Doctor insights on:
Iridotomy Side Effects
Glaucoma: If the iridotomies are open and functioning there should be no problem. ...Read more
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. ...Read more
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! ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
No: No this procedure should not damage the cornea but can cause some short term irritation of the cornea. ...Read more
Iridotomy: An Iridotomy is performed in patients who have a narrow angle (narrow internal eye drain area: see [email protected] 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? ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
I had bleeding during iridotomy. Laser wouldn't go through so was told to come back in two days. Laser still wouldn't work so the doctor made opening in another area. He says the half opening is no problem. Is this proper? Can't any find info.
No problem: The spot he chose to make the first laser opening had an active blood vessel in the substance of the iris. This will heal and while the iris is a little thinner at that spot which will make no functional difference. He then opened another area in the usual manner which accomplishes the goal. Don't worry about the 1/2 hole which will cause no problem for you. ...Read more
My seven year old had an eye exam. Afterwards, the optometrist told me her vision is fine but that she has narrow angles and we should have iridotomy.?
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.
Should I have a laser iridotomy before I develop glaucoma? During a recent eye exam, my doctor told me that I have narrow angles and told me about a surgery that I can have now to prevent acute glaucoma when I'm older. Do I need to be concerned at age 34,
Laser peripheral iridotomy (lpi) is recommended for patients with anatomical narrow angles. The procedure create a small opening in the peripheral iris which will decrease the likelyhood of developing an acute angle closure attack. Acute angle closure rarely develops in patients even with narrow angles but... If you should develop one it will cause excruciating pain due to severely elevated eye pressure. And due to the increased eye pressure the patient can become blind unless the pressure is brought under control quickly. For this reason, it is considred a true emergency.
If you been diagnosed with narrow angles, chances are that you will never develop acute angle closure but is that a chance you want to take? ...Read more