Laser Peripheral Iridotomy: Tips and Tricks (Malik Y. Kahook, MD)
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- čas přidán 9. 07. 2024
- This lecture covers the basics of performing LPI with different lasers as well as a discussion of potential complications and how to avoid poor outcomes.
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Thank you, as a patient I’ve just learned way more than what my doctor told me about this procedure. I’m now much more comfortable going into my second procedure for my right eye due to information Thank you.
Excellent presentation! Thank you!
Thanks for a wonderful presentation
Crisp n clear well done
Thank you so much for detailing this,...
Thank you professor Kahook
Thanks for putting this up! I have both eyes scheduled next week due to age and far-sightedness. Am retired from the medical field so my level of understanding is a bit greater than usual patient. This was very helpful, Professor.
Be very careful and Always ask about other options . The side effects are devastating and irreversible. Doctors won’t tell you that. I asked about risks and side effects and my doctor assured me that it’s a safe procedure and the only risk is not doing it . Also told me the ONLY side effect is some temporary blurring due to the drops they use. I asked several times is that all . Nothing else bad could happen . He said no nothing bad will happen. It’s been a month since my procedure and I have blurred vision, hazy vision, double vision, huge glare issues , flashes of light , i can’t see without glasses now and I had great vision before this iridotomy. I also can not go out into the sunlight without sun glasses . I did not have Glacoma before this procedure but I now Have high eye pressure problems , drainage problems. Been rushed to the Hospital ER TWICE. For the eye attacks that can make you go blind . These problems do not go away . These weird white lines in my vision. It also caused cateracts to develop rapidly in my eyes . Daily headaches , eye pain . The trauma is severe and it’s not a rare side effect like they try to tell you. . These complications are very common . I now have to have surgery to try to help save my eyes . I’m not trying to scare you I’m just saying Please be very careful if you decide to do this. I’ve looked up reviews , spoke to others that had this only one person out of 100 had no problems the other 99 have damage . Either some or all of the complications I mentioned .
@@AutumnRain1111 I'm truly sorry for your troubles, Eileen. I hope things work out for you. I'm in excellent hands, thanks.
@@AutumnRain1111 Do you really believe that 99 out of 100 patients have "damage" but eye docs still do this procedure anyway? Hope you get better.
@@AutumnRain1111 you are claiming to have 13 different (each one rare) permanent visual problems?
@@AutumnRain1111 Hi , how are you feel now after two months.? Any improvement? I have a health eyes no glaucoma , only a high pressure in eyes but the doctor said to me that I have got a narrow ângulo and to prevent to have an primary closure attack he said I have to do this laser irodotomy . I have my doubts to have it done in my eyes . I have been searching as much I can but all the eye website out there even scientists study is no clear about the complications. I’m based in London and they want to do this in the hospital . However I’m still not confident to do this .
Very neat presentation!
Thankyou so much
Very good 👍👍
Any specific tips for iridotomy in silicon oil induced pupillary block??
The key in this situation is to make a fairly large PI due to the higher rate of reclosure. Inferior location between 5 and 7 o'clock is best. It is always preferable to do this with a vitrector at the time of surgery because you can get a bigger PI opening more efficiently. My approach is from the posterior part of the iris with the vitrector..aspirate then cut. It is a very controlled manuever. I hope this helps.
I had a laser procedure on my left eye last year. Since then, I see a white fuzzy horizontal line in dimly lit rooms - which is very distracting. It never went away. Is there a way to correct that?
There are a couple of things that can be done depending on how bothersome it is...this ranges from the surgical (closing the holes and making a new one elsewhere) to doing something like a corneal tattoo which blocks light entering the hole. Often times, the symptoms go away on their own after a few months, but a year is a long time and you should discuss options with your surgeon if the symptoms are really bothering you.
I am in the same situation and appreciate you bringing up the possibility of replacing the hole. My current issue is with holes positioned superiorly, causing significant dysphotopsia with multiple white lines. I plan to wait a year to assess my tolerance. At the moment it has already started to impact my daily routine, particularly when working on the computer. I am thinking about to ask my eye doctors to close my holes and put it to a more favorable position. (3 and 9 temporal, as far much away from my eye lids) I have wide angle glaucoma and the blockage only happened with fully dilated pupil. In normal condition the IOP fluctuates in a normal range. A gonioscope examination revealed that the angles are open, but some parts appear closed. (since i diagnosed with glaucoma and examed with gonioscope mayn times, everybody said it was opened) I am wondering if another viable option could involve closing the hole and using Pilocarpine during the nights. Your insights on this matter would be greatly appreciated.@@malikkahook9368