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?

Liked by agoldstein

@quincy9

Hi. Still the same. As long as I don’t look at lights I don’t notice it or it’s just that I’ve gotten used to it.

Jump to this post

what kind of side effects do you have ?

REPLY
@jigglejaws94

I'm sorry to hear that you have had so many problems and feel like it was a terrible decision to have had iridotomy. I was troubled with the dysphotopsias immediately following the procedure but now that I am 3 years post procedure — it is far less of a problem. I hope with time that you have improvement. I'm glad I had mine done as I now have that "relief valve" in place — especially since I am 2 hours from my ophthalmologist.

Jump to this post

what side effects do you have now? when did they become less, after how many months? Did you have narrow angles or they were closed?

REPLY
@azpowells

Excellent post. Pretty good explanation of the procedure. Thanks for sharing. Ihad 2 holes per eye done and I have had open angle Glaucoma for 18 years. Pressures have dropped about 40%.

Jump to this post

Do you want to say that iridotomy was helpful for open angle glaucoma?

REPLY
@michaels777

I am 50 years old and had my cataract surgery one year ago (toric lenses), since then I have been through some horrible stuff. I had Macular Edema in both eyes a short while after my cataract surgeries, but this seems to have cleared up according to my retinal scans and multiple examinations. Once my Macular Edema cleared up in both eyes I had the YAG laser to clear up my posterior capsular opacification. The next morning after my YAG laser, I woke up and I knew something was terrible wrong, In dim light (even indoors with fluorescent lighting), I could see a fuzzy halo around lights and starbursts too. At night time when I am driving, every light ranging from headlights to traffic lights….any light at night, I can see long stretched out spiky starbursts. The brighter the light (like those super bright headlights you see in newer cars), the longer and stretchy the starburst will be. Every once in a while the starburst will also have a rainbow effect to it that is inside the starburst itself. Note: I am seeing the starbursts with or without my glasses, so it wouldn't be residual astigmatism like my doctor thought it might be. I am also seeing bright oddly shaped circle lights every morning right now like when I had my macular edema, when I went to my doctor he did another retinal scan of my eyes but it showed no macular edema. My vitreous gel seems to be a mess also, I can live with floaters, but now it seems like the vitreous gel is clumping together or something, and when I look to the left and right or up and down I see like something hazy and sweeping going the opposite way that I am looking. I asked if my lenses got pitted or damaged or something during my YAG laser treatment but my doctor said no. My doctor had some "copy and paste" explanation for everything (like basically well…just live with it), so I went to see a second doctor (at my HMO hospital), and after her examination she basically said the same thing "well you're seeing 20/20 with glasses" along with her "copy and paste" explanations as well. Not happy with her responses, I asked politely to be referred to the retinal surgeon…she didn't like it that much, and after that her demeanor changed for the worse. So moving forward…I've been researching Dr. Google (doctors hate when I do this, lol), I was thinking that maybe they should widen the YAG treatment area more (maybe it will clear up the starbursts cause I have large pupils), and maybe I should get a vitrectomy (for my clumpy vitreous gel or whatever else it might be that is possibly pulling at my retina causing the circles of light in the morning right when I wake)? I see the retinal surgeon later this month, is there any suggestions you guys might give me that I might bring to the table when I see him? I feel like I am going blind or something. Thank you.

Jump to this post

How do you feel now?

REPLY
@jigglejaws94

I'm sorry to hear that you have had so many problems and feel like it was a terrible decision to have had iridotomy. I was troubled with the dysphotopsias immediately following the procedure but now that I am 3 years post procedure — it is far less of a problem. I hope with time that you have improvement. I'm glad I had mine done as I now have that "relief valve" in place — especially since I am 2 hours from my ophthalmologist.

Jump to this post

How narrow are your angles?

REPLY
@jigglejaws94

I do have cataracts — but most people do after the age of 40. They are not progressing rapidly or a problem.

