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About Dr Anand Shroff, MD, FICS
Expertise
I am happy to answer any questions on eye care. My expertise is in Laser Eye surgery (LASIK, Epi LASIK), Multifocal Implants, Cataract, Glaucoma and procedures for Corneal abnormalities like Keratoconus - Corneal Collagen Crosslinking C3R
Experience
OF LASIK, We are one of the first centres to use the wavefront guided LASIK or custom LASIK procedures and the only center in India using the most safest,accurate and fastest excimer laser in the world- 'The Wavelight Concerto, 500 Hz laser'. Doctors from various parts of the world train with me and few other experts in Germany each year on our wavefront procedures. Our centre is the first eye hospital to be awarded the highest certfication in healthcare- the Joint Commission International (JCI from USA) and is also the referral centre for our Wavelight Laser Technologies, Germany in India.
We have treated patients from 89 countries and this list keeps growing as more and more patients are getting increasingly aware of the benefits of treatment with advanced technology in laser eye surgery.
Organizations
ASCRS [American Society of Cataract and Refractive Surgery]certified by USA- Joint Commission International
Publications
http://www.shroffeye.org
Education/Credentials
MD Ophthalmology and FICS [Fellow of the International College of Surgeons]
Awards and Honors
please see http://www.shroffeye.org and www.lasikindia.in
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You are here: Experts > Health/Fitness > Blindness/Visual Impairment > Laser Eye Surgery > Iridotomy
Expert: Dr Anand Shroff, MD, FICS - 8/25/2008
Question
QUESTION: I had iridotomies done to both my eyes 14 months ago because of narrow angles.
I am still having severe inflammation, my eyes are red and very sore. Besides I have some visual disturbances: I see a bothersome white line in the middle of my vision, I see every object twice, as if there was a ghosting image and I also notice strange flashes of light.
My visual acuity has dropped from 20/20 to 20/80 in my left eye and from 20/25 to 20/100 in my right eye.
I am desperate, as I can no longer drive and I lost my job 10 months ago because of my poor vision.
I was told by my ophthalmologist that iridotomies had no side effects, but they surely ruined my eyes.
Do you think there is still some hope for me? What could I do? I have been to three ophthalmologists, but they all said I just had to adjust to my situation. But I can't.
Thanks for any help.
Amy
ANSWER: Dear Amy,
It may not be the procedure (iridotomy) which caused this, although the timing could be coincidental.
Usually loss of vision or drop in the same maybe in your case could be due to the narrow angle Glaucoma itself.
It would be best to be under the supervision of a Glaucoma specialist.
Hope this helps,
Regards,
Dr Anand Shroff, MS (OPHTH), FICS
www.shroffeye.org
---------- FOLLOW-UP ----------
QUESTION: Hi,
thank you for your answer.
The drop in vision and the other visual aberrations occurred immediately after the surgery. Unfortunately I had both eyes done the same day.
The inflammation and the drop in vision started immediately. My husband drove me home and when we arrived I could hardly see anything. The inflammation was worse the next morning and became a tiny bit better after I had taken lots of steroids during the next weeks. But the eyes are still very red and very, very sore. My vision never returned to normal. I had almost perfect vision when it was checked immediately before the iridotomies, it was 20/20 and 20/25.
Besides, why should my vision drop AFTER the iridotomies which were done to prevent vision loss? My angles are open now.
I am under the supervision of a glaucoma specialist, and he told me the problems I am having are without any doubt due to the iridotomies. It is not uncommon that some eyes react to the surgery as mine do.
Do you think I might eventually be able to improve my vision and get rid of the inflammation? My ophthalmologist is at a loss what to do.
Thank you very much in advance for your answer.
Amy
Answer
Dear Amy,
Please get the retina checked since sometimes due to the YAG laser when too much power is used, can cause retinal detachment.
Now that the iridotomies are done, please ask for a dliated eye check to rule out a retinal pathology and another possibility is the starts of a cataract again because of the high power of YAG.
It could be a retinal edema as well...better to show a retinal specialist.
Hope this helps,
Keep me posted on your progress.
Best Regards,
Dr Anand Shroff, MS (OPHTH), FICS
www.shroffeye.org
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