Laser Iridotomy the works, Mahesh Ramchandani explores all about laser for angle closure glaucoma

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  • Опубликовано: 7 сен 2024

Комментарии • 84

  • @donnawalpole
    @donnawalpole 9 месяцев назад +5

    I had laser iridotomy performed on both eyes on Friday. 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. The risk of an acute angle closure attack was high.
    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...

    • @SmallFrancis-vd3tc
      @SmallFrancis-vd3tc 19 дней назад

      I have the same lines as you have. Very annoying. On the top of that some of the doctors said there were no connection between the proceure which obvious a lie. My brain hasn't adapted since last year so may be my cornea will be painted.

    • @donnawalpole
      @donnawalpole 19 дней назад

      @@SmallFrancis-vd3tc I'm now 8 months down the line and my brain has adjusted. I don't notice the lines when I'm driving at night anymore, or watching a show at the Theatre. It's definitely a side effect of the procedure - they can put tattoos over the holes if it doesn't improve for you.

  • @remediosreboja1837
    @remediosreboja1837 2 года назад +9

    I was so afraid of the laser iridotomy coz I was diagnosed with angle closure glaucoma. Thank you, Doctor for the video. Very informative.

    • @MrVibeless
      @MrVibeless 10 месяцев назад +1

      How did it go mate? I've got to have it done soon. Did you have any surprising after effects?

    • @ivankaporcogosova
      @ivankaporcogosova 8 месяцев назад +1

      Hi , when you had the angle closure did it effect your vision plz?

  • @CharmsByCj
    @CharmsByCj 11 месяцев назад +3

    I'm going to have LPI this tuesday (Sept 19th 2023). This video put my mind at ease. Thank you!

    • @EH-fs2xm
      @EH-fs2xm 10 месяцев назад

      How are you since your surgery? I’m due to have mine done in November and I’m a little nervous.

  • @daftpunk5656
    @daftpunk5656 5 месяцев назад +1

    Best video out of 1000 videos i have watched to understand this correct concept.The main thing that helped me to understand was the animation part and your simple explanation! Thanks alot !

  • @crukuku
    @crukuku Год назад +2

    Thank for your thorough and easy to understand explanation of the diagnosis, symptoms, procedure and “what ifs”. I feel much better and well informed for my upcoming iridotomy.😊

  • @AstroDork
    @AstroDork Год назад +1

    I'm a really technical guy AMD like to be well informed so this video gave me all the detail i was looking for including, how everything works in a healthy eye, how my eye is different, what the procedure hopes to achieve, how it hopes to achieve it and what might be the consequences of doing it, and not doing it. Perfect

    • @DoubleTroubles729
      @DoubleTroubles729 Год назад

      I’ve just had both my eyes laser because my eye pressure was at 40 in both eyes and I had eye narrow angle! I only went to the optician for some new lenses in my sunglasses! I commend the optician who found this.

  • @anomie75
    @anomie75 2 года назад +1

    Thank you so much. This made me feel better about my upcoming surgery next week.

  • @nydrewadventures1686
    @nydrewadventures1686 12 дней назад

    Great video and explanation of the procedure.

  • @AlphaOne2009
    @AlphaOne2009 9 месяцев назад +1

    Very informative. Appears you’ve covered everything.

  • @Saint_Dismas
    @Saint_Dismas 2 года назад

    Thank you. I underwent this procedure thee years, and it worked wonders. And you have answered the questions I didn't think to ask at the time.

  • @selahr.
    @selahr. Год назад +2

    I had YLI performed in both eyes six years ago. My Dr placed the holes at 3/9 o’clock positions so they are always fully exposed when my eyes are open. The excess light has drastically impaired my eyesight and almost completely removed my ability to drive at night when oncoming traffic is involved. I have star bursts around intense lights, diagonal light lines across my field of vision, double vision/stacked images of backlight/electronic images, extreme light sensitivity (pretty much every light in the house is set to 50-80% reduction) which leads to constant squinting and headaches, and my visual acuity varies wildly depending on light level. For the first two years any bright room looked like there was fog or smoke gathering at the ceiling. It’s been a total nightmare, and ruined several of my favorite hobbies and distractions. I still can’t watch tv comfortably. The procedure was extremely painful, I lost count somewhere around the 30th bolt of lightening she zapped into one eye. I have no idea how many zaps it should have taken. Every eye Dr who has seen my eyes since looks completely stunned when they see the placement.
    At the time of the procedure there apparently was some debate on what proper location should be. Have they changed their mind and decided there is actually a higher risk of side effects with under-lid locations or is this still left up to the Dr’s choice? Has anyone found a way to do revisions or mitigate disastrous side effects when they do happen? One Dr had me try color contacts to try to act like sunglasses over the holes but there just wasn’t enough ink in the contact where my laser holes are located.

