Reaction to Glaucoma meds (or should junior doc’s be let loose?)

Patient last seen by me 05/2013. Post R trab, non responding to hypotensives and frank OSD. On duo therapy before trab. 05/2013 RE nice bleb, bit low IOP 6mm. Advancing n/s cataract but VA 6/12-1, no big rush to op as hypotony risk and other eye is 6/5 on (-4.00/-1.75×180). LE 28mm. [no glaucomatous discs, … Continue reading "Reaction to Glaucoma meds (or should junior doc’s be let loose?)"


Simbrinza – combination brinzolamide and brimonadine. Used twice a day Apparently to be given when you have a patients on a PGA but need better IOP  control and for that patient a Bblocker is contraindicated. preserved with BAK but the Alcon rep tells me this is at a low BAK concentration New out….

Suspect nerves

Saw this Px yesterday whilst doing a Locum day. Just wondering what people opinions are, about the appearance and management, based on disc image alone. Will give it a couple of days and then let you a little more about the Px details and what I did.