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Re: Xolair and Glaucoma

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At my last check a few months ago, my optic pressure had dropped back down.

We are not sure if it was due to Xolair or that I had been able to get off

prednisone.

Unfortunately I got sick at the end of February and had to go back on

prednisone. My vision was definitely different though not in any way I can

concretely describe. Thankfully yesterday was the last prednisone from the

taper and I hope things calm back down in the next few weeks. If not, back

to the eye doctor...

It's great to hear you have some improvement in your vision field! Here's to

it not being a test fluke!

I think if we can reduce the inflammation that an allergic response causes,

whether it be in the lungs, sinuses or eyes, it has to help our bodies.

Prednisone did it some but with far too many other side effects (like

increased optic pressure). If Xolair interrupts the process so the

inflammation never occurs, that is best.

Breathe easy,

B.

From: [mailto: ] On

Behalf Of mister_manganese

Sent: Friday, March 21, 2008 1:30 AM

Subject: [ ] Xolair and Glaucoma

I know this is a long shot but has anyone with asthma and glaucoma had

their glaucoma improve while taking Xolair for asthma.

A year and a half into my Xolair regimen my optic pressure has dropped

to the lowest I can remember in ten years with glaucoma. This has

occured without any change in my glaucoma medications.

Also, on my last visual field test a small blind peripheral area in one

of my eyes that has been there for years was gone. Maybe just a fluke

of the field test machine settings.

But .... I guess one could theorize that if their glaucoma was caused

by allergic inflammation in the fluid drainage tissues of the eye, and

a subsequent raise in optic fluid pressure, then maybe a body-wide

reduction in allegic inflammation responses from Xolair could improve

one's glaucoma.

Any other members have experience or thoughts on this?

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>

> I know this is a long shot but has anyone with asthma and glaucoma had

> their glaucoma improve while taking Xolair for asthma.

>

> A year and a half into my Xolair regimen my optic pressure has dropped

> to the lowest I can remember in ten years with glaucoma. This has

> occured without any change in my glaucoma medications.

>

> Also, on my last visual field test a small blind peripheral area in one

> of my eyes that has been there for years was gone. Maybe just a fluke

> of the field test machine settings.

>

> But .... I guess one could theorize that if their glaucoma was caused

> by allergic inflammation in the fluid drainage tissues of the eye, and

> a subsequent raise in optic fluid pressure, then maybe a body-wide

> reduction in allegic inflammation responses from Xolair could improve

> one's glaucoma.

>

> Any other members have experience or thoughts on this?

>

My Lions Club, the state eye bank (I am vice president of the board of

directors) and my eye doctor call me " The Professional Eye Patient "

after having cornea transplants in both eyes, 3 cataract procedures

(one had to be re done) 6 Occlinum procedures (a form of Botox to

straighten eye muscles) and two other procedures to correct

astigmatism for post transpant patients. This was all pre-Xolair

days. the cataracts formed from all the Pred use during my life.

Believe it or not, in all of this I have never had any eye pressure

problems.

I highly doubt that xolair can cause any eye problems but you never

know. I would ask your doctor and eye doctor their opinion.

My original eye diagnosis when I was 13 was Keratoconus. They don't

know why some people develop this condition but one theory says that a

lot of people with allergies and asthma develop it in their early

teens. like I did. I was 14. My vision now you ask? 20/30 with glasses :)

Doug

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I see no reason why there could not be an indirect connection between

your visual/optic improvement and Xolair. I agree with , if

Xolair is preventing allergic and inflammatory responses, a number of

systems that may be impacted indirectly should see improvement if our

overall inflammatory responses decrease and/or our need for medicines

whose side effects impact these systems decreases.

OK, I'm not sure that last sentence is actually a sentence. I'm a

little discombobulated by Duke men's basketball team BARELY managing

to beat BELMONT last night in the first round of the NCAA

tournament. Can you blame me?

Addy

Group Co-owner

Duke grad and fan

Forced to cheer for Clemson last week (augh) due to the rule - Duke

first and then anyone who's playing Carolina!

>

> I know this is a long shot but has anyone with asthma and glaucoma

had

> their glaucoma improve while taking Xolair for asthma.

>

> A year and a half into my Xolair regimen my optic pressure has

dropped

> to the lowest I can remember in ten years with glaucoma. This has

> occured without any change in my glaucoma medications.

>

> Also, on my last visual field test a small blind peripheral area in

one

> of my eyes that has been there for years was gone. Maybe just a

fluke

> of the field test machine settings.

>

> But .... I guess one could theorize that if their glaucoma was

caused

> by allergic inflammation in the fluid drainage tissues of the eye,

and

> a subsequent raise in optic fluid pressure, then maybe a body-wide

> reduction in allegic inflammation responses from Xolair could

improve

> one's glaucoma.

>

> Any other members have experience or thoughts on this?

