Laser surgery closed angle glaucoma
Common Questions and Answers about Laser surgery closed angle glaucoma
laser
Both of you wonderful doctors have helped answer questions for me in times past, and I have one more. I went to my eye Dr. today, and he seems put off by my asking to understand my diagnosis or even know my test results. He said I have the chronic open angle glaucoma 2 months ago. My pressure was 26 in both eyes. Today it was down to 21, thanks to the ketorolac drops. I really had to press for that tidbit.
A YAG iridotomy will not worsen his cataract, but will open the anterior chamber angle and prevent a sudden attack of angle closure glaucoma. If the cataract is significantly affecting your father's vision, then removal of the cataract will also open the angle and improve vision as well. If he has the cataract surgery, he will not need the laser iridotomy.
Why did my cataracts become 'swollen'..thus making my glaucoma closed angle ?
This discussion is related to <a href='/posts/show/224354'>Laser Iridotomy</a>.
Dear tina287,
Laser surgery to create a tiny hole in the iris is a rapid procedure which may prevent an attack of narrow angle glaucoma. Sometimes, the shape of one’s eye, makes them susceptible to an attack of narrow angle glaucoma despite normal vision and pressure presently. I would recommend that you speak with your eyeMD about why a laser iridotomy was recommended.
Dr. Feldman
Sandy T. Feldman, M.D., M.S.
Thank you for your comments. The first ophthamologist said the pain is due to an acute closed angle glaucoma, but the surgeon said the laser surgery is only used to save vision, and I have no vision in my left eye. He believes removing my eye is the best option. But, the surgeon who was going to remove the eye doesn't think removal will help the pain.
I have the white line across my eye, when outside, next to a window, driving during daylight or any other natural light situations. I had laser surgery for narrow angle glaucoma in April 2012. I don't think it is a floater. The same white line pops up when I'm in natural light and stays there. It does move with every movement of my eyelid. As I raise my eyelid it raises up. This is causing alot of difficulty in my vision. If you have any suggestions, please reply. I was told, by my Dr.
I would like to know if I am suffering from chronic closed angle glaucoma ( I understand that open angle glaucoma is the more common form) and if so is the ache in the eyelids due to that? Or is it more possible that this is a symptom of dry eyes?
In addition, I have been using Xalatan for a week now. It seems to make my eyes itchy. The itchiness seems to be transient meaning it isn't persistent but fluctuates.
I have been told I have 'narrow angles'.
Although my 'pressure' (for glaucoma) is VERY GOOD, better then average, exceptionally low and good.
I am farsighted, probably always have been based on what I read, but have only become aware of it the past few years.
A person is diagnosed w/ glaucoma when there is evidence of optic nerve damage. There are several different types of glaucoma, normal tension, primary open angle, closed angle, and also secondary glaucoma.
The most common type of glaucoma is primary open angle glaucoma. It is treated first w/ medications (eye drops), then if medications alone do not stop its progression other treatments may be used.
Once optic nerve damage is detected it is irreversible.
Hi,
I was sent to a nuero opthalmologist as I had nystagmus and an odd sensation of my eye twisting, accompanied by nausea. Whilst there thy found I had narrow angles and I'm going for laser treatment on Thursday. The pressure in my eyes is normal but I also have inflamed muscles ( found on ultrasound) and 'gritty' eyes.Would all this be caused by the 'narrow angle glaucoma'. Angles less than 10% and closed in places. Having read your posts I assume the laser is necessary?
occludable angles means the part of the eye where the fluid drains out (angle) between the iris and the cornea is narrow due to being a short eye (far-sighted) and that the iris could block the flow out of the eye causing an acute or subacute or recurrent attack of angle closure glaucoma. To prevent this from happening if Eye MD ophthalmologists see it they use a laser iridotomy (hole in the iris) to prevent the attack from developing.
ve recently been diagnosed with closed angle glaucoma and I notice that when I get alot of sinus pressure- my IOP goes way up- but today my sinuses are really bad and when I went outside to walk my dog- I saw a med sized black spot in my right eye FOV- it went away quickly- but now I'm nervous that I'm having a major problem- this has never happened before and I don't know what to do.
PLEASE HELP !
There are different types of glaucoma Azopt and timolol are for open angle glaucoma; laser iridotomy is for angle closure glaucoma. You can have both and its called "combined mechanism glaucoma" in that case the laser iridotomy is appropriate. Hopefully you are seeing an eye MD ophthalmoloigst. If you have any doubts you can always ask for a second opinion from another glaucoma specialist. angle closure glaucoma is more common in hyperopic or farsighted eyes.
Laser iridotomy usually does not lower the eye pressure - it just helps your angles to open and prevent a future attack of angle closure glaucoma. Now if you already had a narrow angle glaucoma attack and had the laser iridotomy to help break the attack - then the laser can be very helpful in breaking the attack and helping to lower the iop.
Upon a routine eye exam w/Optomotrist last week, I was told a had narrow angle glaucoma and needed to see a specialist. I cannot get in to see a Glaucoma specialist for a month, so I was wondering if you could help me in the meantime. My questions are: does narrow angles always lead to angle closure ? Can it just be monitored if you do not have any symptoms? Is it always in both eyes, or can one eye just have a narrow angle?
I was diagnosed in 2005 with Narrow Angle Glaucoma. Pressures were 50 and 52 (great story on how I found out). Laser surgery was done but the Eye Dr. did not followup like I have now found out he should have. 2nd Laser surgery was done a month ago. Pressures have come down, but now to where they would like them to be. So they want me to have the Ahmed Glaucoma Valve Surgery done. Dr. John Brown is my Dr. at the Minnesota VA Hospital.
Latanoprost is not as strong as travaprost (same family of glaucoma medications). Travaprost became generic in Jan 2020 and is now much less expensive. Consider going on it. Usually will lower IOP 2 pts at least more than latanoprost. SLT doesn't have many risks, (unlike ALT which had post laser spikes of high IOP). Glaucoma due to trauma is less likely to respond than the regular primary open angle glaucoma (POAG).
Most new cases of glaucoma are treated with laser (Selective laser trabeculoplasty) rather than drops. Most glaucoma cases caught early, treated by competent ophthalmologist and conscientious patients do not end up with blindness. Be sure your mother is seeing an Eye MD ophthalmologist and not an non-MD optometrist, as the ophthalmologist about laser treatment. And if your mother really has the most common type of glaucoma (open angle) it increases the risk to you and your siblings.
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