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Doctor insights on: Iridotomy Risks

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Can some of the iridotomy risks be predicted based on the eye tests pre surgery? Read about retinal detachment after the procedure in some cases.

Can some of the iridotomy risks be predicted based on the eye tests pre surgery? Read about retinal detachment after the procedure in some cases.

Very rare: Have not seen a retinal detachment after routine laser iridotomy. Was reported in the literature as a case report after super high energy used. Maybe could have had an unknown tear that led to the detachment.

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I am post iridotomy, can I take sinus medications?

I am post iridotomy, can I take sinus medications?

Glaucoma: If the iridotomies are open and functioning there should be no problem.

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I'm getting laser iridotomy tomorrow. What can I expect?

I'm getting laser iridotomy tomorrow. What can I expect?

Not difficult: You will receive eye drops to shrink the pupil, prevent pressure rise, resist inflammation and numb your eye. A special lens will placed against the eye and the laser used to make one or more tiny holes in the iris. The procedure is not uncomfortable and takes only a few minutes to perform.

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I'm getting laser iridotomy. Is there anything I should know?

I'm getting laser iridotomy. Is there anything I should know?

Your ophthalmologist: Ask your surgeon! This is one area that laser treatment is fabulous for, and ophthalmologists have extensive laser training (i'm a plastic surgeon, but my dad was an optometrist, and my sister is a board-certified ophthalmologist.) in expert hands you should do splendidly. Good luck!

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What is the outcome of yag laser iridotomy?

Hole in the iris: This procedure is done in order to lower the risk of angle closure in patients with anatomically narrow angles. If the iris and the cornea are in close proximity they may touch and by doing so, block the drainage pathway of the eye. The hole made by the yag laser serves to provide a pathway for fluid to move between the front and back of the eye.

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What is the long term outcome of yag laser iridotomy?

What is the long term outcome of yag laser iridotomy?

Excellent: This is a curative procedure for narrow angle glaucoma and works very well. It is usually done in both eyes.

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Would laser iridotomy causes any structural damage to the cornea?

Would laser iridotomy causes any structural damage to the cornea?

Maybe: All surgical and laser procedures have risk. It is possible to irritate or even damage the cornea when doing a laser iridotomy. The reason to do an iridotomy is usually to treat or prevent episodes of very high eye pressure. These episodes can cause permanent eye damage, so if you have a condition that merits an iridotomy the risks of not doing the laser could be worse than the laser itself.

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What is the long term efficacy and outcome of yag laser iridotomy?

What is the long term efficacy and outcome of yag laser iridotomy?

Great Prognosis: Irdiotomy for narrow angle glaucoma is usually 100% effective in preventing a glaucoma "attack" from angle closure glaucoma. This is true if the iridotomy is created by a laser or other methods.

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Please help! What is the long term efficacy and outcome of yag laser iridotomy?

Please help! What is the long term efficacy and outcome of yag laser iridotomy?

See below: YAG iridotomy greatly reduces the chances of developing acute (and chonic) angle-closure glaucoma which can quickly damage one's vision. If your angles are sufficiently narrow, it is recommended that you have this procedure done. Talk to your ophthalmologist.

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YAG iridotomy at 12 o'clock position. Have ghost images in lower field of vision. Looks kind of like a line/crescent of light Will these resolve?

YAG iridotomy at 12 o'clock position. Have ghost images in lower field of vision. Looks kind of like a line/crescent of light Will these resolve?

Most often yes: Sometimes no, if it does not, please look into a corneal tattoo (rarely needed but works very well to block the extra light coming through or colored contact lens.

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Please tell me is there any hope for eyes damaged by iridotomy?

Please tell me is there any hope for eyes damaged by iridotomy?

Need more details: Laser iridotomy is a common laser procedure done in patients with narrow drainage angles in the eyes. It is usually done as preventative measure for patients at risk of severe eye pressure spikes. It is a relatively safe procedure.

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Why does preventive laser iridotomy sometimes cause vision loss?

Why does preventive laser iridotomy sometimes cause vision loss?

Cataract?: A prophylactic laser peripheral iridotomy is performed when a person has narrow and occludable iridocorneal angles, which can cause acute angle closure glaucoma and profound to total vision loss. The hole in the iris is a "pressure release valve" to prevent angle closure, but the inflammation or treatment following the procedure can increase the pace of cataract formation. Check your glasses too.

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Why do people get blurred vision and halos after an iridotomy?

Why do people get blurred vision and halos after an iridotomy?

Iridotomy: An Iridotomy is performed in patients who have a narrow angle (narrow internal eye drain area: see eyedoc2020@blogspot. Com for more info). The laser makes a microscopic hole in the peripheral iris to help fluid get into drain easier. Creating the hole can make vision blurry from inflammation in eye. Halos can happen due to hole depending on location. What clock hour did they make the hole & when?

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What causes blurred vision and halos to happen after iridotomy?

What causes blurred vision and halos to happen after iridotomy?

Not common: Maybe if the eye pressure was temporarily high or if there was a lot of inflammation post laser.

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I'm getting laser iridotomy soon in both eyes. Is it true that positioning the hole at 3 or 9 o'clock is better to avoid light aberrations? Thanks!

I'm getting laser iridotomy soon in both eyes. Is it true that positioning the hole at 3 or 9 o'clock is better to avoid light aberrations? Thanks!

Iridotomy: First, make sure you need the procedure. Then to prevent light aberration the best location would be between 11 and 1 o'clock where the upper lid would block incoming light.

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Does 'laser iridotomy' in glaucoma treatment damages cornea?

Does 'laser iridotomy' in glaucoma treatment damages cornea?

No: No this procedure should not damage the cornea but can cause some short term irritation of the cornea.

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Is there a safe sinus relief medication for a person with narrow angle glaucoma? I have had bilateral iridotomy

It depends: Sometimes, despite iridotomies, the angle may remain narrow and any drugs that cause pupil dilation, either systemic or nasal spray, can increase angle closure and cause elevated pressure. I will sometimes recommend a mild nasal steroid if there is no evidence of infection. You need to consult with your eye surgeon as to the severity of your narrow angles and weigh risks/benefits of treatment.

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Are you supposed to have a small pupil (unequal to the unaffected eye) after iridotomy and, if so, for how long?

Frequently: Iridotomy is done to protect your eye from an acute attack of glaucoma due to narrow angles (the space between the edge of the iris and the cornea). Usually a laser is applied to the iris to create a hole which by passes the normal fluid pathway preventing the problem. Your surgeon might have put into your eye a pupillary constrictor to aid in this and this makes the pupil smaller on that side.

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My mom has Glaucoma. She has effectively controlled the pressure with drops, Iridotomy and SLT surgery 2 times about 3 years apart.

My mom has Glaucoma. She has effectively controlled the pressure with drops, Iridotomy and SLT surgery 2 times about 3 years apart.

What's the question?: You did not ask a question. There is a 150 character limit to questions, so re-ask it, and keep your question complete but short, and we might be able to give you helpful advice then.