Re: PD/neuro-ophth

[Joao Paulo Carvalho <joaocarv@xxxxxxxxxxxxxxxx>]

Dr. Jacqueline,

I read your answer to Bill and felt encouraged to relate to you this
fact that happened to me as long as you are a PD and olpht. specialist :

I was taking a weak or small dosage of Eldeprenyl(selegiline) and
levodopa(madopar like) when I started to perceive "flyes"(irregular fine
stretches of lines) around the periphery  of my eyes.I went to consult a
ophtalmologist and he said my vison was 95% OK and I was starting with
some cataract process yet very mild and in the begining.In the mean time
I started too to have some problems with miction.I went to a urologist
clinic and after several unpleasant examinations and tests in the
bladder and protaste I was prescribe some meds that I decided not to
take any.Instead I decided to suspend slowly the Eldeprenyl and now
after some time these symptoms desapeared and there is quite a time.

Would you have something to comment about it ? It would be welcome and
appreciated.

My best wishes to you,

Jacqueline Winterkorn, PhD, MD wrote:
>
> Bill:
> Some  visual problems especially common in PD:
> 1. Drying of the cornea owing to infrequent blink and exacerbated by
> autonomic dysfunction and medicines, causes eye pain and blurred vision.
> Treat by clearing up blepharitis with lid scrubs and applying non-preserved
> tears frequently.
> 2. Convergence insufficiency causes diplopia at near [for reading].
> 3. less often divergence insufficiency causes diplopia at distance
> Prism and/or translucent occlusion of one spectacle lens improves function
> and comfort.
> 4. Vertical gaze, especially upgaze, may become slowed or absent, but must
> discriminate frrom "PSP" [progressive supranuclear palsy -
> Steele-Richardson-Olshewsky] in which downgaze is especially impaired and
> fixation instability i.e. square-wave-jerks makes reading difficult.
> 5. It's hard to read when your head is shaking or you cant hold a book
> still...
> 5. Of course, having PD does not  exempt us from the usual problems of aging
> eyes--
> glaucoma, presbyopia,  cataract, macular degeneration
>     It sounds simple, but often takes some practical solution that is not
> offered.
> Just yell and I'll try to help.
> Jacquie

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   +----| Joao Paulo de Carvalho   |------ +
   |         joaocarv@xxxxxxxxxxxxxxxx     |
   +--------| Salvador-Bahia-Brazil |------+