What comes after a failed slt?

[Daytripper56]

Hi had slt in March I'm also on drops 3 times a day pain in my eyes is unbearable the only thing that works for me is diamox please advise anyone?

[Longwalks3]

Sorry to hear that you are in pain. I hope a solution to this can be found soon. If your SLT has failed your consultant should review your case and will probably recommend some type of surgery. Every case of glaucoma is different so its impossible for a lay person to say what that will be. However, there are many options available and you should be optimistic that the right treatment plan will be found for you.

[Daytripper56 in reply to Longwalks3]

Hi thanks for yours reply ice always been in pain with glaucoma since being diagnosed 10 years ago I thought everybody was?

[Longwalks3 in reply to Daytripper56]

I think it depends what type of glaucoma you have. Do you know whether you have closed angle or open angle glaucoma? I don't think pain is common with open angle (which I have had for 18 years).

[Daytripper56 in reply to Longwalks3]

Hi long walks I had closed but had idomteries and lens change so it's now open angle glaucoma

[Trish_GlaucomaUK Partner]

Hello. Diamox (acetazolamide) isnt really a long term solution. Your consultant may consider repeating the SLT. This can be done up to three times if they feel it is a viable option. If they feel it is not worth trying it again as the risk of failure is too high, they will discuss surgery.

[Daytripper56 in reply to Trish_GlaucomaUK]

Hi Trish I read out peoebeing high doses of diamox for 10 - 20 for various problems

[Daytripper56 in reply to Trish_GlaucomaUK]

Hi Trish I read about people being on high doses of diamox for 15-20 years in some cases for various problems

[Islandhome in reply to Trish_GlaucomaUK]

I am on acelazolomide long term (I hope) as I can no longer tolerate eye drops. Consultant happy to continue if I have regular blood tests as it can deplete potassium and damage kidneys. So far all good.

[Daytripper56 in reply to Islandhome]

Hi How long have you been on diamox I have had 6 months, stints on it before

[Islandhome in reply to Daytripper56]

about 12 months, now on repeat prescription

[Trish_GlaucomaUK Partner]

Occasionally long term use of Acetazolamide happens, but it isn't a common suggestion.