Glaucoma
Glaucoma occurs when the drainage system in the eye becomes blocked, thus preventing
the nourishing fluid that is constantly produced inside the eyeball from flowing out. As
excessive amounts of this fluid build up inside the eyeball, there is an increase in
pressure. This is called intraocular pressure because it is pressure inside the eye. In
glaucoma, intraocular pressure rises to abnormally high levels. When intraocular pressure
gets too high, or remains at high levels for too long, it can cause permanent damage to
the retina and the optic nerve. Because the optic nerve carries all visual information to
the brain, this can often result in the impairment or even total loss of vision.
There are two main types of glaucoma. Chronic, or open-angle, is the most common type,
accounting for at least 90 percent of all cases. Chronic glaucoma progresses slowly over a
long period of time. Excess fluid builds up in the eye, gradually raising the level of
intraocular pressure. Usually there are no noticeable symptoms. This puts the patient's
vision at risk because the pressure is likely to go untreated. Without treatment, it is
common for people who have chronic glaucoma to have their vision clouded by halos and
blind spots. The longer they go without treatment, the more likely they will lose their
peripheral, and then their central or primary vision.
Most people with glaucoma require constant medical treatment to prevent their
intraocular pressure from reaching dangerously high levels. Most doctors will prescribe
pills or eyedrops to reduce the pressure. When these treatments prove inadequate, a doctor
may recommend surgery.
Acute or closed-angle glaucoma is less common and usually more severe than chronic
glaucoma. People with acute glaucoma experience extreme eye pain, headaches, nausea, and
blurred vision. Surgical treatment is more commonly required to preserve eyesight.
Marijuana is not considered to be as useful in treating this type of glaucoma because its
progression is much more rapid and difficult to control. Nevertheless, some people with
acute glaucoma find marijuana helpful in treating the pain and nausea they suffer.
In the past, many of the drugs routinely prescribed for glaucoma were inadequate or
caused serious side effects in many patients. Eyedrops that were promoted as effective
often failed to control intraocular pressure and sometimes increased the risk of
hypertension, respiratory problems, reduced heart rate and even heart failure. Oral
medications often caused nausea, vomiting, loss of appetite, headaches, kidney stones and
blood disorders. Surgical procedures sometimes failed and needed to be repeated. They also
involved some risk of serious complications, such as permanent damage to the eye and loss
of vision.
It is well know that University of California researchers (Drs. Robert Hepler and
Thomas Ungerleider) discovered marijuana could be useful for treating glaucoma, by
accident in the 1970's, while carrying out a study for the Los Angeles Police Department.
This assumption was commonly used by law enforcement in determining whether or not a
suspected citizen was under the influence of marijuana. Each subject in the experiment was
given federally grown marijuana and photographed while smoking. After smoking, they
received ophthalmologic examinations. The photographs showed that rather than dilating,
the subjects' pupils had constricted. The researchers also found that marijuana had
reduced intraocular pressure and the production of tears.
There are many people suffering from glaucoma who were frustrated with their treatment
options and chose to use marijuana as their medicine. They believe marijuana has helped
them to maintain a low level of intraocular pressure and prevent further damage to their
optic nerves. For some, marijuana has eliminated the appearance of halos and blind spots
that impaired their vision. For others, marijuana relieved the pain that resulted from
their glaucoma. Some patients have chosen marijuana simply because it is not painful or
difficult to administer.
The current understanding is that THC constricts the capillaries in the eye, decreasing
the rate of fluid secretion. This can explain why people who use marijuana often report a
reduction in tears and a drying of the eyes. THC I also thought to expand the blood
vessels in the mucous membranes that facilitate the drainage of fluid from the eye. This
may explain why marijuana smokers often appear to have bloodshot eyes.
Orally administered THC (Marinol) cannot be prescribed for glaucoma, and has been found
effective for reducing intraocular pressure only in very high doses under which patients
have felt incapacitated and experienced unpleasant psychological effects.
As early as the late 1970's, there was interest in developing a THC solution that could
be administered in drops to the surface of the eye. The idea was favored by
ophthalmologists because a patient could apply THC without smoking it or experiencing any
psychological effects. Unfortunately, no topical solution is yet available that would
allow proper penetration and absorption of THC into the eye.
New prescription drugs have been developed, among them timolol (Timoptic) and
lantanoprost (Xalatan), which are claimed to be highly effective with no side effects.
