Glaucoma usually develops slowly and at first may not have noticeable symptoms. We have prescription eye drops which help to reduce eye pressure and which in turn protect the optic nerve from more damage. Here is how to use glaucoma eye drops properly which in turn makes the daily routine of treatment easier and more effective. Consistency is key even when your vision is fine.
Many patients report difficulty in remembering when they should apply the drops, dealing with the small size of the bottles, and with the irritation which results. A simple routine may be of great help. Also by understanding how to use glaucoma eye drops patients may avoid most common mistakes and better follow through with what their ophthalmologist has instructed.
Why Daily Glaucoma Drops Matter
Glaucoma is a disease that affects the optic nerve and which also causes permanent vision loss. What we do is try to lower eye pressure which in turn we hope will slow the disease. At present there is no treatment which can restore vision which has been lost due to glaucoma but we do have options which may prevent it in its tracks.
Patients must familiarize themselves with how to use glaucoma eye drops as per their prescription. The exact dose and timing will vary by the medication given out. Do not change the set out routine or discontinue treatment because the eyes may seem fine. If the drops are causing continuous discomfort, speak to an ophthalmologist instead.
How to Apply Eye Drops Correctly
Good glaucoma drop technique which is what we’re here to discuss includes getting the medicine to the eye and at the same time reducing the chance of infection. First thing wash your hands. Then tilt your head back and gently pull down the lower lid which will create a pocket. The bottle goes above the eye but do not let it touch the eye, the eyelashes, or the skin. Squeeze out the prescribed number of drops and then gently close the eye.
Press gently on the inner side of the closed eye for a minute which in turn will reduce drainage into the nose and also minimize absorption in other areas of the body. When you are learning how to use glaucoma eye drops do not blink repeatedly or press down hard on your eyelids right after putting in the medicine.
If you are given another eye drop use at least a 5 minute break between each medication unless your health care provider or product insert says to do so. Also keep the bottle closed and follow the storage and which past date information provided with the product.
Choosing the Right Time for Your Drops
The best fit for your schedule is going to be determined by the medicine you are given. Some drops require once daily application, while others do not which may be several times a day. Stick to regular times for when you use them and also set a reminder on your phone if that will help you. As a patient trying to figure out how to use glaucoma eye drops it may help to link the routine with something you already do each day like brushing your teeth.
| Medicine type | General information | Important reminder |
| Prostaglandin eye drops | Often prescribed once daily, commonly in the evening | Follow the specific prescription |
| Timolol | May be prescribed once or twice daily, depending on the formulation | Tell the doctor about heart or breathing conditions |
| Combination drops | Schedule depends on the ingredients | Follow the label and specialist’s advice |
Do not use another patient’s schedule. Also some drugs in the same class may present with different instructions. If you miss a dose check the medicine leaflet out or call a pharmacist for advice. Do not increase the next dose without first speaking to your health care provider.
Common Problems and Side Effects
Some patients report temporary stinging, redness, itching, or blurred vision which is a result of using eye drops. With regard to prostaglandin eye drops, we see that there is a report of color change in the iris, eyelash growth, or dark pigmentation around the eyelids. These vary by person, so report any unexplained changes to your prescriber.
Timolol is a beta blocker. This drug may affect heart rate or breathing in some patients. Before you start treatment, tell your ophthalmologist about your asthma, lung disease, heart problems and other medications you are taking. Report to your doctor any serious symptoms.
Poor glaucoma drop technique may cause the tip of the bottle to touch the eye or the eyelashes which in turn increases risk of infection. If you have difficulty in application because of shaky hands or poor vision ask the clinic for practical aids or a demo. Understanding how to use glaucoma eye drops should not feel like a daily struggle.
Building a Routine That Lasts
Store your medications in a safe and easy to recall location as directed by the storage instructions. Also check the expiration date on the bottles and the recommended time frame for use after opening. Do not share eye drops with anyone else.
Patients that are on multiple medications can maintain a written schedule. For regular follow up appointments which the ophthalmologist will use to check eye pressure, assess treatment results and review side effects. If prostaglandin eye drops or timolol cause continuous issues we may look at other options. Do not change medication without medical advice.
Conclusion
Learning about how to use glaucoma eye drops is very important for the long term health of your eyes. A proper routine of use and timely follow up will improve your compliance. Do not change out your prescription or discontinue use of the drops without first speaking to an ophthalmologist. For personal advice arrange an assessment with ASG Eye Care.
Frequently Asked Questions
1. What can happen if you miss glaucoma doses?
A missed dose will drop your pressure control. See label instructions or speak to a pharmacist on what to do. Do not use double doses to make up for it unless your health care provider says to do so.
2. Should you use glaucoma drops if you have no visual symptoms?
Yes. Glaucoma may have no symptoms. Follow your treatment plan exactly as prescribed and come in for your routine eye exams.
3. Can you use two different eye drops at the same time?
Doctors will at times order a large variety of medications. Also it is typical for patients to wait at least 5 minutes between doses which is called washout. Follow the directions given to you by your health care provider.
4. When will you report it?
Report to your health care provider if you notice persistent irritation, vision changes or any other symptoms. Timolol users should report at once any breathing difficulties, dizziness or an atypical slow heart rate.
References
- National Eye Institute — How to Put in Eye Drops
https://www.nei.nih.gov/eye-health-information/eye-conditions-and-diseases/glaucoma/glaucoma-medicines/how-put-eye-drops