    • @marlainehysell5989
      @marlainehysell5989 Год назад +1

      I am so very sorry to learn of your iridotomy outcome. I had a bad outcome too but not because the holes are in the wrong place. My holes are well under my eyelid. I was left with eye pain in one of my eyes. I too have had to give up most of my activities and hobbies. My driving is extremely limited due to the pain of focusing and seeing. I rarely leave home. But I am not light sensitive and my vision was not effected except for the pain. Was your colored lens custom made for you? In my search to find something to help reduce my eye pain I looked into getting a blackout contact made. It is my understanding that a lens can be painted so it blocks out all light. I had 9 laser holes in my left (painful) eye and 7 in my right eye. My right eye has no pain. I contacted the manufacturer of the laser machine and they have no record of an outcome like mine. None of the 6 eye specialists I have seen have ever had a patient with the same outcome. I understand how upsetting it is to be left with such a terrible problem from a treatment that was supposed to help you. Best wishes.

    • @selahr.
      @selahr. Год назад

      @@marlainehysell5989 Have you been evaluated for Optic Neuritis or NMO? I’ve had ON multiple times in both eyes since the surgery. I also developed an autoimmune disorder that attacks the myelin sheath around my nerves shortly after the surgeries. My neurologist said it’s common for stressors like severe illness surgery to trigger autoimmune disorders as an overzealous healing response to the trauma. NMO is an autoimmune disease that specifically attacks the optic nerves with repeated episodes of severe Optic Neuritis. A Neuro Ophthalmologist would be able to test for optic nerve damage better than a regular Ophthalmologist. They can often order the blood tests required for NMO, or they may refer you to a Neurologist for that testing.
      My doctor did try typical colored contacts but the color doesn’t extend dark enough far enough to cover the holes. They did discuss creating larger contacts (Sclera contacts?) but it was too expensive and my insurance wouldn’t cover it. It may be worth asking again now that I have different insurance. I kind of forgot about it because I had so much else start happening (like recurrent optic neuritis) that made it necessary to change my whole environment (black out curtains, much lower/dimmer lighting, avoidance of backlight electronic devices, etc). Now that my autoimmune stuff is under better control and I can handle more normal levels of indoor light exposure it’s probably time to revisit the contacts idea.

    • @rishabhdatta6991
      @rishabhdatta6991 11 месяцев назад

      Which type of contact lenses will help to eliminate this glare issue can we wear contact lenses regularly
      Or scleral lenses can solve this issue ?

    • @selahr.
      @selahr. 11 месяцев назад

      @@rishabhdatta6991 my eye dr had the ability to have custom color “tattooed” (the word he used) onto sclera lenses to try to cover the hole. For me, regular colored contact lenses didn’t have color far enough to reach mine. So we were going to add color just over that area, like sunglasses for the hole, but leave the rest of the lens clear. Yours might be different. We can safely wear contacts after having this procedure, but there may be a short wait time immediately after (maybe two weeks?) to allow for healing.

    • @rishabhdatta6991
      @rishabhdatta6991 11 месяцев назад

      @@selahr. which contact lense are you using like hard or soft contact lenses . Also wanted to know that have you considered of surgery of corneal tattooing or iris sutchring for that part also wanted to know that scleral lenses can be tinted from that part to cover that hole

  • @gh-om3pk
    @gh-om3pk Год назад

    Great explanation in words and pictures.I had a YAG Laser Iridotomy last week in Munich.Now I do understand it much better.Thank you👌🏻

  • @nadiahamidi1751
    @nadiahamidi1751 2 года назад

    Thank you for making this informative video . I've recently diagnosed with glaucoma..

  • @saunvadcentreformusicandhe6015
    @saunvadcentreformusicandhe6015 Год назад +2

    Thank you for this information

  • @biondahiensch7534
    @biondahiensch7534 2 месяца назад

    Great information, covers everything. Thank you.

  • @stratpac
    @stratpac Год назад +2

    Thanks for this. I have narrow angles (picked up by Optitian appointment) and am scheduled for Laser Iridotomy next week at Southampton. You video and precise commentary has put my mind at rest as to the actual proceedure and possible side effects. I was thinking of not having this proceedure but after viewing this I'll go ahead with it now.

