Glaucoma Problem?
Question by hans_one: Glaucoma Problem?
I suffer with Glaucoma.Many years ago i received laser treatment.But myeye pressure once again became to high.I was then told That I would have to be operated on.Personal poblems did not allow me to be admitted for 10 days.That was how long the specialist said it would take!I asked for more lasertreatment and was told it was not possible togive me more It was not allowed by law.I lost the sight in 1 eye.I changed hospitals .I was given laser treatment very quickly to save the sighted eye.At alater date I did have the operation but was kept in over night only.Does annyone know how many shots can be given in each quadrant.
Best answer:
Answer by princeidoc
you’re talking about ALT i guess.
each quadrant can only be treated one time. so…4x max in each eye.
SLT can be performed repeatedly (in theory).
Know better? Leave your own answer in the comments!
The problem with laser trabeculoplasty is that it’s sort of a destructive type of treatment. Usually a total of about 80 lesions are placed 360 degrees. These little burns lead to scarring. The scarring causes traction between the adjacent burns and this pulls open the meshwork between the burns.
But eventually you run out of areas in which you can do this effectively. And the areas that have already been treated are not going to allow filtration as they’re scars.
Your next step would be to find a glaucoma specialist or someone who does the new procedures where the trabecular meshwork is opened into the anterior chamber. The results from this procedure, at least so far, have been just wonderful. The surgeon makes a small incision at the limbus, dissects down to the canal, inserts a cannula into the canal and either uses viscoelastics or the cannula itself to open the inner meshwork. Filtration is almost immediate.
As you only have one eye, wear some sort of glasses. If they help you see better, wonderful. If they don’t, wear them anyway for the protection of that only eye. If you fall over the cat and hit your eye on the edge of the coffee table or bathtub or sink or bedpost or?, you won’t hit your bad eye, you’ll hit the good one. Protect it.