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BACKGROUND: Gabapentin is an antiepileptic used for neuropathic pain treatment. Glaucoma can be conceptualized an optic neuropathy associated with characteristic structural damage to the optic nerve and associated visual dysfunction. OBJECTIVE: To use gabapentin to relieve discomfort in a painful, blind glaucomatous eye of a patient unwilling to undergo further invasive treatment. Design: Patient rated his pregabapentin and postgabapentin pain by a verbal descriptor scale and a numerical scale. RESULTS: Gabapentin provided significant pain relief (on a 0-10 scale, reduction from '8' to '0-2') at regular visits over 6months. CONCLUSIONS: Gabapentin may relieve pain in a painful, blind, glaucomatous eye.
Dr. C.-S. Kavalieratos, 10 Ellispontou Str, 16673 Voula Athens, Greece. ckavalie@yahoo.co.uk
11.15 Other drugs in relation to glaucoma (Part of: 11 Medical treatment)
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)