    • @mrrctv786
      @mrrctv786 Год назад +1

      May Allah SWT ❤️🕋 Bless your Eyes with good health Aameen Sum Aameen 🤲🕋

    • @MrVibeless
      @MrVibeless 10 месяцев назад

      How did it go mate?

    • @stratpac
      @stratpac 10 месяцев назад +1

      @MrVibeless Well, had the right eye done - no problems. A couple of months later had the left eye done - didn't seem to take as long and very little laser light in the eye compared with the veritable light show I experienced with the right eye procedure. Visited my optician some weeks later and she couldn't see a hole in my left Iris. I've decided to leave well alone and not to ave it re-done - no issues so far and I'm monitored regularly at the Eye clinic. As far as the laser procedure goes - nothing to worry about.

    • @MrVibeless
      @MrVibeless 10 месяцев назад

      @@stratpac im glad your ok. Do you experience any difference in your vision at all now?

  • @Wernervfxx.
    @Wernervfxx. Год назад +1

    U explained so well. Thank you

  • @hoturkar
    @hoturkar 2 года назад

    Dr Mahesh .. Thank you very much for this valuable information . Very nicely presented

  • @ernianderson4643
    @ernianderson4643 2 года назад

    Thank you for making this video, very informative, I have Acute Angle Closure, found out at regular eye test check, I am 57. I received LPI this wed 2/2/22, this video helped me to understand more about my condition. well done

    • @jaydenwilliam7155
      @jaydenwilliam7155 2 года назад

      I was parmanetly cure with pure herbs by Dr WINA on RUclips. ruclips.net/channel/UCLdMmK0VN_tquimOG-9t7Dw

    • @jaydenwilliam7155
      @jaydenwilliam7155 2 года назад

      It's so crazy the pharmaceutical companies here want us to keep buying their drugs, they never want us to know that here is a cure

    • @jaydenwilliam7155
      @jaydenwilliam7155 2 года назад

      Within 14 Days of take the herbal medicine I regain my sight completely, after suffering from gleucoma for about 10yr

    • @haqsach4147
      @haqsach4147 2 года назад +1

      How are you now?

    • @ernianderson4643
      @ernianderson4643 2 года назад

      @HAQ SACH after 3 LPI on my left eye and two on my right eye , the LPI is working , because i have asian eyes it is challenging for the eye specialist to make a hole on my irish through LPI , that why we have to repeat it , eyes works fine now, eye specialist would like to see me again in a year . Thank you for asking , you take care please 🤩

  • @MrGalileo00
    @MrGalileo00 11 месяцев назад +1

    The thickness of the iris does not depend on the iris color.
    Iris thickness can vary from person to person and may be influenced by genetic and physiological factors, but it is not specifically tied to the color of the iris. People with eyes of any color, whether they are brown, blue, green, or any other shade, can have irises that vary in thickness.

  • @SmallFrancis-vd3tc
    @SmallFrancis-vd3tc 19 дней назад

    Since the procedure was done i have massive glare in my peripheral vision which bothers me a lot. My doctor said there were no downside of this procedure which is not true. Anyway a doctor who has high credit may try to color my cornea to reduce its side effect. I can't adapt it like it is mentioned in the video. And not just in cinema but working in front of the computer is also challenging. I also have headache when i exposed to sunlight.

    • @atropos37
      @atropos37 11 дней назад

      How is it now? Better?

  • @hyflyin1
    @hyflyin1 Год назад

    Thank you so much !! this was very enlightening !!!!

  • @beverleyleach3198
    @beverleyleach3198 2 месяца назад

    Excellent advise very resureing

  • @bravo3541
    @bravo3541 Год назад

    extremely informative. Thank you

  • @karlheinz2674
    @karlheinz2674 2 года назад

    Thx for the informative video
    Well done 👍🏻

  • @nikzzchandra4953
    @nikzzchandra4953 4 месяца назад

    Best animations!

  • @keshavnarain6606
    @keshavnarain6606 Год назад +1

    Glaucoma is no longer defined merely as raised eye pressure. Studies on normal tension glaucoma patients indicate that eye pressure can quite frequently be in the normal range. Use of IOP to define glaucoma is an outdated concept.

  • @Raziahmed1
    @Raziahmed1 Год назад +1

    Thank you

  • @ivankaporcogosova
    @ivankaporcogosova 8 месяцев назад

    Hi everyones i had a question if you have a Angle closure and Aqueous humor Doesn't flow from posterior to anterior chamber does it effect your vision? If yes And Has laser iridotmy did the Vision improve ?

