Why Don’t Glaucoma Eyedrops Work for Me?

If you’ve been diligently using glaucoma eyedrops but aren't seeing the desired results, you’re not alone. Many patients experience frustration when their prescribed treatment doesn’t seem to be effective. 

Understanding the possible reasons behind this can help you and your ophthalmologist at Cory Bergman, MD, in Rapid City, South Dakota, and Casper, Wyoming, determine if minimally invasive glaucoma surgery would be a better solution.

Incorrect application technique

One of the most common reasons glaucoma eyedrops might not work is incorrect application. It's essential to apply the drops properly to ensure maximum absorption. Here’s a step-by-step guide to help:

1. Wash your hands to prevent infection
2. Tilt your head back to help the drops flow directly into your eye
3. Form a pocket by gently pulling your lower eyelid down
4. Apply the drop being careful not to touch the bottle tip to your eye or eyelid
5. Close your eyes for two to three minutes to allow the medication to be absorbed
6. Press on tear ducts gently on the inner corners of your eyes to prevent the drops from draining away

Inconsistent usage

Skipping doses or using drops at varying times can significantly reduce their effectiveness. It's best to set a daily routine, using reminders or alarms to ensure you apply the drops at the same time every day. If you miss a dose, apply it as soon as you remember unless it's close to your next scheduled dose.

Inadequate dosage

Sometimes, the prescribed dosage may not be sufficient to control your glaucoma. Your ophthalmologist may start with a standard dose but might need to adjust it based on your response. If you notice no improvement or worsening of symptoms, discuss with your doctor the possibility of increasing the dosage or frequency.

Medication resistance

Just as bacteria can become resistant to antibiotics, your body can become less responsive to certain glaucoma medications over time. This resistance can occur due to various factors, including long-term use of the same medication. If you suspect your eyedrops are losing their effectiveness, consult with Dr. Bergman about switching to a different medication.

Interaction with other medications

Certain medications can interfere with the effectiveness of glaucoma eyedrops. Inform Dr. Bergman about all the medications and supplements you are taking. This includes over-the-counter drugs, vitamins, and herbal supplements. Some medications can reduce the absorption of glaucoma drops or cause adverse interactions.

Incorrect diagnosis

In some cases, the issue may not be with the eyedrops but with the diagnosis itself. Glaucoma can present similarly to other eye conditions, and an incorrect diagnosis could lead to ineffective treatment. If your eyedrops aren’t working, it may be worth getting a second opinion to confirm your diagnosis.

Eye structure and individual response

Each person’s eyes are unique, and certain structural factors can affect how well glaucoma medication works. For instance, some people have faster tear drainage, which can wash away the medication before it has time to work. 

Additionally, individual responses to medication can vary. What works for one person may not work for another. Dr. Bergman can assess your eye structure and recommend alternative treatments if necessary.

Lifestyle factors

Your lifestyle can also impact the effectiveness of glaucoma eyedrops. Smoking, alcohol consumption, and poor diet can all contribute to worsening eye health. Maintaining a healthy lifestyle by eating a balanced diet, exercising regularly, and avoiding smoking and excessive alcohol can support the effectiveness of your glaucoma treatment.

Finding effective treatment and management of glaucoma

If glaucoma eyedrops don’t seem to work for you, it’s important not to lose hope. Many factors could be at play, from incorrect application and inconsistent usage to medication resistance and lifestyle factors. 

Working closely with Dr. Bergman and the team to identify and address these issues can lead to more effective treatment and better management of your glaucoma. Schedule an appointment online or call the office for an exam today.