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YAG Laser Iridotomy Complications

Eye Conditions | Last Active: May 15 5:24pm | Replies (204)

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@blackcat99

Hi everyone! I'm writing this to help add to the body of information available on this topic. A month ago, my optometrist identified narrow angles in both of my eyes. She then gave me a referral for an ophthalmologist who specializes in glaucoma. The doctor confirmed narrow angles and informed me that as I have a very narrow-angle PLUS mild cataracts (diagnosed at 39; I'm now 42) which will continue to grow and push my iris and cornea even closer together, an LPI is the best course of action. I then spent about two weeks doing my own research (which brought me here) and just generally spiraling due to the many horror stories and imperfect science that is narrow angles and LPI. I had my procedure in late March of this year. Everything was fine and my IOP didn't spike afterwards. The first day without the drops, I was still fine. Then day two I woke up with painful light sensitivity. I went to the doctor's office and was informed that not only was my iris inflammed but my iridotomy hole had apparently closed up in a record 6 days (possibly less). Needless to say I was NOT happy and seriously questioned my doctor and the care that I had received, even though he has all the top credentials. After meeting with him again for a follow-up, going back on prednisolone 1%, and being prescribed a more aggressive preventative routine and strategy going forward, I decided to get the revision done. Mostly because this whole situation is seriously stressing me out and putting my life on hold. In other words, unsustainable. I had the revision and it hurt much more afterwards this time, but took a lot fewer 'shots'. I have very dark irides and it took 117 shots the first time. Advil resolved my pain within 30 minutes and so far I haven't need more. I'm currently on day two of an aggressive course of prednisolone and cosopt. No pain, but I do have a bit of visual disturbance (halos) when I look at recessed ceiling lights but so far no other issues. I'm hoping this minor light issue will go away in a few weeks. Baring no other complications, I will have the second eye done in a couple of weeks.

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Replies to "Hi everyone! I'm writing this to help add to the body of information available on this..."

Did the opthalmologist ever talk to you about lense replacement instead of LPI? Just curious, since this is what I will have done if heaven forbid I have any problems.
Wishing you a speedy recovery.
Thank you for sharing.