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?

Interested in more discussions like this? Go to the Eye Conditions Support Group.

@skysoarer

Two months ago, I underwent Laser Iridotomy, and it has drastically impacted my life. I was diagnosed with open-angle glaucoma a decade ago and had regularly checked my angles, but no one mentioned that they were closed. The procedure became necessary when my eyes were fully dilated, and I experienced a blockage. Unfortunately, I received no information about the potential risks.

Since the procedure, I've noticed two very bothersome white lines instead of just one, as experienced by many others. The placement was at the 12-hour position, but shortly after the procedure, I researched and found that many doctors prefer a temporal placement to avoid such side effects. As I work extensively in front of the computer, this has further worsened my life. Additionally, I've started experiencing eye pain, which even strong painkillers have failed to alleviate.

I've attempted colored contact lenses, but even those with a ring around them provided limited relief and resulted in tunnel vision. Living in these conditions is challenging. How can I locate a surgeon willing to apply the McCannel suture to close the holes? I reside in Europe, so finding a suitable surgeon here would be preferable, but I am open to traveling overseas if necessary.

Jump to this post

I'm so sorry that happened to you. When I was thinking about getting the iridotomy, I don't have glaucoma but see a glaucoma specialist. When I first visited her at Wills Eye Hospital in Philadelphia. she said many studies showed that the 3 and 9 positions were the best to prevent glaring, lines, etc. I searched for you just now at Wills, but didn't see anything about McCannel suture to close the holes. It would be wonderful if someone could do that. I'm tired now, ready to sleep, or I would search some more. I wonder if it's something that's only done in Europe?

I go see my GS next month and will ask her for you. She's a fellowship trained GS, so even if she doesn't know she may be able to ask her the team that she meets with everyday. I will ask for you. It's a great eye hospital. I'll keep in touch. If you find someone, please let us know.

REPLY

Two months ago, I underwent Laser Iridotomy, and it has drastically impacted my life. I was diagnosed with open-angle glaucoma a decade ago and had regularly checked my angles, but no one mentioned that they were closed. The procedure became necessary when my eyes were fully dilated, and I experienced a blockage. Unfortunately, I received no information about the potential risks.

Since the procedure, I've noticed two very bothersome white lines instead of just one, as experienced by many others. The placement was at the 12-hour position, but shortly after the procedure, I researched and found that many doctors prefer a temporal placement to avoid such side effects. As I work extensively in front of the computer, this has further worsened my life. Additionally, I've started experiencing eye pain, which even strong painkillers have failed to alleviate.

I've attempted colored contact lenses, but even those with a ring around them provided limited relief and resulted in tunnel vision. Living in these conditions is challenging. How can I locate a surgeon willing to apply the McCannel suture to close the holes? I reside in Europe, so finding a suitable surgeon here would be preferable, but I am open to traveling overseas if necessary.

REPLY
@laveda

Tuesday when they are back in office I’ll change to the main opthamologist. If he can’t help I will ask to be referred to the Moran Eye Center. I believe they are the only glaucoma specialists. I am afraid to be blurry for life.

Jump to this post

How is your eye? Did you get to see the main ophthalmologist or is your regular MD helping? Hope it's better

REPLY
@angelg

I don't know what to say except I'm so sorry for your experience. I would go to a glaucoma specialist as I've mentioned before, I would not let myself suffer.
There has to be someone who can help you.
Did you go to another specialist, specifically a glaucoma specialist. It doesn't matter if your IOP is within normal range, your eyes should be checked by a Glaucoma specialist, not a regular opthalmologist. Are you seeing the same one who did this iridotomy with the 300 laser zaps?

Jump to this post

Tuesday when they are back in office I’ll change to the main opthamologist. If he can’t help I will ask to be referred to the Moran Eye Center. I believe they are the only glaucoma specialists. I am afraid to be blurry for life.

REPLY
@laveda

Update: I still can’t see. Pain is intermittent. It has been almost 3 weeks after 300 laser zaps. Pupil is still large and light sensitive. I can finally see true colors, but very blurry. At post op finally got pressure down to 30. Very frustrated.

Jump to this post

I don't know what to say except I'm so sorry for your experience. I would go to a glaucoma specialist as I've mentioned before, I would not let myself suffer.
There has to be someone who can help you.
Did you go to another specialist, specifically a glaucoma specialist. It doesn't matter if your IOP is within normal range, your eyes should be checked by a Glaucoma specialist, not a regular opthalmologist. Are you seeing the same one who did this iridotomy with the 300 laser zaps?

