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Non-pharmaceutical medications and approaches to glaucoma (all articles)

rritch's picture
Submitted by rritch on Wed, 09/15/2010 - 9:33am

The blog post contains several articles. Keep scrolling down past the references at the end of each article to read the next article.

Section Leaders: Makoto Araie, Robert Ritch, Clement Tham

Contributors: Makoto Aihara, Aiko Iwase, Sandra Fernando, Michael S Kook, Simon Law, Robert Nussenblatt, Vincenzo Parisi, Nathan Radcliffe, Douglas Rhee, Kwok-Fai So, Raymond Chuen-Chung CHANG, He Wei, Lori Ventura

Consensus points

  • Plant extracts have been used medicinally throughout history. Every society has plants used medicinally
  • Even dogs eat grass when sick, while chimpanzees consume a variety of non-food plants medicinally. This is learned behavior
  • Our modern pharmacopoiea of drugs were originally synthesized from plants used medicinally. These include vitamin C, digitalis, penicillin, and pilocarpine.
  • Chinese traditional medicine in its written form dates back 5000 years.
  • Technically speaking, vitamins fall into this category. We depend on essential vitamins from food for survival. There is a fine line between nutrition and medicinal uses of plants.
  • It was only in the 20th century, with the advent of single molecule products synthesized and patented by pharmaceutical companies and U.S. medical school philosophiesthat other non-pharmaceutical traditional medications came under attack, leading often to their being ridiculed and held in contempt.Thus, in order to get away from this view, we prefer the term “non-pharmaceutical therapy” to “alternative” or “complementary”
  • Many available natural compounds used as “non-pharmaceutical therapy” have been reported to show beneficial effects on circulation, the immune system, and neuroprotective activities in vitro and in vivo.
  • The mechanism of action of neuroprotection most common to natural compounds is antioxidant/free radical scavenging activity. However, many other actions are present and some extracts, such as Gingko biloa and curcumin have widespread activity on a number of enzyme systems.
  • Comment: Some of these compounds reportedly modify expression of enzymes relating to excitotoxicity, apoptosis, inflammation, lipid peroxidation, or immune stimulation. Some of these compounds have undergone clinical trials to evidence their effects on systemic diseases, including neurodegenerative disorders.

my approach to glaucoma: HRT (Heidelberg) shows improvement of the eye nerve

Submitted by robekb on Thu, 09/09/2010 - 1:12pm

There was a big surprise for me as I have had today my eye HRT exam. I decided to do the HRT after two months after the recent test as I was curious whether there was any effect from the changes which I have seen in my IOPs (which originated about two months ago).

Quite unexpectedly for me the scan of my eye nerve is, I believe, showing improvement. I haven't discussed this with my doc yet as I have a scheduled visit for next month. BTW my state today when taking the eye exam was far from perfect: I had higher than usual IOP due to a nasty cold and stuffed sinuses.

Ocular perfusion pressure and glaucoma: clinical trial and epidemiologic findings

MellowDios's picture
Submitted by MellowDios on Thu, 09/09/2010 - 12:33pm

Though it was written back in March 2009, I found this comprehensive article on ocular perfusion pressure and the correlation between blood pressure and IOP helpful in clearing up my confusion on the subject:

http://journals.lww.com/co-ophthalmology/Fulltext/2009/03000/Ocular_perfusion_pressure_and_glaucoma__clinical.2.aspx

For those who are unclear on it, as I was, here's the formula for calculating Ocular Perfusion Pressure:

It is only a hypothesis, but this is very interesting news! Alternate day calorie restriction prolongs life.

Submitted by dave on Mon, 09/06/2010 - 1:57pm

Med Hypotheses. 2006;67(2):209-11. Epub 2006 Mar 10.

The effect on health of alternate day calorie restriction: eating less and more than needed on alternate days prolongs life.

Johnson JB, Laub DR, John S. Department of Surgery, Louisiana State University Medical Center, 2547A Lyon Street, 2nd Floor, San Francisco, CA 94123, USA. jim@jbjmd.com

Abstract

my approach to glaucoma: glucose matters !

