Thank you very much for posting this Doctor. I found out today I have this condition and will be needing the procedure which I will be getting in a couple of weeks. I’m very nervous but I’m glad I found this video so I know what to expect. Thank you again doctor.
I had laser iridotomy performed on both eyes on Friday in the UK. My eye pressures were normal and I had no issues, but my angles were rated a grade 1 and the trabecular meshwork could not be seen in any quadrant. I also have the plateau iris configuration. I have brown eyes so was warned that several laser shots might be needed, as the irises are thicker in dark eyes. I was also warned that there could be some bleeding as the blood vessels cannot be seen in dark eyes... The procedure was very straightforward. It felt like someone was flicking my eye, but it wasn't painful. I had 2 shots in each eye and there was no bleeding. I had been warned of blurry vision from the pupil constriction drops and a headache, but did not have either of these problems. You would not know I had anything done to my eyes as they looked completely normal - not even a hint of pink! I'm now 2 days post treatment and my right eye is a little achy and feels a bit "gritty". I have developed a horizontal white line in certain conditions - initially, it was only when I was driving in the dark, but I discovered this morning that it appears when driving in bright sunshine too. It doesn't obstruct my vision, it's more of an annoyance. When it first appeared yesterday, I thought I had a hair on my face and I spent some time trying to remove the hair. Hopefully my brain will get used to it over time and I'll be able to ignore it. Like I say, it doesn't hinder my vision in any way, I'm just aware that it is there...
Thanks for posting your experience from the UK 🇬🇧 On your next follow up visit with your doctor , make sure you get your fundus checked through a dilated exam . You may be experiencing floaters.
Thank you for posting. What size opening is too large? I had this procedure in 2015. My openings are quite large and i now have halos and vertical light casts that go from the top to the bottom of my field of vision at night.
I had the laser procedure done on both eyes 5 weeks ago and each eye was 6-7 laser shots, one week later I was checked by a different doctor and that doctor said that my right eye is ok but the left eye needs to do again because my iris is too thick. Thursday 23rd August 2023 I went for my laser treatment on my left eye, a different doctor did about 15 laser shots and then she went to get some help by getting another doctor which was a specialist to look at my eye and he did 6-7 laser shots to my left eye, all add up to more than 20 laser shots, for me this was not a good experience because all those shots were hurting, it’s not painless for me.
Yes I agree this is unusual . Where did you get your surgery done ?? Normally it doesn’t require that many shots as you can see from the video . Sometimes , If the opening closes down then the procedure is repeated . But numbing drops are used so that you don’t feel pain . Did you get it done in the US ??
My doctor attempted to do this surgery on me three (04/03/23) days ago. He used the laser on me but said that the white portion of my eye was super thick and referred me to another eye specialist with a higher powered laser. While I await another appointment; my right eye, in which the attempt was made, is super sensitive to light.
I can’t comment without checking you for dilated eye exam . So pls consult with your doctor who you have been seeing . Unless you want to come see me at my clinic in Lafayette , LA. Thx and don’t forget to subscribe
Hi Doctor, In 2008 I had laser surgery done for narrow angles because my eye pressure was high. My pressure since then was normal (no eye drops) until two months ago when the pressure was 24. Two years ago my optometrist told me i had a "baby cataract". I was referred to my opthalmologist who prescibed timolol. I go back to him in May. Do you think my high eye pressure was caused from the cataract?
Hi how dense is the cataract ? If dense , it can compress the drainage system of aqueous humor amd cause iop to increase. Second scenario : if LPI is not fully open , it can be redone
@@dr.fatimaqureshi9803 I am not sure how dense the cataract is. The opthalmologist did not discuss that with me because he was not able to dilate my eye. He did perform a visual field test which was normal. Hopefully when I go back he will be able to discuss the cataract with me. It is not affecting my vision. As a matter of fact, my prescription did not change from two years ago. Do you think cataract surgery would even be a possibility since it is not affecting my vision? Thank you so much for your response.
@@marlenemccoy5342 hard to say anything without doing a full dilated exam . Trust your eye specialist and let him take care of your eyes . Sometimes glaucoma drops are still needed after the laser .
Please read the literature regarding side effects of this laser surgery. There aren’t many . Plus any medical procedure , drug etc. have side effects regardless. But that doesn’t mean people won’t opt for treatment plans. We give medicine ( eye drops ) such as steroids after the laser surgery and it has a great outcome. Good luck 🤞🏼
I had my LI 2 weeks ago at my right eye due to open angle glaucoma, i completed my 2 weeks of antibacterial/steroidal/antiinflammatorybdrops for 2 weeks and now maintaining on combigan drops. My problem now is i am having a persistent headache at my browline to the sides of my right eye and it’s really uncomfortable. What should i take and what should i do?
Please let your doctor know about this . They may have to check your eye pressure again to assess what’s going on . And sometimes , we change the drops to another class of meds .
Hello mam can you please suggest any kind of special contact lenses which can be used to cover the iridectomy because of this I am seeing ghost images which itretate me doctor also preffeed me corneal tattooing at the peripheral zone is its worth I am confused please suggest me some better option contact lenses or surgery
Thank you for the great video! I am a 45 year old female and I have angle narrow in both eyes. Normal pressure left eye 14 and right eye 15, No glaucoma, no blurry vision, only reading glasses. Will this treatment prevent glaucoma and possible closure in the future?