Unfortunately, some patients are finding that these drugs do have side effects, or that
they do not sufficiently reduce intraocular pressure. While Timoptic helps to reduce
intraocular pressure in most cases, it can cause asthma and can affect heart rate and
heart muscle function. This is an even more serious concern for patients over the age of
35, which includes most glaucoma patients. Xalatan can change the color of the eyes. Some
patients who take these medications must still undergo numerous surgical procedures. Many
doctors agree that the difficulties with these treatments probably result from the fact
that patients vary both in their severity of intraocular pressure and their response to
medication.
Science
- A number of studies followed the discovery at UCLA, all confirming that marijuana
effectively reduced intraocular pressure in glaucoma patients. On an average, smoked
marijuana was found to reduce pressure by about 30 percent for a period of four to five
hours. Intraocular pressure began to decrease within 30 minutes after inhalation, with the
maximum decrease being reached in 60 to 90 minutes. There was no evidence that the effects
were dependent on the dose, or that subjects developed any tolerance with continued use.
- In 1971, Drs. Robert Hepler et al. reported, in the Journal of the American Medical
Association, their observations that smoked marijuana had safely reduced intraocular
pressure for an average of four to five hours in healthy young adults.
- In a 1976 New York study by Drs. Hepler et al., 29 subjects who smoked marijuana
cigarettes for 94 days showed a reduction in intraocular pressure each time they used
marijuana. These findings led to the belief that marijuana could be used in the long term
treatment of glaucoma because its effectiveness did not decrease over time.
- In 1978, glaucoma patient, Robert Randall, became the first medical marijuana patient to
obtain legal access to marijuana through the Food and Drug Administration (FDA).
- In 1980 a Harvard University study of the effects of marijuana on intraocular appeared
in the journal Ophthalmology. The study, involving 18 glaucoma patients, some of whom
smoked marijuana cigarettes and some of whom smoked placebo cigarettes, concluded that
marijuana effectively lowers intraocular pressure.
Over recent years of more lenient attitudes towards the sale of marijuana seeds, many of these treasures have once again become available. The hard work and perseverance of the few brave pioneers who have maintained their old strains through the war against them is to be commended.
Breeders like DJ Short with Blueberry and Flo, or the many unnamed others responsible for strains like Hawaiian Sativa or Mighty Mite, have proven what can be accomplished despite the oppression placed upon our culture. Yet marijuana still remains illegal, and strains like Blueberry could very easily go the way of the super Sativas of the Seventies, unless measures are taken to preserve these genetics. Until the legal status of our favourite plant is changed, this responsibility lies on the shoulders of the underground cultivator.
Preserving our future
The main reason for the current Indica-ized status of today's popular strains is quite simple: legal implications for both personal and commercial growers dictate that they must produce the maximum amount of bud in the minimum amount of space. Once marijuana finally achieves full legalization many growers will likely reconsider their choice of strains, both to fill niche markets as well as personal taste.
We must plan so that when legalization happens, the few strains that have been bred with quality as a primary concern are still with us. For outdoor growers, strains that have been acclimated for years in their locale are indispensible. Many of these growers have spent decades perfecting a strain for their exact climate, yet all of this work can be lost instantly as a result of a bust or simply not having anyone to pass them down to.
Cannabis genetics can be maintained for many years simply by keeping a clone alive, however this doesn't do much for preserving the genetic diversity of a strain. Ideally, seedlines should be both preserved through long term storage and being grown out and seeded each year.
Inbreeding depression
Much myth and misinformation is spread in marijuana literature regarding inbreeding depression in cannabis populations. As a result, much of the genetics on the market today is merely a collection of cross after cross of different varieties with little effort towards stabilizing unique traits. Proof that marijuana can be successfully inbred lies in examples of inbred lines like Skunk #1 or Northern Lights, which have shown no signs of inbreeding depression after decades of incestuous crosses.
Understanding how marijuana has evolved helps to explain this. In countries where marijuana originates it has evolved alongside humans, often being maintained in small family gardens amongst other food and medicine crops. Much of today's gene pool originated in Afghanistan, where cannabis was grown like this in small family plots for generations, until the advent of large fields in the 70's and 80's. Plant phenotypes varied slightly from one valley to the next, and the pollen carried by wind from the slightly different gene pool of cannabis in the next valley maintained population vigour and prevented inbreeding depression. We can reproduce this scenario easily ourselves by maintaining several lines of the same strain, crossing them into each other every few years.