>

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Guest guest

Were you able to cut down or stop Prednisone because of the Xolair? If so, that

is most likely why your pressure is lower. I have a family history of Glaucoma

so I get screened for it frequently. My Optometrist told me to avoid Prednisone

as much as possible. She said it is possible Advair could contribute to

Glaucoma but it's unlikely. As long as my pressure stays in the normal range I

don't have to adjust my Advair (currently 500/50) dose but if it goes higher

it's something I have to consider. Prednisone is just such a destructive

medication.

mister_manganese <mister_manganese@...> wrote:

I know this is a long shot but has anyone with asthma and glaucoma had

their glaucoma improve while taking Xolair for asthma.

A year and a half into my Xolair regimen my optic pressure has dropped

to the lowest I can remember in ten years with glaucoma. This has

occured without any change in my glaucoma medications.

Also, on my last visual field test a small blind peripheral area in one

of my eyes that has been there for years was gone. Maybe just a fluke

of the field test machine settings.

But .... I guess one could theorize that if their glaucoma was caused

by allergic inflammation in the fluid drainage tissues of the eye, and

a subsequent raise in optic fluid pressure, then maybe a body-wide

reduction in allegic inflammation responses from Xolair could improve

one's glaucoma.

Any other members have experience or thoughts on this?

---------------------------------

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I'm not aware that eye allergies have a role in glaucoma so I'm

thinking it's unlikely that this would be a direct benefit of the

Xolair itself. But I'd bet the bank that a great reduction in the

amount of steroids you were taking (including inhaled steroids)is

responsible for this terrific improvement in your glaucoma (glaucoma

is increased pressure within the eye for those unaware). Steroid-

induced glaucoma is known to be almost always reversible when the

steroid dose is reduced enough or stopped, usually within a few

months. That is fabulous!!! I'm so happy for you - Fran

>

> I know this is a long shot but has anyone with asthma and glaucoma

had

> their glaucoma improve while taking Xolair for asthma.

>

> A year and a half into my Xolair regimen my optic pressure has

dropped

> to the lowest I can remember in ten years with glaucoma. This has

> occured without any change in my glaucoma medications.

>

> Also, on my last visual field test a small blind peripheral area in

one

> of my eyes that has been there for years was gone. Maybe just a

fluke

> of the field test machine settings.

>

> But .... I guess one could theorize that if their glaucoma was

caused

> by allergic inflammation in the fluid drainage tissues of the eye,

and

> a subsequent raise in optic fluid pressure, then maybe a body-wide

> reduction in allegic inflammation responses from Xolair could

improve

> one's glaucoma.

>

> Any other members have experience or thoughts on this?

>

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Guest guest

, my Glacoma goes back ten years but treatment for Asthma only

about four. Asthma kicked in with a vengence in my late 50's

although I had symptoms many years that I somehow managed to live

with.

Even after starting treatment for Asthma which included periodic

taper doses of Prednisone the eye pressures, held down with

medication, remained unchanged but now, after 1-1/2 years on Xolair

and one year without Prednisone the pressure dropped about 3 units

without any change in the Glaucoma medicatons. I still take Advair

50/250 and sometimes 50/500 for a couple weeks at a time.

The most surprising thing was my recent visual field test that

revealed a small area of blindness I had went away. That had been

there for years and I thought it was irreversible. Again, maybe just

a fluke and it will show up again on the next visual field test.

>

> Were you able to cut down or stop Prednisone because of the

Xolair? If so, that is most likely why your pressure is lower. I

have a family history of Glaucoma so I get screened for it

frequently. My Optometrist told me to avoid Prednisone as much as

possible. She said it is possible Advair could contribute to

Glaucoma but it's unlikely. As long as my pressure stays in the

normal range I don't have to adjust my Advair (currently 500/50) dose

but if it goes higher it's something I have to consider. Prednisone

is just such a destructive medication.

>

> mister_manganese <mister_manganese@...>

wrote: I know this is a long shot but has

anyone with asthma and glaucoma had

> their glaucoma improve while taking Xolair for asthma.

>

> A year and a half into my Xolair regimen my optic pressure has

dropped

> to the lowest I can remember in ten years with glaucoma. This has

> occured without any change in my glaucoma medications.

>

> Also, on my last visual field test a small blind peripheral area

in one

> of my eyes that has been there for years was gone. Maybe just a

fluke

> of the field test machine settings.

>

> But .... I guess one could theorize that if their glaucoma was

caused

> by allergic inflammation in the fluid drainage tissues of the eye,

and

> a subsequent raise in optic fluid pressure, then maybe a body-wide

> reduction in allegic inflammation responses from Xolair could

improve

> one's glaucoma.

>

> Any other members have experience or thoughts on this?

>

>

>

>

>

>

> ---------------------------------

> Looking for last minute shopping deals? Find them fast with

Search.

>

>

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Guest guest

If Prednisone increases optic pressure then it seems it should be a

red flag for people with glaucoma. Compound that with the apparent

problem of cataracts that I've read can be brought on by Prednisone.

My specialist doctor for glaucoma once told me not to worry about the

effects of asthma medications on glaucoma. " If you can't breath, you

die, right? So take care of your asthma and I'll take care of your

vision " she said.

My glaucoma specialist doctor is world-renowned and I've told her I'm

taking Xolair for asthma but she hasn't had any comment on that.