Great question. It all depends on your iop being consistently within normal range . If optic nerve looks good with healthy NFL , then it all varies from doctor to doctor if LPI laser is needed. Sometimes , I do the laser surgery as a preventative measure. Also depends on how narrow the angle is both eyes. Grading system tells us how to asses future Angie closure. If it’s mildly narrow with TM showing , then a lot of doctors will just monitor your eyes on a yearly basis. Thanks for watching the video . Continue to watch more videos and don’t forget to like share and subscribe :)
@@dr.fatimaqureshi9803 Thank you so much for your reply! I was told by my doctor that the optic nerve is healthy. Both eyes angle narrow - 20 degree - closure possible (grade 2). No diabetes and healthy weight.
Hi mam i have congenital glaucoma with squint for which i under gone Trabeculectomy on my 4 age and , condition worsened on my age 18 withbincrease in pressure again undergone Trabeculectomy on my both eyes now i continuesly using timolol drops to maintain eye pressure would you suggest me to undergo laser ? , i have not corrected my squint yet , should i fix that ?? Now i am 25 years old
Hi . Strabismus surgery is different from glaucoma laser surgery . It seems like your eye pressures are under control with timolol . If all glaucoma tests look stable , then I recommend continue doing the drops . If tests showing progression of glaucoma , then laser surgery should be performed . Please refer to your eye doctor too.
Hi. depends on how long the walk is . The laser surgery requires only topical anesthetic so she will be fully alert , but I would still recommend “ taking it easy “ after the procedure . She will be okay to walk , but please don’t get her exhausted in NYC ! And yes sunglasses will def be needed - I recommend them at all times when outdoor .
I have this and am going to be having the surgery done, do you lose sight temporarily? I'm having surgery and very scared about this. Edit thank you very much, I appreciate it
I was done with this procedure in 2021 but now I feel pressure again why is this ? so why after holes again I feel pressure n I have to use drops always to maintain the pressure??
Who did your surgery ? Anyways , even after LPI , sometimes glaucoma drops are used to decrease the pressure . And sometimes , if the holes are not fully open , the surgery can be done again . So it’s quite normal for your doctor to put you on drops as needed even after the laser surgery . Thanks for watching the video . Continue to watch more videos as they are being uploaded . And don’t forget to like , share and subscribe .
Very informative. I feel a bit relieved about having this procedure now that I've seen this video. Are both eyes typically done in one sitting? Do the eyes have to be bandaged afterwards, and if so for how long?
Great 👍 glad u liked the video . Typically we do one eye at a time . No bandage needed , just steroid drops . Pls subscribe and share with your friends :)
@@dr.fatimaqureshi9803 Yeah that's what I have and I had the iridotomy done on 3/2/22 and 3/10/22. Now my eyes hurt and I get eyestrain really easily. This stinks. (I just turned 62). I got 3 opinions before deciding on a Dr. Gerstenfeld in NYC who did my mother's cataract surgery. My first opthalmologist didn't diagnose me, the optometrist at Sam's club noticed that I have narrow angles.
Hi , you will have to get evaluated for LASIK . meaning get a full dilated eye exam , get corneal thickness checked , retina checked etc. To see if you’re a good candidate . Keep watching the videos and don’t forget to subscribe
I'm scheduled to do my right eye on May 24-2023 and my left eye May 26-2023. Quite nervous . I'm reading success stories but also bad outcomes. My pressure is around 13mmHg, but have been diagoned with narrow angles. So this is preventative maintenance. I see very well now. I feel like I'm rolling the dice.
Good luck 👍 it’s a very straightforward laser surgery as you can see from the video. Short and sweet. Thanks for watching the video. Pls share your post op experience here . Also , do u mind mentioning where you are getting this procedure done ?
@@dr.fatimaqureshi9803 Thanks. I'm not so worried about the procedure itself, but long term visual disturbances post-op. The anxiety can be overwhelming at times.
@@sergep7578 yes it can be scary , but I can tell you from my experience of doing these laser procedures , how good the overall recovery is in general. Again best of luck .
Dear doctor, i tested eyes for not able to read letters while getting near to eyes...but they also diagnosed narrow angle problem and said the opening is 1 mm and suggested yag pi.....may i know this procedure is necessary to me and also what precautions to be taken before doing the procedure and how much time it takes for this procedure...pls clarify
I have done YAG pi laser in late dec 2021 for my right eye still pressure in my eye is 24 I have narrow angle glaucoma I am using ganfort (bimatprost/timolal) and betafree(brinzolmide/ brimodine) eye drops please advise what to do, Can laser be repeated?
Sometimes you still need glaucoma drops after the laser , varies case by case . Can’t tell more since I haven’t seen u . Pls refer to your eye specialist
@@dr.fatimaqureshi9803 my high Regards to you, this reply from you is extremely helpful to me, you are doing excellent work, your CZcams videos are very helpful for people having glaucoma, God will definitely give you reward for your work, Thankyou once again 🙏
Gd evng mdm My eye pressure right eye 22 and left eye 20.i am suffering from gloucoma yes r no.please confirm my problem My opthomologist not suggestion to any eye drop , any medicine.
Thank you Doctor for this helpful video, my question is after how many days we get to see the results and for how many years this laser last? Please reply
Thanks for watching . I see results within a few weeks , but it can vary . This procedure can be repeated if needed . Keep watching , like , share and subscribe :)
@@dr.fatimaqureshi9803 otherwise can this surgery be performed after icl. I am just 27 and i had my icl sugery 17 days back. Now i am having increased eye pressure. So is this laser iridotomy recommended. Is this safe for whole life as i am very young and after how many months this surgery can be performed.