For example, when you grow out a pack of ten true breeding seeds pick the nicest female and seed it with two or more different males (marking which branch was pollinated by which male). Seed from each cross must be kept separate, and future generations kept from crossing with other lines. Every third or fourth generation these lines are crossed together and new lines brought out of the resulting seeds. Some of the seeds from each generation should be saved for long-term storage in case of accidental cross-pollination or crop loss down the road.
Isolation distances
Whether growing indoors or out, isolation distances are something that you should always be aware of. Marijuana is a wind pollinated plant, meaning that pollen is carried by wind from the male to the female recipient, sometimes over very long distances.
The recent legalization of hemp, although a major step forward, has caused some concern for marijuana growers. These fields consist of thousands of plants which generate an immense amount of pollen, which will seed marijuana just as easily as it will hemp. Other growers in your area and other strains which you yourself may be trying to keep pure are also possible contaminators to breeding projects.
Isolation distances will vary depending on geography, wind currents and vegetation coverage. However a safe rule of thumb is to isolate outdoor crops from each other and hemp fields by at least a half mile. Indoors this is not as much of a concern, as males can be watched carefully and covered with a paper enclosure to prevent pollen from drifting to other plants.
A question of latitude
The most popular theory of the evolution of cannabis is that all cannabis originated in the Himalayas and spread gradually throughout the world. Under varying human and environmental pressures cannabis has evolved into all ends of the spectrum from low THC long fibered hemp strains to couch-locking Indicas.
Latitude has definitely played a key role in this matter, influencing THC levels as well as ratios of THC to CBD. Most drug strains originate between 37° North and 35° South of the equator, with some of the highest quality strains coming from very near the equator (most notable Southeast Asia at 10-20° North).
As you get up into the more Northern latitudes (like Russia), cultivated and feral cannabis leans more towards the hemp end of the spectrum, with low THC and high CBD. This makes the job of maintaining marijuana varieties outdoors at common North American latitudes of 44-50° North a little more complicated. Without selection for high THC parents, pure strain marijuana can drift towards phenotypes of its hempen cousins.
Put simply, as the latitude is not exerting pressure on the gene pool to uphold its high THC traits, human influence must step in by diligently selecting the most potent plants as parents for future generations. Legendary strains like Matanuska Thunderfuck (bred outdoors in Alaska) and Friesland Indica (outdoors for Northern Holland) are living proof that this high THC trait can be maintained at Northern latitudes.
Common vegetable seed saving techniques, like open pollination and collecting seeds from many different plants then mixing them together, must be avoided. This could likely be the reason for the low THC nature of many of the strains coming from large Swiss fields in past years. Up until recently these fields were grown out and seeded freely with little goal in mind other than acclimatization.
Long term storage
As seeds are living things they have a life span and decline in vigour as they age. For medium term storage an air-tight container in the refrigerator works well. Long term storage is the best way to preserve these special strains for tomorrows growers, and for this freezers work great, provided a few rules are carefully followed.
Most important is that the seed be dried below the 8% moisture level, as above this the water in the seed will expand upon freezing and burst the cell walls. This drying is done with the use of silica gel and an airtight container. The gel can be obtained from any vegetable seed company and many gardening stores. The seeds and gel are sealed in the same container and the gel will change color, indicating the moisture that it has absorbed from the seed. Seeds should be wrapped in tissue paper and sealed in an airtight container before being put into the freezer, as frozen seeds are very fragile and the paper will protect the seed from shattering if bumped.
Seeds stored like this will retain vigour and high germination ratios for long periods of time. When thawing seeds for use, allow them to fully adjust to room temperature before opening the container. This will prevent unwanted condensation from forming on the seed surface.
Allow the seeds to regain most of their original moisture level by sitting open for a few days before being germinated.
Stand Tall
Once a cross has reached the F5 or F6 generation it can be considered an inbred line and can be relatively easily maintained using the above techniques. Many of the strains listed in catalogues are inbred lines and may or may not be indicated as such. If this is a strain that a seed company has put years of time and work into bringing to this point it is considered unfair to reproduce their work and sell it yourself, but there is nothing wrong with preserving their genetics for yourself or to pass on to future generations should it no longer be commercially available.
Preserving cannabis genetics under the current legal climate is as honourable a pastime as there is.