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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@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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@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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@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?

Jump to this post

@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.

REPLY
@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?

Jump to this post

@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.

REPLY

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?

REPLY

Yes I have that problem presently my Dr. is working on a solution that hasn’t really come up with one yet !

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@jigglejaws94

Check out this article. It speaks of grading of the angle closure.

https://www.reviewofophthalmology.com/article/managing-the-narrow-angle-patient

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Thank you for this article. (I have been rather busy and apologize for not replying sooner.)
Question for you -- are you glad you had the LPI done? Have you experienced any major set-backs or side effects?

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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?

Jump to this post

Check out this article. It speaks of grading of the angle closure.

https://www.reviewofophthalmology.com/article/managing-the-narrow-angle-patient
REPLY

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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@tssandy

Has anyone had both eyes done at the same time? Would you recommend it?

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Thank u for the quick reply that was so helpful and also comforting to know that the temporal LPI actually cause less issue for you! I think I will request to have the LPI placed temporally on my right eye. I was very upset knowing that I will most likely have to live with dysphotpsia for the rest of my life and the laser was supposed to help my vision but instead it made it worse.. but after reading ur response and a couple other clinical reports, it seems that the streak of light will become less noticeable over time. And just curious, has ur doctor done temporal LPI on any other patients in the past? Because my doctor mainly does superior LPI, so I don’t know how safe is it for me to have him perform this procedure on me with a method that he doesn’t have much experience with.

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