Jump to this post

People have cataract at age 70-80, not early.

REPLY

The worst thing ever …. I think all the people have, some take attention to it, some others do not.

REPLY

Hello, all –
Thought you might be interested in a brand new group dedicated to COVID-19 https://connect.mayoclinic.org/group/covid-19/ Mayo Clinic Connect just opened up. If you're interested in following it, click the +Follow in the upper right hand of the page. Please feel free to look through the discussions, participate where you'd like and start new discussions about topics relevant to any aspect of coronavirus, COVID-19.

REPLY

I had the procedure done almost a year and a half ago and have significant vision problems ever since. My life quality has really decreased. The glare and blur affect every waking moment. It appears my only option is corneal tattooing at an out of pocket cost and the fear of complications due to that. Colored contact lenses did not help with the glare.

REPLY

@sarahlinda Hi and welcome to Connect! I'm sorry to hear of your vision problems and sensitivities. What was or is your current diagnosis? What has your eye journey been?

I have Fuchs dystrophy (cornea disease) and was diagnosed at age 40 with it and cataracts. I held out til 43 before having cataract surgeries and corneal transplants on both eyes. My vision was restored thankfully however, photphobia remained and progressed. A couple years after surgeries, I went into double vision and blur because I had developed secondary cataracts. I received YAG laser procedure which restored my clear vision again but left me with ghost like floaters. I still have photophobia and developed migraines along the way. I wear sunglasses and hats and adjust lights in my house, TV, phone. etc…to my tolerance. I'm holding out hope that my transplants stay strong…10 year expectancy and I'm on year 7 and doing ok.

I understand the frustration of eye problems so please know you are not alone.
Be well,
Rachel

REPLY
@rwinney

@sarahlinda Hi and welcome to Connect! I'm sorry to hear of your vision problems and sensitivities. What was or is your current diagnosis? What has your eye journey been?

I have Fuchs dystrophy (cornea disease) and was diagnosed at age 40 with it and cataracts. I held out til 43 before having cataract surgeries and corneal transplants on both eyes. My vision was restored thankfully however, photphobia remained and progressed. A couple years after surgeries, I went into double vision and blur because I had developed secondary cataracts. I received YAG laser procedure which restored my clear vision again but left me with ghost like floaters. I still have photophobia and developed migraines along the way. I wear sunglasses and hats and adjust lights in my house, TV, phone. etc…to my tolerance. I'm holding out hope that my transplants stay strong…10 year expectancy and I'm on year 7 and doing ok.

I understand the frustration of eye problems so please know you are not alone.
Be well,
Rachel

Jump to this post

Hello.
Ihad narrow angle glaucoma. While in the care if a new opthamologist, he performed YAG laser iridotomy on both eyes and I was left with several visual complications.
These began directly after the procedure. Constant glare and prism images as well as floaters.
He is recommending corneal tattooing- out of state – as my only means for improvement. (colored contacts did not work). This would be out of pocket expenses for me. a minimum of 4 trips to NC for the procedure). I was never told of the possibility of this occurring from laser iridotomy. That is the worst part.
The opthamologist I saight out at Mayo clinic said this happens in approximately 3% of patients. I would not have had the procedure. It was a preventative measure and at my age I would not have risked this. I would have continued getting my pressure checked.
Thank you for sharing your experience and situation. I truly appreciate it.

Liked by rwinney

REPLY
@sarahlinda

Hello.
Ihad narrow angle glaucoma. While in the care if a new opthamologist, he performed YAG laser iridotomy on both eyes and I was left with several visual complications.
These began directly after the procedure. Constant glare and prism images as well as floaters.
He is recommending corneal tattooing- out of state – as my only means for improvement. (colored contacts did not work). This would be out of pocket expenses for me. a minimum of 4 trips to NC for the procedure). I was never told of the possibility of this occurring from laser iridotomy. That is the worst part.
The opthamologist I saight out at Mayo clinic said this happens in approximately 3% of patients. I would not have had the procedure. It was a preventative measure and at my age I would not have risked this. I would have continued getting my pressure checked.
Thank you for sharing your experience and situation. I truly appreciate it.