@@devyanichawla671 I would personally start treatment with glaucoma gtts first . And then proceed with laser surgery or more invasive procedure depending on the stage of glaucoma .
Mam done this surgery after that i see 2 vertical lines in my vision which is giving a ghost images in night and day time doctor said ne to go for iris sutchring or corneal tattooing in that area will there be further complications
I had my iridotomy two days ago and I have massive glare as the guy said above. Dr said before the procedure that there would be no downside of this procedure. Now I am looking for iris shut down procedure as describe above. My life is totally runnied... This effect comes into place when i am working in front of my computer@@dr.fatimaqureshi9803
I am having the same issue. I am wondering why a doctor doesn't check this side effect before the procedure and tell the patient? Mine read after the procedure. It's unbelievable.
Hi Sunjeet . This laser surgery is for narrow angle glaucoma . The one for open angle glaucoma is SLT /LTP and you can watch my video on that . Don’t forget to like , share and subscribe :) Thx
@@dr.fatimaqureshi9803 Ok. Thanks For your Reply, your channel is really helpful. One more thing I am using eye drops to control my eye pressure but my skin is getting darker below the eyes is there anything that we can do to stop.
Hello mam as discussed earlier to you about iridotomy mine was done at 12 o clock but doctor said that mine iridectomy is perfect also he said that ot is a cse of a eye muscle spasm what can i do for this please tell 😢😢😢
Eye muscle spasm is called blepharospasm. You should see an Oculoplastic surgeon for that . Sometimes unilateral eye twitching happens due to excess of caffeine intake , lack of sleep and too much stress. Regardless , pls see occuloplastic surgeon and maybe even neuro ophthalmologist. Good luck
You don't want both done at the same time, your eye hurts afterward sometimes. I was walking around with my right eye shut for 2 days afterwards because I was sensitive to light, etc. Took some Tylenol everyday for eye pain.
I am terrified! To get laser. Why did she jump the first shot? Was it the sound or did she feel something? I’m so scared it’s terrifying to me to get surgery in the eye. I feel like for some reason I’m going to feel it in some way. Please someone tell me how I’m going to feel so I’m prepared. :(
Eyes are numbed fully with with drops . I didn’t see her jump :)) it’s the sound of the laser machine ur hearing . U will be fine and best of luck wherever you are getting it done. If ur still feeling anxious about the laser surgery , then I would recommend contacting your PCP and asking for a one time Valium Rx , half a pill 40 mins before getting the laser procedure works in calming down the patient .
Hello mam it can cause double vision please reply i have gone through this before ipcl surgert and it give a side effect to ne which i cant drive properly at night also day times is there any special contact lenses which can help
I’m sorry to hear you have developed this problem . Where did you get it done ? I’ve never seen any patient develop peripheral vision problem after a laser surgery for narrow angle glaucoma . Normally advanced stage glaucoma causes this issue , but not laser surgery . How much is your intraocular pressure post laser ? How is your cornea ? Is there any edema ? All these can contribute to your vision problems .
@@dr.fatimaqureshi9803 first of all thanks for replying to my comment my cornea is totally fine but when I move my eye up and down and then I see this effect will prism glasses or scleral lenses will help me to solve this issue I have some amount of astigmatism also .please suggest mam
It was done by Dr Kapur at healing touch eye centre . It was so much bad that I see side effects at my younger age seeing ghosting double vision at younger age .
@@rishabhdatta6991 I would suggest going back to the doctor who did the surgery and make sure you don’t have any inflammation. Rare side effect of laser iridotomy is permanent blurring and ghost effect / halos . See if these symptoms go away after a while . If not , then definitely seek help from your eye doctor who can determine if corrective lenses /contacts can be used . Positioning of the laser in the iris is very important . Is it’s well under the lid at 1 or 2 o’clock position , it has good results . Is yours in a different area in the iris ? Best of luck . Thanks for watching the video
Hi there, I am only 43 years old with narrow angles. everything is normal, no glaucoma but my Opthalmologist told me to do this as a preventative measure. is this really recommended? will there be more benefits than risks?
@@dr.fatimaqureshi9803 I have the same condition and stats, my eye pressure is normal in both eyes. My doctor has also scheduled me for preventative LPI in both eyes.
Are you feeling better? I had one eye done today with two different machines one more intense than the other. I had like 8 shots in total. Is like being tasered in the eye very painful.
@@dr.fatimaqureshi9803 I was prescribed the steroid drops but I don't want to use them. Is there some risk if I don't use them? I am also curios about how the laser pierces the iris doesn't it also pierce the cornea on its way to the iris?
I am quoting someone below but they are not saying there is 30% vision loss from this surgery are they? or 30% of people get vision loss from this surgery? both are bad! The best laser is the Micropulse G6 IRIDEX it's is a new high technology .. painless without damaging the eye or vision loss ! Lowering with Average of 30%
Please be aware that 1 in 7-8 patients develop a migraine from the pilocarpine. It's always wise to have someone else drive the patient for the procedure.
