Laser Iridotomy for Narrow Angle Glaucoma

  • Country:

    Ireland

  • Age:

    54

  • Gender:

    Male

  • Do you suffer from pre-existing illnesses in the eye:

    No

  • Did you perform any surgery for the eyes:

    No

  • Do you use any eye drops:

    No

  • Do you wear lenses or glasses:

    No

  • Do you suffer from any diseases in the body:

    No

 

Question

 

 

 

Hi,

I have been told by my ophthalmologist that a have extremely narrow angles and that I am at high risk of having acute angle closure glaucoma attack. He says I should have iridotomy to both eyes but when I google I find literally hundreds of people saying that their vision has been severly affected by iridotomy ie. lines, glare, double vision, ghosting etc.

Some have been so severely affected that they can no longer work or drive. I am extremely worried and anxious and don't know what to do???

Thanks

 

Answer

 

 

 

Thanks for your question
 
Laser Iridotomy for narrow angle glaucoma is very important, it prevents acute angle closure glaucoma which is an urgent condition that sometimes needs hospitalization and excessive treatment to reduce intraocular pressure.Acute angle closure glaucoma if not treated properly can damage the cornea, lens and also the optic nerve and to prevent that, iridotomy is the first line.
 
Intraocular pressure in narrow angle glaucoma is usually normal but when the pupil is diluted due to physiological conditions such as dim light,the angle can be closed causing high intraocular pressure.
 
Location of iridotomy is very important, it should be between 11 o'clock and 1 o'clock. At these locations the iridotomy will be covered by the eyelid and prevent the feeling of glare and double vision. Iridotomy in other locations can cause glare, double vision, photophobia and so on because it is not cover by the eyelid.
 
Comment - Cataract surgery for Narrow Angle
 
By Stacy
 
Is Cataract surgery an option for narrow angles instead of iridotomy and does it carry additional risk due to the narrow angle condition ?

Comment - Response from Webeyeclinic

By Online Eye Info

Cataract surgery can be done for narrow angle glaucoma in cases the angle and the anterior chamber of the eye is narrow due to large size lens.This type of glaucoma is called Phacomorphic Glaucoma. In this case, cataract or the lens will be removed and replaced by intraocular lens. Most of the time, surgical iridectomy can be performed during the surgery.

Larger size lens or cataract can be diagnosed by special type device called anterior segment OCT.

Any surgery has its own complications which can be minimized or eliminated under the a skilled surgeon.

For more information about cataract surgery complications, Click here

 

Web Eye Clinic
 



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