Submitted by robekb on Sun, 09/05/2010 - 10:09am

Inspired by what I read in "Diabetes Solution" by Bernstein and other sources I decided to test this for myself. I was struck how similar the effects of diabetes to one's eyes were to those observed in glaucomatic eyes (diabetes causes glaucoma too BTW). Bernstein himself states that when his blood glocose was not under control he "suffered night blindness, balooning of the blood vessels in the eyes, macular edema and early cataracts".

Clusterin - antioxidant is in the research spotlight

Submitted by FitEyesAdmin on Sat, 09/04/2010 - 9:18am

Shin YJ , Kim JH , Seo JM Protective effect of clusterin on oxidative stress-induced cell death of human corneal endothelial cells. Mol Vis. 2009 Dec 16;15:2789-95.

PURPOSE: To investigate the protective effect of clusterin on oxidative stress-induced cell death of human corneal endothelial cells.

"Good Calories, Bad Calories" By Gary Taubes

Submitted by Anonymous (not verified) on Sat, 09/04/2010 - 8:42am

I am reading "Good Calories, Bad Calories" By Gary Taubes right now. It is fascinating how bad research can become "good science" regarding fats and cholesterol! Of unexpected relevance to the FitEyes Insight eye pressure research for me at this time. I hope to keep my thinking clear and true, free of personality!

Eye pressure question - how do I go about testing this further with my tonometer?

Submitted by Thomas Hirsz on Sat, 09/04/2010 - 7:59am

My elevated intraocular pressure in the evening seems to decrease when I lie down and read. However this could be due to other factors such as the eye drops kicking in. How would I go about testing this further?

Correlation of IOP and Blood Pressure

Submitted by johnc on Wed, 09/01/2010 - 9:19pm

My blood pressure has moved up significantly and my eye pressure went up as well. The doctor visits were less than a week apart. My research on the Internet shows that there are correlations between the two. Any thoughts??

 Johnc

How to deal with fear?

Submitted by harmonijkarz28 on Sun, 08/29/2010 - 3:19pm

Good evening,

first of all i'd like to thank you all for all the information about glaucoma.

I have few questions.
1. How do you manage with stress and how to deal with fear? My eyes are my greatest weakness. During medical tests i was sweating, my heart was beating hard, and i almost fainted. I was really ashamed becouse i am grown man.
I was told that my IOP is to high, and i know that my grandad has glaucoma so i guess i am going to have it too.
I am afraid of other tests, i am getting really nervous when i think about that so according to information on fiteyes my IOP is getting higher.

Can I get some sedatives before medical tests. How sedatives influence on IOP?

Dr. Janet A Betchkal, MD - Jacksonville, FL USA - Not supportive

Submitted by Anonymous (not verified) on Sat, 08/28/2010 - 11:38am

Dr. Janet A Betchkal, MD has not taken the time to educate herself about self-tonometry and she is generally dismissive and not supportive of the practice. It is possible this will change in the future if one or more of her patients helps educate her.

New York City - Robert Ritch, MD - Highly Supportive of Self-Tonometry

Submitted by dave on Sat, 08/28/2010 - 11:35am

There may not be any ophthalmologist anywhere who is more interested in self-tonometry than Dr. Robert Ritch in New York City. People come from all over the world to see him. He is one of the top glaucoma specialists in the world.

See this blog post for more about Dr. Ritch:

http://fiteyes.com/Robert-Ritch-Glaucoma-Specialist

See these links for more information, including his office locations:

Recommended Doctors - Posting Rules

Submitted by dave on Sat, 08/28/2010 - 11:12am

In this forum you may post information about doctors you know to be supportive of home eye pressure monitoring. In my experience, most ophthalmologists and doctors of optometry will offer support to motivated patients who wish to monitor their eye pressure at home. However, some doctors are enthusiastic while others are reluctant. If your current doctor is reluctant to support your desire to do home monitoring, you can help educate your doctor.

Many FitEyes members have won over their doctors by simply discussing the topic with them. Sometimes it takes more than one discussion.

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