That leaves me wondering if the Xolair manufacturer is not spreading

the word where they ought to, or if there's no special reason to

steer glaucoma patients with asthma away from predinsone and toward

Xoliar.

>

> Were you able to cut down or stop Prednisone because of the

Xolair? If so, that is most likely why your pressure is lower. I

have a family history of Glaucoma so I get screened for it

frequently. My Optometrist told me to avoid Prednisone as much as

possible. She said it is possible Advair could contribute to

Glaucoma but it's unlikely. As long as my pressure stays in the

normal range I don't have to adjust my Advair (currently 500/50) dose

but if it goes higher it's something I have to consider. Prednisone

is just such a destructive medication.

>

> mister_manganese <mister_manganese@...>

wrote: I know this is a long shot but has

anyone with asthma and glaucoma had

> their glaucoma improve while taking Xolair for asthma.

>

> A year and a half into my Xolair regimen my optic pressure has

dropped

> to the lowest I can remember in ten years with glaucoma. This has

> occured without any change in my glaucoma medications.

>

> Also, on my last visual field test a small blind peripheral area

in one

> of my eyes that has been there for years was gone. Maybe just a

fluke

> of the field test machine settings.

>

> But .... I guess one could theorize that if their glaucoma was

caused

> by allergic inflammation in the fluid drainage tissues of the eye,

and

> a subsequent raise in optic fluid pressure, then maybe a body-wide

> reduction in allegic inflammation responses from Xolair could

improve

> one's glaucoma.

>

> Any other members have experience or thoughts on this?

>

>

>

>

>

>

> ---------------------------------

> Looking for last minute shopping deals? Find them fast with

Search.

>

>

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Guest guest

No doubt about it, prednisone and other steroids are truly " evil

candy " as we like to call it here. But the Xolair folks got FDA

approval only for treating asthma not adequately controlled by the

conventional meds, including steroids. Obviously, many docs are using

it " off label " in a totally appropriate and legal way to help

patients reduce or eliminate their routine or frequent steroid

steroid requirements but Genentech is legally prohibited from

promoting it for purposes other than that for which it was approved.

Fran

I know this is a long shot but

has

> anyone with asthma and glaucoma had

> > their glaucoma improve while taking Xolair for asthma.

> >

> > A year and a half into my Xolair regimen my optic pressure has

> dropped

> > to the lowest I can remember in ten years with glaucoma. This

has

> > occured without any change in my glaucoma medications.

> >

> > Also, on my last visual field test a small blind peripheral area

> in one

> > of my eyes that has been there for years was gone. Maybe just a

> fluke

> > of the field test machine settings.

> >

> > But .... I guess one could theorize that if their glaucoma was

> caused

> > by allergic inflammation in the fluid drainage tissues of the

eye,

> and

> > a subsequent raise in optic fluid pressure, then maybe a body-

wide

> > reduction in allegic inflammation responses from Xolair could

> improve

> > one's glaucoma.

> >

> > Any other members have experience or thoughts on this?

> >

> >

> >

> >

> >

> >

> > ---------------------------------

> > Looking for last minute shopping deals? Find them fast with

> Search.

> >

> >

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Guest guest

The reason your glaucoma specialist probably didn't comment on Xolair is because

she probably doesn't know much about it. Last fall I went to the ENT and listed

my meds and she hadn't heard of Xolair. Chances are many Doc's aren't even

aware it's on the market. A few years ago I walked into my family doctor's

office with an updated script list and the same story.....he hadn't heard of it

either and it had been on the market about 3+ years at that time. Word is

spreading fast tho.....

mister_manganese <mister_manganese@...> wrote:

If Prednisone increases optic pressure then it seems it should be a

red flag for people with glaucoma. Compound that with the apparent

problem of cataracts that I've read can be brought on by Prednisone.

My specialist doctor for glaucoma once told me not to worry about the

effects of asthma medications on glaucoma. " If you can't breath, you

die, right? So take care of your asthma and I'll take care of your

vision " she said.

My glaucoma specialist doctor is world-renowned and I've told her I'm

taking Xolair for asthma but she hasn't had any comment on that.

That leaves me wondering if the Xolair manufacturer is not spreading

the word where they ought to, or if there's no special reason to

steer glaucoma patients with asthma away from predinsone and toward

Xoliar.

I know this is a long shot but has

anyone with asthma and glaucoma had

> their glaucoma improve while taking Xolair for asthma.

>

> A year and a half into my Xolair regimen my optic pressure has

dropped

> to the lowest I can remember in ten years with glaucoma. This has

> occured without any change in my glaucoma medications.

>

> Also, on my last visual field test a small blind peripheral area

in one

> of my eyes that has been there for years was gone. Maybe just a

fluke

> of the field test machine settings.

>

> But .... I guess one could theorize that if their glaucoma was

caused

> by allergic inflammation in the fluid drainage tissues of the eye,

and

> a subsequent raise in optic fluid pressure, then maybe a body-wide

> reduction in allegic inflammation responses from Xolair could

improve

> one's glaucoma.

>

> Any other members have experience or thoughts on this?

>

>

>

>

>

>

> ---------------------------------

> Looking for last minute shopping deals? Find them fast with

Search.

>

>

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