glaucoma

[sarah43]

what does 'occludable angles mean'? If one has a angle closure attack would you do a laser iridoplasty or a laser iridotomy?

[John C Hagan III, MD, FACS, FAAO]

Only by looking at your eye can that be answered. Get a third opinion and go with the majority.

JCH MD

[sarah43]

ive seen a few optholmogist (consultants) After have my first attack and preessure brought back down to normal with drops and through IV. 2 weeks later had lasr iridoplasty. After experiencing blurred vision and eye pain after the laser  i saw another consultant who seemed to say i should have had the laser iridotomy.What do you think and why do you think i was given the laser iridoplasty instead.  

[John C Hagan III, MD, FACS, FAAO]

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. Or if the patient has an attack of glaucoma the laser iridotomy is used to break the attack and return the pressure to normal. The other eye is then almost always done since the eyes are usually shaped alike.

You can use Google images to see a picture of a narrow angle.

JCH MD