Glaucoma patients may seek complementary and alternative medicine treatments to replace or supplement their traditional medicine management. In an urban referral glaucoma practice setting, approximately 5% of glaucoma patients reported use of complementary and alternative medicines specifically for glaucoma.66 Numerous nontraditional treatments have been described, including ginkgo biloba, bilberry, taurine, magnesium, and vitamin B12, most of which have putative benefits in glaucoma besides IOP reduction.67 Vitamin C (ascorbate) may lower IOP, probably by an osmotic effect (see chapter 8). Topical application of forskolin may have a transient IOP-reducing effect.67 Available evidence does not support the use of alternative medicines for glaucoma therapy.68,69
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