Anyone have a dog with glaucoma?
Mom's 10.5 year-old cocker spaniel had developed a cataract, and his eye looked swollen so she took him in, and the pressures were high in that eye. They recommended starting latanoprost and dorzolamide drops. Two days later his eye was even more swollen, red, and painful. Our vet recommended we follow up with the specialists at Blue Pearl because they were concerned there might be a blockage that wasn't allowing the drops to work... the pressure wasn't going down. Of course, this was Friday, so they sent her to Tampa where there was supposedly an ophthalmologist working. I drove them over - about 75 min at rush hour. The ER vet said she wasn't too worried about the pressures and explained there was NOT an ophthalmologist there. There was one ON CALL ($$$$). They were super nice, and called the guy at home for his opinion, added some other meds, and got the pressure down before we left. They got her a (local) appointment Monday. So now he is on:
NeoPolyDex - Instill one drop in left eye 4 times daily until recheck
Dorzolamide - Instill one drop right eye 2 times daily & to left eye 3-4 times daily until recheck
Latanoprost - Instill one drop in left eye 3 times daily until recheck
Timolol - Instill one drop in left eye 2 times daily until recheck
Genteal Gel - Instill 1 drop in both eyes 3 times daily until recheck
Rimadyl 25 mg tabs - Give one tablet by mouth 2 times daily for 7 days. Give with food.
Allow 5 minutes between each medication when administering ophthalmic drops/ointment
HOLY FREAKING SHEEP
That is like a full time job. Luckily, she is a retired nurse, and he is super patient, but WTF???? I have plenty of human patients on glaucoma meds, and I've never seen ANYTHING like that.