REPLY
@angelg

That sounds like a good plan. Hopefully it gets better, do you know how many holes he made with the 300 zaps? Is that what's causing the halos and light sensitivity? I researched the pros and cons of iridotomies thoroughly here on Mayo and other places before I decided to just be monitored. My glaucoma specialist said I may have had the narrow angles most of my life. She said that if anything changes, we'll think about lens replacement (my wish) even though I have teeny cataracts now they can still do it and it opens the angles. Please update here in a few days. My heart feels for you.
As for your other post, yes, some people have a lot of trust in their doctors/eye doctors. I went for 3 consults and chose the Glaucoma Specialist I felt the most comfortable with, who didn't threaten that I'd go blind, didn't push the iridotomy on me, and is working with me. We have a very good relationship.

Please don't beat yourself up for what happened. I have a good feeling you'll do what's right and find someone who can help you if your eye doesn't improve. Hopefully it will for Christmas.

Jump to this post

Update: I still can’t see. Pain is intermittent. It has been almost 3 weeks after 300 laser zaps. Pupil is still large and light sensitive. I can finally see true colors, but very blurry. At post op finally got pressure down to 30. Very frustrated.

REPLY
@angelg

That sounds like a good plan. Hopefully it gets better, do you know how many holes he made with the 300 zaps? Is that what's causing the halos and light sensitivity? I researched the pros and cons of iridotomies thoroughly here on Mayo and other places before I decided to just be monitored. My glaucoma specialist said I may have had the narrow angles most of my life. She said that if anything changes, we'll think about lens replacement (my wish) even though I have teeny cataracts now they can still do it and it opens the angles. Please update here in a few days. My heart feels for you.
As for your other post, yes, some people have a lot of trust in their doctors/eye doctors. I went for 3 consults and chose the Glaucoma Specialist I felt the most comfortable with, who didn't threaten that I'd go blind, didn't push the iridotomy on me, and is working with me. We have a very good relationship.

Please don't beat yourself up for what happened. I have a good feeling you'll do what's right and find someone who can help you if your eye doesn't improve. Hopefully it will for Christmas.

Jump to this post

I thought it was going to be just one hole. I will ask. The zaps were under my upper eyelid. I also believe this is anatomically the way my eyes have always been. My specialist I’ve been to for 6 years is in the same office as the surgeon. She sent me to him. I trusted their opinions.

REPLY
@laveda

Thank you so much for the advice. Hoping I can see by Christmas, but it’s not changing. Halos. Light sensitive, list goes on. I know Moran Eye Center in Salt Lake has specialists. Quite a distance but I will check into it. Thank you again.

Jump to this post

That sounds like a good plan. Hopefully it gets better, do you know how many holes he made with the 300 zaps? Is that what's causing the halos and light sensitivity? I researched the pros and cons of iridotomies thoroughly here on Mayo and other places before I decided to just be monitored. My glaucoma specialist said I may have had the narrow angles most of my life. She said that if anything changes, we'll think about lens replacement (my wish) even though I have teeny cataracts now they can still do it and it opens the angles. Please update here in a few days. My heart feels for you.
As for your other post, yes, some people have a lot of trust in their doctors/eye doctors. I went for 3 consults and chose the Glaucoma Specialist I felt the most comfortable with, who didn't threaten that I'd go blind, didn't push the iridotomy on me, and is working with me. We have a very good relationship.

Please don't beat yourself up for what happened. I have a good feeling you'll do what's right and find someone who can help you if your eye doesn't improve. Hopefully it will for Christmas.

REPLY

I should have told him to stop. It was excruciating but I tolerate pain well and thought he knew best. After the 300 laser zaps I was miserable. Nauseated with pain. I would never have agreed to this had I known the results.

REPLY
@angelg

I'm so sorry, I've heard that pupils can enlarge then eventually go back to normal, but I forgot if it was after iridotomies. I truly suggest a glaucoma specialist, possibly a fellowship trained glaucoma specialist. You do not need to have glaucoma to see one. 300 laser zaps is more than traumatic sounding to me,
I'm surprised you didn't tell him to stop, I've heard people say that it was so painful that they told the surgeon to stop with the laser.
I would get a second opinion as soon as possible . Also, if you use facebook, there is an absolutely great FB site called Glaucoma Eyes. There used to be a Narrow angle site, but I think it shut down.
Wills Eye in Philly, is a great Eye clinic/hospital? Are you close by? Unless you want to stay with your present opthalmologist, I have no other suggestions other than I really hope everything settles down soon. When I put myself in your shoes, I would definitely see someone else. Your surgeon doesn't have to know. I hope you feel better soon and your eye recovers. Hugs

Jump to this post

Thank you so much for the advice. Hoping I can see by Christmas, but it’s not changing. Halos. Light sensitive, list goes on. I know Moran Eye Center in Salt Lake has specialists. Quite a distance but I will check into it. Thank you again.

REPLY
Please sign in or register to post a reply.