alpha agonist drops and narrow angles

[anonimouse5]

I am taking Latanoprost and my doctor says the pressure is still a bit too high. I have tried Dorzolamide (problem with side effects) and Tiopex (didn't work) so the only remaining type is alpha agonist. So far this has not been prescribed. However I also have narrow angles (not bad enough for iridotomy) and these drops cause pupil dilation. Will this be safe?

[Lynne-H]

I too have narrow angles and I use Ganfort a combination of bimatoprost and a beta blocker timolol. This keeps my pressures under control.

[Trish_GlaucomaUK Partner]

Hello anonimouse5,

An Alpha agonist is normally used after cataract surgery or laser. Apart from Alphagan which doesn't cause the pupil to dilate which would be a safer option. It would be a good idea to discuss the options further with your consultant.

[Hidden]

I am using brimonidine, an alpha agonist, the only drops that have not produced respiratory problems so far. They seem to work well and I'm told I have narrow angles but I can't see anything in the cautions in the BNF that mention a problem with narrow angles.