Laser Peripheral Iridotomy
What happens during the procedure?
The laser procedure usually takes a few minutes.
A series of drops will be instilled into your eye to prepare it for the laser.
A lens will the placed on the eye through which the laser is applied.
The procedure is generally painless, but some may feel a slight discomfort in the eye.
Once the laser has been performed another drop will be instilled into the eye and once the eye has returned to normal a follow up check will be performed.
What to expect after the procedure?
Some patients may experience a slight discomfort for a few hours after the laser treatment. There may be slight blurring of vision for a day or so. Anti-inflammatory drops will be prescribed for one week. Those who are already on anti-glaucoma drops should continue on them unless advised otherwise.You will then be required to be seen by Dr Wilson again in six to eight weeks as a follow up
What are the risk / side-effects of the procedure?
Severe pain or blurred vision – with or without difficult focusing.
2. Iritis –The eye can become inflamed
3. Pigment dispersion – pigment from the iris deposits into the structures of the eye.
4. Haemorrhage –bleed at the laser site this can be worse if on anticoagulant treatment
5. Elevated intraocular pressure – more common with glaucoma.
6. Lenticular opacities – with difficult focusing.
7. Monocular diplopia –double vision in one eye if the LPI is too big
8. Posterior synechiae – when the iris adheares to the lens
9. Corneal damage
10. Failure – Late closure of iridotomy
These complications usually do not lead to any major problems and are rare