Patient Question: Hello, thank you very much, I would like to ask you again: 1. I am uploading the OCT images of the two intervals of 5 months (September 13 and February 14) (there may be differences in the equipment of the two hospitals), can you please do a simple personal analysis of the available information, and is there a big change before and after? 2.If I use Suvastan and artificial tears for a long time, does it have any effect on the IOL in my eye? 3. I am currently taking Ciclosporin (sodium cytarabine) twice a day, 1 capsule a time, in addition to Suvaptan once a day, and compound thromboxane twice a day, 2 capsules a time; do you have any suggestions on the medication for treatment? Can oral medication be (or is it necessary to be) taken for a long time? 4. Now I feel that there is still no breakthrough in glaucoma treatment and I feel very hopeless. Reply from an ophthalmologist at Peking Union Medical College Hospital: Hello! The following is the answer to your question: 1. I uploaded the OCT pictures of the two intervals of 5 months (September ’13 and February ’14) (there may be differences in the equipment of the two hospitals), can you please do a simple personal analysis of the available information, and is there a big change before and after? The two OCT devices are not of the same type and it is difficult to quantify the results of the examinations for comparison. I can only say that both OCTs indicate that your glaucoma is more severe. If you want to evaluate the change of your condition through OCT follow-up, we recommend you to use the same device or use the results of Heidelberg OCT (this type of OCT has checkpoint tracking function and better repeatability). 2. Is there any effect on the intraocular IOL if I use Suvetan with artificial tears for a long time? There is no literature showing that long-term use of Suvetan with artificial tears can cause damage to IOLs. I have not found any similar cases in my clinical practice. 3. I am currently taking Xynkolide (sodium cytarabine) twice a day, one capsule a time, in addition to Suvastan once a day, and compounded thromboxane twice a day, two capsules a time; do you have any suggestions for therapeutic use? Can (or is it necessary to) take oral medication for a long time? The efficacy of oral medication lies more in nutritional support. You are not opposed to long-term use, but it is not necessary. So you can stop taking oral medication for 1-2 months after 3-5 months. 4. I feel that there is still no breakthrough in glaucoma treatment and I feel very hopeless. The treatment and diagnosis of glaucoma are still being improved and developed. However, there are many classic cases and classic treatments that have become a global consensus. By far, lowering IOP remains the most important aspect. Medications and surgical approaches to lowering IOP are also progressing and it cannot be said that there are no breakthroughs. Just 10 years ago, patients in China were unable to lower their IOP with prostaglandin-based medications. And now there are more options for both medications and surgery. Of course, if you are referring to reversing the damage to the optic nerve. It’s really not achievable at this time. This is not only present in glaucoma, but in all central nervous disorders. Examples include cerebral infarction, cerebral palsy, Alzheimer’s, and optic nerve atrophy. Still, medical advances have given us new hope. Current advances in neuroregenerative science as well as neural stem cells and artificial vision have enabled many patients to reach the point where they can see objects. It is believed that in the near future, with the further improvement of new technologies, the problem of complete visual reconstruction can be solved.