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Using Levobunolol HCI

Hello, I have started using Levobunolol HCI since Saturday morning; it's for the darn high pressure; also the doctor did an exam an notice of a bit damaged optic nerve, so I'll be talking to the Cornea Specialist soon. I have been having hazy; flutuation of vision on my right eye which the doctor called Coronea Endema as well as glaucoma, when I talk to the specialist, what questions I should ask? The good? The bad? The outcome? Whats in it for me in the long term? is this sounds about right? Whats your opinion Doc?

Welcome to our WebMD community.

By now you likely know the WebMD rules. If you’ve reviewed other posts in this community, then you know that WebMD Health Professionals do not render clinical diagnoses or make treatment recommendations. We can still offer you some helpful information to assist in finding relief.

And one other thing...there's no way WebMD is going to get in-between you and your doctors!

GLAUCOMA is the disease (damage) that ensues when the IOP remains too high for too long.

Here are more facts:

== Untreated or undertreated glaucoma can lead to irreversible damage to the optic nerve (the TV cable that connects the eyeball to the brain!)

== Many forms of glaucoma are associated with elevated pressure inside the eye (intraocular pressure = IOP).

== Any sinlge pressure measurement is a snapshot, and IOP fluctuates with every beat of the heart. For most adults the pressure is higher in the morning and lower in the afternoon. Doctors do not make treatment decisions based on a single measurement. Following a borderline (slightly elevated) IOP the doctor will likely order a remeasurement or a series of daily measurements to confirm things.

== An intraocular pressure of 20 or 21 (measured in millimeters mercury = mmHg,) does not warrant intervention. Your doctor may want to simply follow visual performance (changes in visual acuity, color perception, pupil reaction to light, and mapping of the field of vision. )

The basic questions relate to diagnosis, treatment options, and prognosis:

1. How advanced is any glaucoma damage (? visual fields, ?nerve layer thickness)

2. Do you expect the corneal edema to resolve once the IOP is lowered?

3. What is the NEXT STEP if one medication fails to adequately lower my IOP?

4. When would you recommend laser threatment?

5. What else do I need to do to protect my precious eyesight?

Thank you for the response; I'll make sure I wont step on anybodys toes!!! One thing I learned from the military, never pissed off the Bartender; the Cook, and the Doctor...