Bottom line: 10 yr old girl. what can we do to control her pain from the eyes and light sensitivity along with the cough. Her coughing can be connected to the tearing from her eyes [quite a bit>. so when she starts coughing her pain slowly starts.
Underlying conditions:
11 yr old girl. Glaucoma on one eye with less than 5% vision or less.
Other eye has no vision and was not formed during birth. Also have a
condition called: Peter's Anomaly. Conditions: Nystragamus in eye
which has no vision, but slight. [personal findings: Pax6 genetic
chromosome is primary cause for peter's anomaly and underdevelopment
of one of her eyes[one with no vision>.Slight strabismus. Possible
that the one which has no vision is causing the pain to the other eye
and causing the cough. X ray in 2 different ways taken but doctors
found no infection of an sort in lungs.
[Another Doctors misdiagnosed: prednisone to control cough but that
lead to elevated ocular pressure to 26>, was told to stop medication
immediately and used only Proventil inhaler to control cough.
Initially when cough started... gave her cough medication and othes
like Alka seltzer effervescent tabs, it did not do much to control
cough but pain subsided. She told us after careful analysis that when
her eye starts to get painful her cough starts. She was not like this
for the past 10+ years or at least we noticed. She took amoxicillin
clavulanate initially when cough started given by doctor and later
Zithromax for 3 days but nothing helped.
Current Pressure one eye with vision: 26+, previously 20-22
Medications used currently for Galucoma:
1. Dorzolamide Timolol Maleate Opthalmic Solution (Cosopt) - 2x a day
2. Brimonnidine Tartrate 0.2 - 3x a day
3. Atropine Sulfate 1% - 2x a day
4. Xalatan (Latanoprost) - 1x @ bedtime
5. Erythromycin Ointment 0.5% for her eyes.
Medications we are using to control her pain in both eyes:
1. Refresh Optiva for Dry eye [Carboxymethyl Celluose sodium 0.5%,
Glycerin 0.9%>- used 3-4x a day or as needed [findings: found not to
be effective at all at least not in this new problem with the pain,
but worked previously>
2. Zaditor [Ketotifen Fumarate ophthalmic solution antihistamin
eyedrops> - used as needed =- 4-5x day [findings: found to lessen
pain for her more than Refresh Optiva>
Surgeries done since day one of birth: 20+
Type: laser around perimeter of eye to control pressure + Installed
Shuns and other laser treatments by Vanderbilt Pediatric Opthamology
center by senior 2 professors of pediatric. Her condition has been
studied by doctors from places like John Hopkins university and other
insitutions around United States.