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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In reply to @hsantos435 "any update?" + (show)
@hsantos435

any update?

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@hsantos435 I had the laser iridotomy on 10/18 and my doctor placed it at 9:00 position. It wasn’t as bad as I thought. The pressure in my eye dropped from 24 to 16 at my 2 week checkup so I’m happy about that. I don’t have any vision issues but my pupil is a little bigger now. My doctor isn’t concerned about my pupil size but I am waiting another month to see if my pupil goes back to normal before having my other eye done.

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@shasta2292

@jigglejaws94 thank you again for all of the information you have shared on this thread. My appointment for my first eye is on 10/18 so I will continue to do my research before then. I am getting a second opinion next Wednesday as well and will see what that doctor thinks. Thank you again!

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any update?

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Hi - I was diagnosed with closed angle or narrow angle glaucoma and was told the only fix is the laser iridotomy. Is there anybody here that had an alternative? I wish they give you some type of option rather that get the procedure right away. Thought it's a bit extreme 🙁

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@jigglejaws94

My understanding is that it may not prevent a gradual increase in pressures but it is supposed to prevent a sudden spike in pressures from happening which would lead to possible loss of your vision.

I was under the same impression as you seem to be -- that if I got the iridotomies done, then my pressures would remain low. But as they have been rising in last two years I questioned how this could be so and was told that it just prevents the sudden spike in pressure that can cause damage.

I am mostly glad I had it done as I live 2 hours from my provider and loss of vision damage can happen within an hour. I did develop a dysphotopsia in the lower field of vision on my right eye after the LPI. You can read about it above.

For a couple of years, I was monitored once a year. Now I am monitored every six months. If things continue to look okay on exam but pressures are edging upward -- only monitoring is recommended. I see my provider again near the end of October so will find out if any significant changes.

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@jigglejaws94 thank you again for all of the information you have shared on this thread. My appointment for my first eye is on 10/18 so I will continue to do my research before then. I am getting a second opinion next Wednesday as well and will see what that doctor thinks. Thank you again!

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My understanding is that it may not prevent a gradual increase in pressures but it is supposed to prevent a sudden spike in pressures from happening which would lead to possible loss of your vision.

I was under the same impression as you seem to be -- that if I got the iridotomies done, then my pressures would remain low. But as they have been rising in last two years I questioned how this could be so and was told that it just prevents the sudden spike in pressure that can cause damage.

I am mostly glad I had it done as I live 2 hours from my provider and loss of vision damage can happen within an hour. I did develop a dysphotopsia in the lower field of vision on my right eye after the LPI. You can read about it above.

For a couple of years, I was monitored once a year. Now I am monitored every six months. If things continue to look okay on exam but pressures are edging upward -- only monitoring is recommended. I see my provider again near the end of October so will find out if any significant changes.

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@jigglejaws94 thank you so much. My pressures are already elevated (low-mid20s). What is your doctor recommending now that your pressures are increasing and why didn’t the procedure prevent that from happening? I’m just afraid to have the procedure if it isn’t going to prevent my pressures from increasing further.

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@shasta2292

@jigglejaws94 what were your pressures before the surgery and what are they now?

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I don't recall exactly what they were before the surgery but within normal limits. Now, 6 years later, my pressures are rising. I can't recall what they were in April. 25 maybe. The iridotomy holes are still patent.

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@jigglejaws94

Thanks. I am following up and awaiting a phone call from my doctor. n the meantime, I have done some research and have found several studies and mentions that the superior placement (between 11 and 1 o'clock) tend to have more problems with halos, crescents, light problems through that new whole. The main thought is that the tear meniscus at the edge of the upper lid creates a base-up prism effect when overlapping the position of the LPI. One article suggested lifting the eyelid to see if the light resolves -- mine does. Well, I can't sit around lifting my eyelid all the time. BUT, I will not have a superior placement in my left eye. The suggestion is 3 or 9 o'clock position. I never would have imagined that if the LPI was covered with the upper eyelid that there would be a problem. But apparently EVEN in cases where the hole is completely covered with the eyelid -- this problem can occur. Interesting, huh? No fun messing with eyes. Especially eyes that were seeing just fine and now aren't. Blah.

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@jigglejaws94 what were your pressures before the surgery and what are they now?

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@am155

My pressures were down to 18 and 19 which is a good news for me 🙂

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@am155 what were your pressures before the surgery? Have you had any issues after the surgery?

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I was nervous about this procedure but now that I am reading all of these comments, I am terrified. I am 49 and have good vision but my eye pressures fluctuate between 22-26. I was diagnosed with narrow angle and my doctor recommended this procedure. For those of you who regret the procedure, did you have high pressure before the procedure? I think I want to ask if I can just use eye drops instead. This is a terrible decision to make to make.

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