Madam my mother recently Be yag pi laser treatment. After that she had so much headache last two days is it common or not. Please give me a suggestion. Please madam
This channel is watched internationally and English is the universal language so unfortunately I won’t be able to talk in Arabic . But you can turn on the caption option and read as I talk. Or watch something in Arabic on another channel. Salamalecum 🙏 Pls don’t forget to subscribe :)
Me too. I mean like a nail gun thru my face. The first laser was ok but never got fully numb... second laser machine... this one ...I almost flipped the table over on the second 'shot' and the Dr was yelling at me...I was screaming ridiculous things... didn't finish... now they still have to finish it and do the other one in a day or two and they're all pissed at me... I felt like I had been shot in the face for the rest of the day and they think I'm insane. I've had 3 babies... many kidney stones, many tattoos and a higher than average pain tolerance so I don't understand it at all. Same with my father... never heard him mention pain in 40 years until 'that day'. Seems so simple for most w no explanation for those of us who experience this. He was so mad at me which escalated things to total chaos. Had been diagnosed w cluster headaches and after two er trips in a week and the worst pain of my life... they figured it out. My nerves are shot and I'm literally almost ill from the anxiety of having to finish. Can't research because I can't see well right now/ read and I just don't understand why it was so horrific for me. Or you. Lol. Today the nice dr even said never in her career had she seen someone overreact like I did... and she wasn't even in the office that day so I can only imagine what she was told...I loved her and she was awful to me today. It's making this 1,000 x worse because I'm not the hysterical person they are treating me like and I know this isn't my fault and I certainly didn't think it was their fault and was super apologetic for not being 'typical' but they don't really won't even let me talk or question why this was so different for me. Like I'm just crazy and they've never even heard of this happening. Now I'm venting on CZcams at 5 am like a crazy person because I'm terrified, confused and just feel defeated. 😵😢
@@theshadylady1982 I had this done and I keep getting eyestrain afterwards. Had the first (right) eye done on 3/2/22 (had eye headaches afterwards) and the second eye done on 3/10/22 (3 shots of laser in the left eye). Have narrow angles without glaucoma, my mother had it too 25 years ago. I get eyestrain much more easily now, I hope it resolves soon. The second (left) eye seems a little less painful than the first one was. I have hazel eyes. I read that people with dark brown eyes need more laser shots to make the hole. I think he hit the right eye about 4 or 5 times. Ugh.
@@jdenino6022 I had one eye done today and my eyes are very dark brown, the doctor told me my eyes iris is way thicker than light colored eyes. I had like 8 shots with a mild laser and two shots with the more intense laser on two different machines. The first machine was used to open the hole halfway so that I won't have to experience the intense laser too many times. Is very uncomfortable like being tasered in the eye. I have narrow angles without glaucoma and this was done as a prophylactic procedure to prevent glaucoma if the angle closes further in the future.
@@theshadylady1982 The best laser is the Micropulse G6 IRIDEX it's is a new high technology .. painless without damaging the eye or vision loss ! Lowering with Average of 30%
Thank you for posting this I had been diagnosed with glaucoma a year ago and just found out this week that I need to have this procedure done.
Awesome ! Glad you watched the video . Best of luck .
Thank you very much for posting this Doctor. I found out today I have this condition and will be needing the procedure which I will be getting in a couple of weeks. I’m very nervous but I’m glad I found this video so I know what to expect. Thank you again doctor.
You’re welcome ☺️ good luck . It’s a safe effective procedure . Do like share and subscribe
How did your procedure go? I’m also going to have it in a few days?
me too in two weeks and I am terrified!! How did it go?
Excellent work 💪
Thank you
I've just had this done the day before yesterday and it's painless, I was a little nervous at first but once I did it I was fine.
Good to hear . Who did it ?
I had laser iridotomy performed on both eyes on Friday in the UK. My eye pressures were normal and I had no issues, but my angles were rated a grade 1 and the trabecular meshwork could not be seen in any quadrant. I also have the plateau iris configuration.
I have brown eyes so was warned that several laser shots might be needed, as the irises are thicker in dark eyes. I was also warned that there could be some bleeding as the blood vessels cannot be seen in dark eyes...
The procedure was very straightforward. It felt like someone was flicking my eye, but it wasn't painful. I had 2 shots in each eye and there was no bleeding. I had been warned of blurry vision from the pupil constriction drops and a headache, but did not have either of these problems. You would not know I had anything done to my eyes as they looked completely normal - not even a hint of pink!
I'm now 2 days post treatment and my right eye is a little achy and feels a bit "gritty". I have developed a horizontal white line in certain conditions - initially, it was only when I was driving in the dark, but I discovered this morning that it appears when driving in bright sunshine too. It doesn't obstruct my vision, it's more of an annoyance. When it first appeared yesterday, I thought I had a hair on my face and I spent some time trying to remove the hair. Hopefully my brain will get used to it over time and I'll be able to ignore it. Like I say, it doesn't hinder my vision in any way, I'm just aware that it is there...
Thanks for posting your experience from the UK 🇬🇧
On your next follow up visit with your doctor , make sure you get your fundus checked through a dilated exam . You may be experiencing floaters.
@@dr.fatimaqureshi9803 OK thank you, I will mention this...
So perfect
Thanks for watching . Don’t forget to subscribe
Thank you for posting. What size opening is too large? I had this procedure in 2015. My openings are quite large and i now have halos and vertical light casts that go from the top to the bottom of my field of vision at night.
That’s sad . Pls go to your doctor who did this surgery on you and discuss with that doctor .
I had the laser procedure done on both eyes 5 weeks ago and each eye was 6-7 laser shots, one week later I was checked by a different doctor and that doctor said that my right eye is ok but the left eye needs to do again because my iris is too thick. Thursday 23rd August 2023 I went for my laser treatment on my left eye, a different doctor did about 15 laser shots and then she went to get some help by getting another doctor which was a specialist to look at my eye and he did 6-7 laser shots to my left eye, all add up to more than 20 laser shots, for me this was not a good experience because all those shots were hurting, it’s not painless for me.