Jump to this post

@sarahlinda Well that certainly is getting the short end of the stick! How awful that this unfortunate outcome leaves you with out of pocket cost and physical repercussions. I'm very sorry to hear this. It must be maddening to you.

My mom had closed angle glaucoma and had laser. My Dad has same cornea disease as me and ended up with glaucoma which ended in a recent gel stent being placed to relieve pressure. Its not working and pressures climbing again. It too was preventative. He only has vlsion left in one eye so it is precious to him. It is very taxing putting trust in Drs especially when it involves your eyes.

I've never heard of cornea tattooing. Also, I was never told of possible repercussions with my YAG. My ghostly floaters are nothing compared to what you describe. Have you sought a 2nd or 3rd opinion?

My iris flipped during my cornea transplant and scar tissue was left which is how a neuro opthemologist explained my permanent photophobia. I'm telling you, eyes are no joke and finding a Dr that you feel confident in and has experience, is very important.

I hope for the very best for you and am sending positive thoughts your way. If you dont mind keeping us posted, here on Connect, it would be appreciated. Best of luck. 🍀

Rachel

REPLY
@sarahlinda

Hello.
Ihad narrow angle glaucoma. While in the care if a new opthamologist, he performed YAG laser iridotomy on both eyes and I was left with several visual complications.
These began directly after the procedure. Constant glare and prism images as well as floaters.
He is recommending corneal tattooing- out of state – as my only means for improvement. (colored contacts did not work). This would be out of pocket expenses for me. a minimum of 4 trips to NC for the procedure). I was never told of the possibility of this occurring from laser iridotomy. That is the worst part.
The opthamologist I saight out at Mayo clinic said this happens in approximately 3% of patients. I would not have had the procedure. It was a preventative measure and at my age I would not have risked this. I would have continued getting my pressure checked.
Thank you for sharing your experience and situation. I truly appreciate it.

Jump to this post

Hello, I’m sorry to hear that, but you’re in good company. I had the surgery for preventative closed angle glaucoma four years ago. I, too, am left with severe (to me it’s severe) visual disturbances…glare, prisms. I went for two more opinions and both surgeons said I was high risk, which I do believe. My initial surgeon whom I really Liked, points the laser At the 12 o’clock position. However my research said that pointing the laser at the 3 or 9 o’clock position results in fewer complications. So, I went to a glaucoma surgeon who performed the surgery at the 3 and 9 and I am left with this terrible side affect. Maybe my first doctor was correct. Anyway it’s too late and I’ll never know. The surgeon who performed my laser procedure never told me of the side effect, and he will not listen to me about having this horrific glare since the surgery was done.

Liked by rwinney

REPLY
@quincy9

Hello, I’m sorry to hear that, but you’re in good company. I had the surgery for preventative closed angle glaucoma four years ago. I, too, am left with severe (to me it’s severe) visual disturbances…glare, prisms. I went for two more opinions and both surgeons said I was high risk, which I do believe. My initial surgeon whom I really Liked, points the laser At the 12 o’clock position. However my research said that pointing the laser at the 3 or 9 o’clock position results in fewer complications. So, I went to a glaucoma surgeon who performed the surgery at the 3 and 9 and I am left with this terrible side affect. Maybe my first doctor was correct. Anyway it’s too late and I’ll never know. The surgeon who performed my laser procedure never told me of the side effect, and he will not listen to me about having this horrific glare since the surgery was done.

Jump to this post

@quincy9 I'm sorry to hear about your misfortunes as well.
Rachel

Liked by quincy9

REPLY
@rwinney

@quincy9 I'm sorry to hear about your misfortunes as well.
Rachel

Jump to this post

Thank you.

REPLY
Please login or register to post a reply.