YAG Laser Iridotomy Complications

Posted by jigglejaws94 @jigglejaws94, Sep 25, 2016

Has anyone had a laser iridotomy with resultant "ghost images" or a crescent of light in field of vision?

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@wantingtoknow

I am totally freaked out because my specialist is strongly suggesting I need an iridotomy. But after answering my questions today, I find out I have no glaucoma, but he is saying I have narrow angle glaucoma. (Hmm, I am guessing I have narrow angles with no glaucoma). I have no symptoms, no headaches, no problems with my vision, nothing. My pressure is 12/15. No change in the last 6 weeks in pressure. Given that I have no problems now with my eyes, I am pretty understandably apprehensive about getting surgery (which the doctor's office insists is not surgery but rather a "procedure").
Input please. What do you think?

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@wantingtoknow I'm guessing the reason that he wants to do the iridotomy is because your angles are becoming more narrow? I do know have glaucoma but I do have narrow angles. Two years ago, mine suddenly got worse over a 4 month period and so he strongly suggested peripheral iridotomy. It is my understanding that if you have complete closure of the angles, you have a very short window of time to get treatment before you face the risk of losing your vision. Because I live 2 hours away from the ophthalmologist, I opted to go ahead with the procedure, one eye at a time. If you decide to pursue this, my one caution would be to do your homework on the position of the iridotomy. My first one was at the 12 o'clock position and it left me with a dysphotopsia. The second was done at a temporal position. See my above posts for more detailed info about that.

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@wantingtoknow

I am totally freaked out because my specialist is strongly suggesting I need an iridotomy. But after answering my questions today, I find out I have no glaucoma, but he is saying I have narrow angle glaucoma. (Hmm, I am guessing I have narrow angles with no glaucoma). I have no symptoms, no headaches, no problems with my vision, nothing. My pressure is 12/15. No change in the last 6 weeks in pressure. Given that I have no problems now with my eyes, I am pretty understandably apprehensive about getting surgery (which the doctor's office insists is not surgery but rather a "procedure").
Input please. What do you think?

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@wantingtoknow Hi Lioness here Im 76 now I tell you this as in my 30,s I was told I had narrow open glucoma the Dr put me on drops My pressure was always good like yours ,then after several years on the Timoptic drops he took me of as my pressure stayed the same About a year ago my pressure for the first time was 20/24 Dr gave me drops a year later my pressure was back in the teens again ,she told me I could go of or stay on???? If I remember I,ll use the drops but at my age I have macular degeneration now. I would suggest you go for another opinion and see what the Dr says This is just what happened to me. Good luck.

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@jigglejaws94

@wantingtoknow I'm guessing the reason that he wants to do the iridotomy is because your angles are becoming more narrow? I do know have glaucoma but I do have narrow angles. Two years ago, mine suddenly got worse over a 4 month period and so he strongly suggested peripheral iridotomy. It is my understanding that if you have complete closure of the angles, you have a very short window of time to get treatment before you face the risk of losing your vision. Because I live 2 hours away from the ophthalmologist, I opted to go ahead with the procedure, one eye at a time. If you decide to pursue this, my one caution would be to do your homework on the position of the iridotomy. My first one was at the 12 o'clock position and it left me with a dysphotopsia. The second was done at a temporal position. See my above posts for more detailed info about that.

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Yes, I can see if there is evidence of a progression - I"d be all for it. But that's not the case. He has never seen me before. And this "diagnosis" has never been given to me before either. So he is saying I have narrow angles, with no glaucoma, and no benchmark to say my angles are getting better/worse/stable. And yes, when I asked he said he does them in the temporal location.

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@lioness

@wantingtoknow Hi Lioness here Im 76 now I tell you this as in my 30,s I was told I had narrow open glucoma the Dr put me on drops My pressure was always good like yours ,then after several years on the Timoptic drops he took me of as my pressure stayed the same About a year ago my pressure for the first time was 20/24 Dr gave me drops a year later my pressure was back in the teens again ,she told me I could go of or stay on???? If I remember I,ll use the drops but at my age I have macular degeneration now. I would suggest you go for another opinion and see what the Dr says This is just what happened to me. Good luck.

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Is narrow open glaucoma the same as narrow angle (I'm assuming so). Yes, I think I need a second opinion.

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@wantingtoknow

Is narrow open glaucoma the same as narrow angle (I'm assuming so). Yes, I think I need a second opinion.

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Hi! I was also recently diagnosed with narrow angles without glaucoma and an iridotomy is strongly suggested. I’m terrified and doing as much research as possible. Have you gone for a second opinion? Thanks for your help!

Jess

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@kca56

I am possibly needing LPI. My doctor gave a rating to my angle. I could not find a rating system referred to anywhere in my research. Is there one assigned to this condition? Ie., what number would be considered high risk? Also, I have read in British journals that there is some concern cataracts can be caused by the surgery. Has anyone experienced this outcome?

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Hi! I was wondering if you went ahead with the iridotomy? I’m also in the same boat and have been doing my research.

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@jigglejaws94

@wantingtoknow I'm guessing the reason that he wants to do the iridotomy is because your angles are becoming more narrow? I do know have glaucoma but I do have narrow angles. Two years ago, mine suddenly got worse over a 4 month period and so he strongly suggested peripheral iridotomy. It is my understanding that if you have complete closure of the angles, you have a very short window of time to get treatment before you face the risk of losing your vision. Because I live 2 hours away from the ophthalmologist, I opted to go ahead with the procedure, one eye at a time. If you decide to pursue this, my one caution would be to do your homework on the position of the iridotomy. My first one was at the 12 o'clock position and it left me with a dysphotopsia. The second was done at a temporal position. See my above posts for more detailed info about that.

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@jigglejaws94 - I was recently diagnosed with narrow angles without glaucoma or any pressure issues. Your posts have been so helpful in determining the placement of the iridotomy holes. I am absolutely terrified of this procedure (more so impacting my vision, which is fine, than the procedure itself.) I’m thinking of going for a second opinion as well, before deciding on anything. I have done a lot of research in the last few days and I’m still scared.

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@jkres007

Hi! I was wondering if you went ahead with the iridotomy? I’m also in the same boat and have been doing my research.

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@jkres007 I'm sorry to hear this I would go for a 2nd 3rd opinion You are with a opthamalogist are,t you

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@lioness

@jkres007 I'm sorry to hear this I would go for a 2nd 3rd opinion You are with a opthamalogist are,t you

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Thank you! I am. I went for my normal annual exam on Dec 14th and saw a glaucoma specialist on Jan 2. He was so quick and just casually was like “yeah so we’ll schedule you for surgery.” I understand that they know what they’re looking at, but I’m thinking that they’re just so quick to say you need surgery. I’m not sure.

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@wantingtoknow With everything on here saying about the MD,s its probably a good idea about eye Dr,s get a 2nd and 3rd opinion are eyes are so important to us . I would if this was me .

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