T Oyakawa, MD]

1) Yes, 2), 3), No.


Dr. O.