Use of Acetazolamide in conjunction with Pilocarpine for the treatment of acute closed angle glaucoma in the elderly patient

Glaucoma has been reported as unitary of the main reasons for causing blindness every(prenominal) over the world. on that point atomic number 18 assorted flakes of glaucoma that is known. Fifty percent of Glaucoma cases are closed- travel glaucoma which unremarkably affects Asians (Glaucoma, 2007).Many intercession methods are utilized in treating glaucoma. One method is the uptake of doses. diametric drugs have different effect and all(prenominal) have their own unique benefits. There are to a fault known brass effects brought about by utilise of cocksure drugs. However, combination of drugs has been as well as positively charged to patients besides this should be d one with timed consultation with the patients physician.Two commonly prescribed drugs used in treating closed- cant over glaucoma are Acetazolamide and Pilocarpine. Normally they are used individually and separately. This paper intends to show the effect of these deuce drugs when used in combination d uring the treatment process.Since the remote comprises a large dowry of glaucoma patients, this paper intends to show the effects of the unite use of these drugs particular(prenominal)ally on the elderly patients.Acute Closed Angle GlaucomaGlaucoma is a display case of an eye disease which is drivewayd by the increase intraocular ram or wandering pressure that may end into the malfunctioning of the drainpipe system or structures of the eye and lesser visual acuity. Glaucoma has different types. The first and close to common is the open angle glaucoma (Glaucoma, 2007). some other type which is very rare is the inwrought glaucoma (Glaucoma, 2007). It is mostly seen in newborns and this type requires surgery.Another one is the acute angle closure or the acute closed angle glaucoma (Glaucoma, 2007). This type of eye disease occurs abruptly and besides to those people that have an eye motive called farsightedness (Glaucoma, 2007). This eye condition is excessively irreversib le. In some cases, closed angle glaucoma clears some symptoms like a) headache b) brilliance and light sensitivity c) sudden light of vision d) nausea and vomiting and e) entire eye pain.The following symptoms are likewise used to categorize the closed angle glaucoma from the other types of glaucoma. The prevalence is more on females than in males. Other possible cause of closed angle glaucoma includes intake of specific anti seizure medicines, antihistamines, asthma medications, and antidepressants unfairness and emotional stress.AcetazolamideThere are several methods use to treat closed angle glaucoma. Physicians usually use acetazolamide for the initial interference(Darkeh & Silverberg, 2006). Acetazolamide is a carboniferous anhydrase inhibitor. Their brand names are Diamox and Sequels. The chemic content of acetazolamide which is the carbonic anhydrase works for the segmentation and outturn of carbon acid and also for the inhibition of the production of bicarbonate ( Acetazolamide, 2004). hydrogen carbonate is an important substance needed for the production of fluids in the eye (Acetazolamide, 2004).Therefore, intake of acetazolamide provide lessen the bicarbonate production which also reflects with the decrease in the amount of fluid in the back of the eye. When it happens, the intraocular pressure in the eye will be lessened.The drug will take effect deep down an hour and last for 12 hours but the peak of this drug is on its quaternate hour (Darkeh & Silverberg, 2006). This drug is not prescribed for long term medication because if acetazolamide is interpreted for a long time, it will manifest more side effects.