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Gabapentin therapy for painful, blind glaucomatous eye: case report

Christos-Stavros Kavalieratos¹, Triantafillia Dimou

¹Department of Anesthesiology and Pain Clinic, Hellenic Red Cross, Henry Dunant General Hospital, Athens, Greece. ckavalie@yahoo.co.uk

Pain Medicine (Malden, Mass.)

|March 28, 2008

Abstract

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 6 months.

Conclusions:

Gabapentin may relieve pain in a painful, blind, glaucomatous eye.

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