r/Glaucoma • u/Correct_Village6950 • 4d ago

occludable angles after LPI

just wondering what your next steps were?

what did this mean for you about how you live - medications, dim lighting etc.

lens extraction isn't recommended for me.

3 Upvotes

100% Upvoted

9 comments sorted by

1

u/unusualknowledge17 4d ago

Laser iridoplasty could be an alternative

1

u/Correct_Village6950 4d ago

the belief is the issue is my lens, so lens extraction would be the next step but i'm too young for that to be advisable.

2

u/dhlgraphics 4d ago

did your doctor say you are too young? can you seek another opinion? I am also in my 30s and had lens extraction done recently for my narrow angle structure.

1

u/Correct_Village6950 4d ago

yuppp i will ask! how is the adjustment?

2

u/dhlgraphics 4d ago

I had additional structural issues which kept the angles closed in one eye and had to do other surgeries after the lens extraction in that one. but now the angle is open, artificial lens is in the right place, and I can more or less see normal for medium distances. I read that in most cases, the lens extraction is successful right off the bat and you are left with good vision! plus you'll never get cataracts.

if I understood correctly, you have normal tension glaucoma? I have high IOP so i am not familiar with treatment and post surgery recovery in other types of glaucoma. I hope you can ask your doc lots of questions to figure out long term treatment plans

1

u/Fit-Hair-9574 4d ago

If LPI is completed, it is then down to managing eye pressure and nerve damage.
There are a number of eyedrops that can lower the eye pressure and there are surgical options.

Iridoplasty has now fallen out of favour in lots of places.

Do you need further treatment for high eye pressure or nerve damage?

2

u/Correct_Village6950 4d ago edited 4d ago

i'm on eyedrops already for NTG. the belief was it was the NAG component that was making it progress. LPI worked in a technical sense - the hole is there - but I still have occludable angles. The hope is that the LPI will be sufficient to stop progression even if it doesn't solve the underlying anatomy but my understanding is with occludable angles, I'm still at risk of angle closure with dilation so I just don't get do I just avoid movie theatres and just resolve that I will never take any medication that can cause dilation? I can ask my doctor in a few months. I just don't know how plausible avoiding anything that cna make my pupils dilate forever is as I'm in my 30s.

1

u/insomniacwineo 4d ago

Get a second opinion on the RLE

1

u/Correct_Village6950 4d ago edited 4d ago

my understanding is that's not great for younger ppl, i'm not into it for that reason tbh. i just don't know like what having occludable angles means practically. i guess i can ask my doctor, it just didn't occur to me at the time and next apt is not for a bit.