Yes I agree this is unusual . Where did you get your surgery done ??
Normally it doesn’t require that many shots as you can see from the video .
Sometimes , If the opening closes down then the procedure is repeated . But numbing drops are used so that you don’t feel pain .
Did you get it done in the US ??
My doctor attempted to do this surgery on me three (04/03/23) days ago. He used the laser on me but said that the white portion of my eye was super thick and referred me to another eye specialist with a higher powered laser. While I await another appointment; my right eye, in which the attempt was made, is super sensitive to light.
Make sure you have your eyes checked before he proceeds with the laser
To the author, I have a floater after a sub acute event, and am due to have the laser treatment in a few weeks, will the floater disappear?
I can’t comment without checking you for dilated eye exam . So pls consult with your doctor who you have been seeing . Unless you want to come see me at my clinic in Lafayette , LA.
Thx and don’t forget to subscribe
Hi Doctor,
In 2008 I had laser surgery done for narrow angles because my eye pressure was high. My pressure since then was normal (no eye drops) until two months ago when the pressure was 24.
Two years ago my optometrist told me i had a "baby cataract". I was referred to my opthalmologist who prescibed timolol. I go back to him in May. Do you think my high eye pressure was caused from the cataract?
Hi how dense is the cataract ? If dense , it can compress the drainage system of aqueous humor amd cause iop to increase. Second scenario : if LPI is not fully open , it can be redone
@@dr.fatimaqureshi9803 I am not sure how dense the cataract is. The opthalmologist did not discuss that with me because he was not able to dilate my eye. He did perform a visual field test which was normal. Hopefully when I go back he will be able to discuss the cataract with me.
It is not affecting my vision. As a matter of fact, my prescription did not change from two years ago. Do you think cataract surgery would even be a possibility since it is not affecting my vision?
Thank you so much for your response.
@@marlenemccoy5342 hard to say anything without doing a full dilated exam . Trust your eye specialist and let him take care of your eyes . Sometimes glaucoma drops are still needed after the laser .
I was told I needed this surgery I have astigmatism and Visual Snow Syndrome I am terrified of the side effects from the surgery
Please read the literature regarding side effects of this laser surgery. There aren’t many . Plus any medical procedure , drug etc. have side effects regardless. But that doesn’t mean people won’t opt for treatment plans.
We give medicine ( eye drops ) such as steroids after the laser surgery and it has a great outcome.
Good luck 🤞🏼
I had my LI 2 weeks ago at my right eye due to open angle glaucoma, i completed my 2 weeks of antibacterial/steroidal/antiinflammatorybdrops for 2 weeks and now maintaining on combigan drops. My problem now is i am having a persistent headache at my browline to the sides of my right eye and it’s really uncomfortable. What should i take and what should i do?
Please let your doctor know about this . They may have to check your eye pressure again to assess what’s going on . And sometimes , we change the drops to another class of meds .
I too had same issue with combigan now using other drop I think combigan has much side effects.
how much time do you need to take off work after the procedure?
None . No time off from work .
Hello mam can you please suggest any kind of special contact lenses which can be used to cover the iridectomy because of this I am seeing ghost images which itretate me doctor also preffeed me corneal tattooing at the peripheral zone is its worth I am confused please suggest me some better option contact lenses or surgery
Yes you can definitely ask in your country if someone does a special scleral lens . I don’t do it , sorry
Thank you for the great video! I am a 45 year old female and I have angle narrow in both eyes. Normal pressure left eye 14 and right eye 15, No glaucoma, no blurry vision, only reading glasses. Will this treatment prevent glaucoma and possible closure in the future?
Great question. It all depends on your iop being consistently within normal range . If optic nerve looks good with healthy NFL , then it all varies from doctor to doctor if LPI laser is needed. Sometimes , I do the laser surgery as a preventative measure. Also depends on how narrow the angle is both eyes. Grading system tells us how to asses future Angie closure. If it’s mildly narrow with TM showing , then a lot of doctors will just monitor your eyes on a yearly basis.
Thanks for watching the video . Continue to watch more videos and don’t forget to like share and subscribe :)
@@dr.fatimaqureshi9803 Thank you so much for your reply! I was told by my doctor that the optic nerve is healthy. Both eyes angle narrow - 20 degree - closure possible (grade 2). No diabetes and healthy weight.
Hi mam i have congenital glaucoma with squint for which i under gone Trabeculectomy on my 4 age and , condition worsened on my age 18 withbincrease in pressure again undergone Trabeculectomy on my both eyes now i continuesly using timolol drops to maintain eye pressure would you suggest me to undergo laser ? , i have not corrected my squint yet , should i fix that ?? Now i am 25 years old
Hi . Strabismus surgery is different from glaucoma laser surgery . It seems like your eye pressures are under control with timolol . If all glaucoma tests look stable , then I recommend continue doing the drops . If tests showing progression of glaucoma , then laser surgery should be performed . Please refer to your eye doctor too.
Wife is getting this done soon in NYC. We walk everywhere so is it safe for us to walk home after? Also, should she wear sunglasses on her way back?
Hi. depends on how long the walk is . The laser surgery requires only topical anesthetic so she will be fully alert , but I would still recommend “ taking it easy “ after the procedure . She will be okay to walk , but please don’t get her exhausted in NYC !
