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measuring iop, steroids and iop

Latest post 07-11-2008 9:46 PM by billym. 3 replies.
  • 07-08-2008 7:32 PM

    measuring iop, steroids and iop

     hello, i'm a new member in not so quiet desperation. 

    first a short history.  my normal iop's were around 21 in both eyes,  told i have thick corneas (trying to get the numbers from the records).  in the past ten years, took so many peripheral vision exams (they were normal) and had so many pictures of my eyes taken (i apologize, i don't know all the appropriate terms yet) (the "pictures" were "normal"), worried so much and then the research came out that corneal thickness impacted the iop readings. i just became relieved and discouraged in  the same instant.  relieved that my eyes may be "ok" and discouraged about all the wasted worry because medicine is still an "art" (usually don't use so many quotes).

    fast forward 4 years.  i hurt my arms and knees.  at first took full dose of naproxen with ok from primary doctor.  water retention, so severe, but i didn't know it was from the naproxen.  rheumologist put me on prednisone, the steroid.  developed red eye along the way (blanches, so episcleritis?) was on prednisone 7 weeks, 5 mg in the AM.  went to the opthamologist, iop were 29 and 31.  stopped the prednisone and went back to otc nsaid's and a lot of cold packs for the pain in my arms and legs.

    it has been 4 weeks since i stopped the prednisone.  a peripheral vision field test was normal 3 weeks ago, and i was told the "nerve"  looks ok.  alphagan irritates my eyes to the extreme and does not lower the pressure.  timolol lowered my pulse to 45 and i became non-functioning.  it did not lower the iop.  i have xalatan sitting in front of me now and i am very hesitant to try it.  the doctor said it would make my eyes redder. 

    tried proview, didn't work for me. 15 16 all the time

    this is what i think is part of the problem.   i have white coat hypertension.  when i go to the primary care doctor,  my b.p. goes to 180 and keeps going up into the exam.  about 6 years ago, i bought 2 reliable b.p. monitors and established that my b.p. is below 120 at home.  by the way, white coat hypertension is a familial problem, so not unexpected.  so now, one issue re my iop is stress in the opthamologist's office.  i wonder if the same thing is happening and stress is one component of the rise in iop in addition to the steroid effect.  last week, at my last appt, the doctor was talking laser,  and i was in a state of shock. 

    i see no alternative other than to try to educate myself and invest in a machine, if i can,  so i can take my iop's at home.  the b.p. situation scared me until i could monitor it myself.  and now the iop situation is scarring me to the max. 

    there is so much info on this site (thank goodness) so i haven't waded through all of it yet.  has anyone had experience with steroids and iop?  and measuring my own iop  - i read the info that you posted in 2007, dave, and started assimilating all the terms and device names.  but what do i do to enable myself to measure my own iop's at home.  i would be willing to be part of a research project, more than willing.  and i can get an rx.  what's next?

    and thank you, i am very glad that this website is here.

         

     

    • Post Points: 0
  • 07-08-2008 8:05 PM In reply to

    • Dave
    • Top 10 Contributor
      Male
    • Joined on 11-04-2006
    • USA
    • Points 7,097

    Re: measuring iop, steroids and iop

    Hi Nancy - welcome to FitEyes. I will email you more info on getting an eye pressure machine (a tonometer).

    It is fairly common for steriods to increase intraocular pressure. However, I have a friend who was on a steriod for about 10 days recently. He also has a tonometer to measure his intraocular pressure. He found that 10 days on the steriod did not have much of a negative effect on his eye pressure. But he did keep a close watch on it during the whole time he was on the steroid. The ability to perform self-tonometry (monitor his own eye pressure) gave him a lot of comfort during this period -- and I think it was very smart of him to keep such a careful watch on it.

    Did you see my articles on white coat ocular hypertension? Here are the links:

    White Coat Syndrome for Eye Pressure

    White Coat Ocular Hypertension In One Eye

    BTW, I do not know a single person for whom the Proview worked.

    Thank you for all the comments you are leaving here! I encourage everyone to comment on each article you read on this site. You have to be signed in to leave comments. If you have any difficulty leaving feedback, contact me (or just send an email to dave using this domain name).

    • Post Points: 0
  • 07-09-2008 8:01 AM In reply to

    Re: measuring iop, steroids and iop

    hi dave

    thanks for those links because i hadn't read them yet.  and yes, i bet your friend had more than a "bit" of comfort.  i think that some people are steroid sensitive and some are not  (i think the medical community has better terminology for that). 

    There is one person that values the proview.  I don't have the link right now, but D. Dump is his name..  His wife, Mary, has struggled with high iop for 12 years and they relate their experiences in valuable detail on the web.  

    I am looking forward to the email re tonometer.

    • Post Points: 0
  • 07-11-2008 9:46 PM In reply to

    • billym
    • Top 10 Contributor
    • Joined on 07-09-2008
    • Points 0

    Re: measuring iop, steroids and iop

    Hi Nancy, I'm glad I found this site too. I hope you find the right drops and get better.  

     

    Found this info on xalatan

    Try taking Xalatan around 3 PM instead of right before sleep. One study indicated that Xalatan may become most effective starting 12 hours after administration. I know from my home eye pressure measurements that Xalatan takes about 6 hours before it even starts to reduce my eye pressure. Therefore, if my peak eye pressure occurs around 3-4 AM (or even later) it doesn't make sense to take Xalatan around midnight or later. Taking it earlier might be better. I'm going to try to take it 12 hours before the time of my peak eye pressure

    http://fiteyes.com/blogs/dave/2007/01/30/managing-blood-pressure-and-eye-pressure-while-sleeping

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