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YAG Laser Iridotomy Complications
Eye Conditions | Last Active: May 15 5:24pm | Replies (204)Comment receiving replies
I just saw this post. I have very similar situation to you- except I have a wonderful Neuro Ophthalmologist that I trust implicitly. In fact, I just went for my 6 month checkup last week. She dilated my eyes because we had not done that in 2 years. Everything looks great, and my angles are narrow, but mildly and have not changed a bit since my last appointment. Her recommendation is, and always has been, that she will not do the iridotomy until I am at least 50% angle. She also reassured me that just knowing that I have this enough for now because I know the signs to look for in acute angle closure, which she said in normal pressure eyes with mildly narrow angles, acute closure is rare. When we discussed what will happen when we get to that point, she mentioned that the 9'oclock position is what she would do.
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Why would she dilate your eyes? Just curious. It can cause an acute narrow angle closure. Why is dilation so important especially if you have mild narrow angles? Thanks
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Thanks for responding. I'm in a dilemma. The gonioscopy is subjective, it's what the doctor sees. Going to too many specialists I found is a mistake. The second GS said she said I had anatomical narrow angles and could most likely live with them without ever angle closure, she can't guarantee, though, that is why they suggest an iridotomy. They don't want to be responsible for an angle closure if it happens. She did not grade it or give me how narrow they are. Now the first one who misdiagnosed me told me it was a 10B, which is mild, but tried to schedule me immediately for the procedure.
I went to a third specialist who said it was about 30% opened. She started out saying I could come to her every 3 months to have it checked. Then read the other notes from the opthamologists and decided I should have it done when I'm ready.
I am so confused, now I have dry eyes and blepharitis, mild from being afraid to wash my eyes good, been using dry eye drops, but now twice a day. Had to go to the Eye ER because my right eye was blurry. The opthalmologist said it was very dry. I'm doing the treatments, the best I can and it's not blurry anymore. He also, without an gonioscopy said to get the iridotomy. My pressures are absolutely perfect 10 to 13 depending on iCare or Goldman's.
I'm going to call the last opthalmologist I saw and ask if she will see me in 2 to 3 months. I do not want an iridotomy if my eyes are dry and have bleph. I can't even find a doctor to follow me through these dry eyes. This city is worthless with doctors who care and make a plan, follow up with you. It's get an iridotomy no matter what. I guess they are scared. It is the patient's decision, chance of an attack or get the iridotomy.
You are lucky, sounds like you have a very good opthalmologist who is looking out for you.
Right now I'm lost. I thought I was going to the best. My mistake was showing the last opthalmologist my records. I was hoping she would make her own decision, but I assume she doesn't want to go against her colleagues decisions.