And yes sunglasses will def be needed - I recommend them at all times when outdoor .
I have this and am going to be having the surgery done, do you lose sight temporarily? I'm having surgery and very scared about this. Edit thank you very much, I appreciate it
I haven’t seen cases where patients complained about that.
Best of luck with your surgery.
And thanks for watching the video .
I was done with this procedure in 2021 but now I feel pressure again why is this ? so why after holes again I feel pressure n I have to use drops always to maintain the pressure??
Who did your surgery ?
Anyways , even after LPI , sometimes glaucoma drops are used to decrease the pressure . And sometimes , if the holes are not fully open , the surgery can be done again . So it’s quite normal for your doctor to put you on drops as needed even after the laser surgery .
Thanks for watching the video . Continue to watch more videos as they are being uploaded . And don’t forget to like , share and subscribe .
Very informative. I feel a bit relieved about having this procedure now that I've seen this video. Are both eyes typically done in one sitting? Do the eyes have to be bandaged afterwards, and if so for how long?
Great 👍 glad u liked the video .
Typically we do one eye at a time . No bandage needed , just steroid drops .
Pls subscribe and share with your friends :)
I had that done last week , my doctor did like 20 shots then another 20, a week after I'm in pain and see blurry.
20 is a bit too much . You need to consult with your doctor . Hope you feel better.
20 in each eye, that's insane. Ugh.
What if you only have narrow angles without glaucoma?
It’s called anatomical narrow angles . It still requires the same laser surgery .
@@dr.fatimaqureshi9803 Yeah that's what I have and I had the iridotomy done on 3/2/22 and 3/10/22. Now my eyes hurt and I get eyestrain really easily. This stinks. (I just turned 62). I got 3 opinions before deciding on a Dr. Gerstenfeld in NYC who did my mother's cataract surgery. My first opthalmologist didn't diagnose me, the optometrist at Sam's club noticed that I have narrow angles.
@@jdenino6022 ok I would recommend going back to your doctor in NY who did the LPI and let him examine your eyes
If the pressure after 8 days is 18 ,then can we say LPI is successful?
Can I lead normal life after this ?
Under 20 is a good number . Mid teens even better
Question: After a person has had Laser Peripheral Iridotomy, will the hole in the iris be visible by an optometrist examination?
Yes any eye doctor ( ophthalmologist or optometrist should be able to see the patent opening in the Iris with a 90 or 78 D lens at a slit lamp .
@@dr.fatimaqureshi9803 Thank You
hi dr fatima patient who has gloucma and has high degree 5 of anstigatism can do lazik thanks
Hi , you will have to get evaluated for LASIK . meaning get a full dilated eye exam , get corneal thickness checked , retina checked etc. To see if you’re a good candidate .
Keep watching the videos and don’t forget to subscribe
I'm scheduled to do my right eye on May 24-2023 and my left eye May 26-2023. Quite nervous . I'm reading success stories but also bad outcomes. My pressure is around 13mmHg, but have been diagoned with narrow angles. So this is preventative maintenance. I see very well now. I feel like I'm rolling the dice.
Good luck 👍 it’s a very straightforward laser surgery as you can see from the video. Short and sweet.
Thanks for watching the video.
Pls share your post op experience here .
Also , do u mind mentioning where you are getting this procedure done ?
@@dr.fatimaqureshi9803 Thanks. I'm not so worried about the procedure itself, but long term visual disturbances post-op. The anxiety can be overwhelming at times.
@@sergep7578 yes it can be scary , but I can tell you from my experience of doing these laser procedures , how good the overall recovery is in general. Again best of luck .
@@dr.fatimaqureshi9803 Thanks.
I'll post my experience about a week after my 2nd procedure. By then I should have a clearer picture, no pun intended, of how it all went.
Is it always one eye at a time?
Yes for insurance purposes . Usually 1 week apart
Dear doctor, i tested eyes for not able to read letters while getting near to eyes...but they also diagnosed narrow angle problem and said the opening is 1 mm and suggested yag pi.....may i know this procedure is necessary to me and also what precautions to be taken before doing the procedure and how much time it takes for this procedure...pls clarify
Yes LPI laser surgery works for narrow angle glaucoma .
I have done YAG pi laser in late dec 2021 for my right eye still pressure in my eye is 24 I have narrow angle glaucoma I am using ganfort (bimatprost/timolal) and betafree(brinzolmide/ brimodine) eye drops please advise what to do,
Can laser be repeated?
Sometimes you still need glaucoma drops after the laser , varies case by case . Can’t tell more since I haven’t seen u . Pls refer to your eye specialist
Once again Thankyou very much for your prompt reply
Keki yes laser can be done again in case the PI is not patent , meaning not open .
@@dr.fatimaqureshi9803 my high Regards to you, this reply from you is extremely helpful to me, you are doing excellent work, your CZcams videos are very helpful for people having glaucoma, God will definitely give you reward for your work, Thankyou once again 🙏
Please make one more video for narrow angle glaucoma I mean more information , Ma'am can I know where are you practicing? Please reply.
I counted 5 shots at mine.. :) Must have been TIGHT!!.
Hi David . 5 shots is pretty normal .
Gd evng mdm
My eye pressure right eye 22 and left eye 20.i am suffering from gloucoma yes r no.please confirm my problem
My opthomologist not suggestion to any eye drop , any medicine.
You will need to see an eye specialist to see if you need eye drops to lower the pressure . Also need tests done .