  • @lamindumbuya3337
    @lamindumbuya3337 Год назад

    Hi, There is an issue with the left eye ,I can't see clearly It is not painful but it only gets dry in the morning and in the daytime the eyes get wet ,what is the advice you will advise on this issue,

  • @catalinacurio
    @catalinacurio 2 года назад +2

    May I ask, 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?

    • @jaydenwilliam7155
      @jaydenwilliam7155 2 года назад

      Dr WINA on RUclips. ruclips.net/channel/UCLdMmK0VN_tquimOG-9t7Dw

    • @jaydenwilliam7155
      @jaydenwilliam7155 2 года назад +1

      It's so crazy the pharmaceutical companies here want us to keep buying their drugs, they never want us to know that here is a cure

  • @cdk9441
    @cdk9441 7 месяцев назад

    Is iridotomy as effective as lens extraction?

  • @shenodayoussef1278
    @shenodayoussef1278 2 месяца назад

    Good information that l need it

  • @DhammaDainnar
    @DhammaDainnar Год назад

    Thank you Dr so much 🙏🙏🙏🪷🪷🪷🙏🙏🙏

  • @gorkidejesus
    @gorkidejesus 2 года назад

    Thank you doctor, 🤝

  • @malliktejashwi878
    @malliktejashwi878 9 месяцев назад

    Will oral propranolol help in angle closure glaucoma

  • @soumyalakshmi1878
    @soumyalakshmi1878 4 месяца назад

    Can a patient having metal cap in the teeth can undergo this surgery?

    • @larisa2184
      @larisa2184 Месяц назад

      Probably. I wasn't asked to remove my earings or anything metallic, nor take out my smartwatch or anything so I'm sure you'll be fine

  • @bluejay9890
    @bluejay9890 9 месяцев назад +1

    I thought long sighted people (hyperopes)needed glasses to see up close?

    • @pegsesztak2074
      @pegsesztak2074 5 месяцев назад

      You're right, I'm long sighted and I do wear glasses to see up close but I don't need to wear them permanently like short sighted people do.

  • @paulinagalileo6974
    @paulinagalileo6974 2 года назад

    I had closure angle glaucomacan i be cured

  • @shahsekh
    @shahsekh 2 года назад

    Is there any treatment for Glaucoma as we have seen some development in ACS (Alternating Current Stimulation) and Insulin Drops?

    • @jaydenwilliam7155
      @jaydenwilliam7155 2 года назад

      Yes there is

    • @jaydenwilliam7155
      @jaydenwilliam7155 2 года назад

      It's so crazy the pharmaceutical companies here want us to keep buying their drugs, they never want us to know that here is a cure

    • @jaydenwilliam7155
      @jaydenwilliam7155 2 года назад

      I was parmanetly cure with pure herbs by Dr WINA on RUclips. ruclips.net/channel/UCLdMmK0VN_tquimOG-9t7Dw

    • @jaydenwilliam7155
      @jaydenwilliam7155 2 года назад

      Within 14 Days of take the herbal medicine I regain my sight completely, after suffering from gleucoma for about 10yr

  • @adelalsilimi2010
    @adelalsilimi2010 Год назад

    hello doctor, I did peripheral iridectomy for an icl surgery I noticed a line after the surgery that goes up and down as I constrict my eye? is it normal?

    • @rishabhdatta6991
      @rishabhdatta6991 Год назад

      Same I am facing the same issue are you also facing the visual disturbance because of this . What solution doctor have suggested to you to get rid I am also facing double vision and ghosting images in my eyes .

    • @adelalsilimi2010
      @adelalsilimi2010 Год назад

      @@rishabhdatta6991 my doctor suggested for me an iris suture but am afraid I get my vision even worse, god help us

    • @calystanguyen3929
      @calystanguyen3929 Год назад +1

      It’s scary! I’m scared to loose my vision 😔😢there is always the risk with any surgery. Unfortunately, I would not avoid this surgery. I wish the technology will be advanced to fix it and restore our visions. 🙏

  • @anagarciacuesta8278
    @anagarciacuesta8278 Год назад

    Is this dangerous?

  • @bobbybhandari6537
    @bobbybhandari6537 2 года назад

    I am not mean understand in english please in Hindi my request My proublum is 4 to 5 year first

  • @MelindaAlcantara
    @MelindaAlcantara Год назад

    Thanks for watching 😑🤪

  • @bobbybhandari6537
    @bobbybhandari6537 2 года назад

    Please galucoma treatment really is yes no

  • @MSD.4543
    @MSD.4543 Год назад +1

    Thank you