Dr. Rick : Hi. I'm online and happy to answer your question today.
Dr. Rick : The laser surgery your doctor did in the past might have been either a laser peripheral iridotomy or, perhaps, argon laser trabeculoplasty. Both of these are known to work will with pigment dispersion syndrome and pigmentary glaucoma.
Dr. Rick : In my opinion, you can ride your bike to exercise without much risk.
Dr. Rick : Since you do not like the side effects of oral diamox you could use a drop called Azop. This drop contains a medication in the same class as diamox and should help prevent or dull any pressure spikes you may get secondary to the pigment dispersion that might occur with exercise.
Dr. Rick : I think you will tolerate the azopt better than pilocarpine....
Dr. Rick : Pilocarpine not only makes your pupil really small, but it can cause brow/headache as well.
Customer: should i ask my doctor for the azop?
Customer: i prefer drops with the least side effects if possible
Customer: what about the little bit of cloudiness every now and again?
Customer: is this anything to worry about or just normal?
Dr. Rick : Yes. Your ophthalmologist could prescribe azopt for you. He might even have free samples you can try.
Customer: Is it okay like to cycle for 4 hours. a really good session?
Dr. Rick : The little bit of cloudiness could be from many issues. As long as your optic nerve does not show any progression of glaucomatous damage and your visual fields are unchanged along with your nerve fiber layer, I think you will be ok.
Dr. Rick : Of course, one thing that you have to think is that the cloudiness is secondary to elevated IOP...but, from what you have posted, I think you are OK
Customer: ok great thanks for your help today. brilliant
Dr. Rick : Try it.....if you have problems, see if you can get your IOP checked when you are having symptoms and/or right after you get off the bike from a good ride (this can be easily done with a tonopen)
Dr. Rick : My pleasure. I wish you the very best. Enjoy the summer :)
Dr. Rick : I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. You may also receive an email survey after our chat, if you don’t feel that I have earned a “10” rating in all areas, please let me know what I can do to meet your expectations.Thanks in advance,Dr. Rick MD FACS
Dr. Rick : Ya...it looks like a pen but costs $3,000
Customer: haha i need to save up for that!
Dr. Rick : It is a very accurate way of checking eye presssure without the blue light and drops
Dr. Rick : But your eye doc's nurse could check your pressure in the waiting room with it.
Customer: ok thanks
Dr. Rick : I think they have them in the UK....I have 4 in my office here in the USA :)
Dr. Rick : My pleasure. Always happy to help a friend from across the Atlantic Ocean.
Customer: cheers ***** ***** a good day!
Dr. Rick : you too!