Thank you Doctor for this helpful video, my question is after how many days we get to see the results and for how many years this laser last? Please reply
Thanks for watching . I see results within a few weeks , but it can vary . This procedure can be repeated if needed .
Keep watching , like , share and subscribe :)
@@keki4414 you’re welcome. Pls consult with your doctor in your country . We can’t give any advice without examining . Thank you
Hello ma'am, can u please guide me through can laser iridotomy be performed after 17 days of icl surgery. Is it safe or recommended?
No not recommended that soon .
@@dr.fatimaqureshi9803 otherwise can this surgery be performed after icl. I am just 27 and i had my icl sugery 17 days back. Now i am having increased eye pressure. So is this laser iridotomy recommended. Is this safe for whole life as i am very young and after how many months this surgery can be performed.
@@devyanichawla671 I would personally start treatment with glaucoma gtts first . And then proceed with laser surgery or more invasive procedure depending on the stage of glaucoma .
Mam done this surgery after that i see 2 vertical lines in my vision which is giving a ghost images in night and day time doctor said ne to go for iris sutchring or corneal tattooing in that area will there be further complications
Not sure about it . Pls consult with a good corneal specialist in your area . I have never come across this problem in our patients .
I had my iridotomy two days ago and I have massive glare as the guy said above. Dr said before the procedure that there would be no downside of this procedure. Now I am looking for iris shut down procedure as describe above. My life is totally runnied... This effect comes into place when i am working in front of my computer@@dr.fatimaqureshi9803
I am having the same issue. I am wondering why a doctor doesn't check this side effect before the procedure and tell the patient? Mine read after the procedure. It's unbelievable.
Hmmmmm….. would love to have heard on whether it’s painful or not from her…..
Call our office and get patient reviews . They will provide patient info to u.
P. S. This is a painless procedure since eyes are numbed .
Can one with open angle glucoma do this surgery
Hi Sunjeet . This laser surgery is for narrow angle glaucoma .
The one for open angle glaucoma is SLT /LTP and you can watch my video on that .
Don’t forget to like , share and subscribe :)
Thx
@@dr.fatimaqureshi9803 Ok. Thanks For your Reply, your channel is really helpful. One more thing I am using eye drops to control my eye pressure but my skin is getting darker below the eyes is there anything that we can do to stop.
And is it reversible?
Which eye drops are you using ?
If it’s latanoprost , it’s causes darkness under the eyes as a side effect
Hello mam as discussed earlier to you about iridotomy mine was done at 12 o clock but doctor said that mine iridectomy is perfect also he said that ot is a cse of a eye muscle spasm what can i do for this please tell 😢😢😢
Eye muscle spasm is called blepharospasm. You should see an Oculoplastic surgeon for that .
Sometimes unilateral eye twitching happens due to excess of caffeine intake , lack of sleep and too much stress.
Regardless , pls see occuloplastic surgeon and maybe even neuro ophthalmologist.
Good luck
That's interesting. Since my iridotomy was taken place last year I am experiencing the same as you.
Heyy Doc i am 22 yrs . Diagnosed with PSS .can thia procedure effective for me also .
Hi . I’m not sure what u mean by PSS ? This LPI video is laser surgery for narrow angle glaucoma.
Why don't you do both eyes at the same time?
Keep watching and don’t forget to like , share and subscribe 😀
Safer to do one eye at a time . Minimizes potential side effects.
You don't want both done at the same time, your eye hurts afterward sometimes. I was walking around with my right eye shut for 2 days afterwards because I was sensitive to light, etc. Took some Tylenol everyday for eye pain.
@@jdenino6022 did your doctor put you on steroid drops after the surgery ? That’s what the normal protocol is
@@dr.fatimaqureshi9803 No I didn't get steroid drops. I don't know why.
I am terrified! To get laser. Why did she jump the first shot? Was it the sound or did she feel something? I’m so scared it’s terrifying to me to get surgery in the eye. I feel like for some reason I’m going to feel it in some way. Please someone tell me how I’m going to feel so I’m prepared. :(
Eyes are numbed fully with with drops . I didn’t see her jump :)) it’s the sound of the laser machine ur hearing . U will be fine and best of luck wherever you are getting it done.
If ur still feeling anxious about the laser surgery , then I would recommend contacting your PCP and asking for a one time Valium
Rx , half a pill 40 mins before getting the laser procedure works in calming down the patient .
Hi
Hello mam it can cause double vision please reply i have gone through this before ipcl surgert and it give a side effect to ne which i cant drive properly at night also day times is there any special contact lenses which can help
I’m sorry to hear you have developed this problem . Where did you get it done ? I’ve never seen any patient develop peripheral vision problem after a laser surgery for narrow angle glaucoma .
Normally advanced stage glaucoma causes this issue , but not laser surgery .
How much is your intraocular pressure post laser ? How is your cornea ? Is there any edema ? All these can contribute to your vision problems .
@@dr.fatimaqureshi9803 first of all thanks for replying to my comment my cornea is totally fine but when I move my eye up and down and then I see this effect will prism glasses or scleral lenses will help me to solve this issue I have some amount of astigmatism also .please suggest mam
It was done by Dr Kapur at healing touch eye centre . It was so much bad that I see side effects at my younger age seeing ghosting double vision at younger age .
It can create any problem to iris dysfunction in which we can have double vision problems
@@rishabhdatta6991 I would suggest going back to the doctor who did the surgery and make sure you don’t have any inflammation. Rare side effect of laser iridotomy is permanent blurring and ghost effect / halos . See if these symptoms go away after a while . If not , then definitely seek help from your eye doctor who can determine if corrective lenses /contacts can be used . Positioning of the laser in the iris is very important . Is it’s well under the lid at 1 or 2 o’clock position , it has good results . Is yours in a different area in the iris ?
Best of luck .
Thanks for watching the video
Hi there, I am only 43 years old with narrow angles. everything is normal, no glaucoma but my Opthalmologist told me to do this as a preventative measure. is this really recommended? will there be more benefits than risks?
How is your eye pressure ?
@@dr.fatimaqureshi9803 I have the same condition and stats, my eye pressure is normal in both eyes. My doctor has also scheduled me for preventative LPI in both eyes.
Just counted over 30 shots on my right eye and over 20 on my left. The glare I see is so bad I can't drive. Wish I had her do mine.
We are located in Lafayette LA
Are you feeling better? I had one eye done today with two different machines one more intense than the other. I had like 8 shots in total. Is like being tasered in the eye very painful.
@@amenen01 where did you get it done . What city and state ?
It shouldn’t be painful with the right machine and technique . Were you prescribed steroid drops after the laser procedure ?
@@dr.fatimaqureshi9803 I was prescribed the steroid drops but I don't want to use them. Is there some risk if I don't use them? I am also curios about how the laser pierces the iris doesn't it also pierce the cornea on its way to the iris?
I have three days since I had laser surgery for narrow angle and today my eye is hurting me and the light hurts me horribly
Where did u get your surgery done ? Are u on steroid drops after surgery ?
I am quoting someone below but they are not saying there is 30% vision loss from this surgery are they? or 30% of people get vision loss from this surgery? both are bad!
The best laser is the Micropulse G6 IRIDEX it's is a new high technology .. painless without damaging the eye or vision loss ! Lowering with Average of 30%
Please be aware that 1 in 7-8 patients develop a migraine from the pilocarpine. It's always wise to have someone else drive the patient for the procedure.
Our staff always lets the patients know about bringing in a driver for the laser procedures.
@@dr.fatimaqureshi9803 Hi Doc, Does narrowed angles always lead to surgery ? Thank you!
@@sparvathaneni1 not always ! Depends on the big picture of iop control etc .
@@dr.fatimaqureshi9803 Firstly, Thanks for the prompt response. Is there a email I can send the report to ? Thank you!
Madam my mother recently Be yag pi laser treatment. After that she had so much headache last two days is it common or not. Please give me a suggestion. Please madam
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This channel is watched internationally and English is the universal language so unfortunately I won’t be able to talk in Arabic . But you can turn on the caption option and read as I talk. Or watch something in Arabic on another channel.
Salamalecum 🙏
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It was very, very painful when I had both eyes done.
It’s numbed with proparacaine numbing drops
Me too. I mean like a nail gun thru my face. The first laser was ok but never got fully numb... second laser machine... this one ...I almost flipped the table over on the second 'shot' and the Dr was yelling at me...I was screaming ridiculous things... didn't finish... now they still have to finish it and do the other one in a day or two and they're all pissed at me... I felt like I had been shot in the face for the rest of the day and they think I'm insane. I've had 3 babies... many kidney stones, many tattoos and a higher than average pain tolerance so I don't understand it at all. Same with my father... never heard him mention pain in 40 years until 'that day'. Seems so simple for most w no explanation for those of us who experience this. He was so mad at me which escalated things to total chaos. Had been diagnosed w cluster headaches and after two er trips in a week and the worst pain of my life... they figured it out. My nerves are shot and I'm literally almost ill from the anxiety of having to finish. Can't research because I can't see well right now/ read and I just don't understand why it was so horrific for me. Or you. Lol. Today the nice dr even said never in her career had she seen someone overreact like I did... and she wasn't even in the office that day so I can only imagine what she was told...I loved her and she was awful to me today. It's making this 1,000 x worse because I'm not the hysterical person they are treating me like and I know this isn't my fault and I certainly didn't think it was their fault and was super apologetic for not being 'typical' but they don't really won't even let me talk or question why this was so different for me. Like I'm just crazy and they've never even heard of this happening. Now I'm venting on CZcams at 5 am like a crazy person because I'm terrified, confused and just feel defeated. 😵😢
@@theshadylady1982 I had this done and I keep getting eyestrain afterwards. Had the first (right) eye done on 3/2/22 (had eye headaches afterwards) and the second eye done on 3/10/22 (3 shots of laser in the left eye). Have narrow angles without glaucoma, my mother had it too 25 years ago. I get eyestrain much more easily now, I hope it resolves soon. The second (left) eye seems a little less painful than the first one was. I have hazel eyes. I read that people with dark brown eyes need more laser shots to make the hole. I think he hit the right eye about 4 or 5 times. Ugh.
@@jdenino6022 I had one eye done today and my eyes are very dark brown, the doctor told me my eyes iris is way thicker than light colored eyes. I had like 8 shots with a mild laser and two shots with the more intense laser on two different machines. The first machine was used to open the hole halfway so that I won't have to experience the intense laser too many times. Is very uncomfortable like being tasered in the eye. I have narrow angles without glaucoma and this was done as a prophylactic procedure to prevent glaucoma if the angle closes further in the future.
@@theshadylady1982 The best laser is the Micropulse G6 IRIDEX it's is a new high technology .. painless without damaging the eye or vision loss ! Lowering with Average of 30%