PRK with Glaucoma

If you are thinking about having Lasik, IntraLasik, PRK, LASEK, Epi-Lasik, RLE, or P-IOL eye surgery, this is the forum to research your concerns or ask your questions.

PRK with Glaucoma

Postby loadie » Tue Apr 17, 2007 11:30 pm

Hey there,

Obviously I'm new to the site, looks great too.

I'm currently Air Crew with the Canadian Military and looking to change careers in the next few years. I'm looking at going into the Police force, but need to correct my vision if possible.

I have Pigmentary Dispersion Glaucoma which was diagnosed 10 years ago. It has been stable since It was diagnosed. My Opthamologist wants to do Peripheral Iridectomy to reduce bowing backwards of iris with potential to prevent further pigment loss.

Would having this treatment conflict with having PRK.
One of the laser eye clinics here wouldn't look at me simply because I have Glaucoma.
I have an appointment with another one just a few hours after seeing a Glaucoma specialist.

My vision is currently -4.25 in both eyes.

I guess what I am asking is, what should I be weary of and how will this affect me later?
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Joined: Tue Apr 17, 2007 9:20 pm

Postby LasikExpert » Wed Apr 18, 2007 5:15 am

Because your eyes are already in a compromised situation, any elective surgery requires the utmost care and consideration. I very highly recommend that you seek a comprehensive evaluation from a corneal specialist and a glaucoma specialist before entertaining the thought of laser eye surgery.

Most certainly you would not want to have any laser eye surgery unless the glaucoma induced elevated intraocular pressure (IOP) is fully managed. A preoperative test of how you will react to the steroid drops used after surgery may be wise. Steroids often raise IOP and being already compromised this could be very problematic.

Any surgery is likely to disrupt the eye and the dislodged pigment that currently clogs the tiny channels that keep the fluids flowing around your iris are very likely to be disrupted. This could be problematic. The glaucoma specialist will be better able to advice.

A couple of patients here have remarked that they have extra ghost images after an iridectomy. This may further complicate vision after laser eye surgery and should probably be accomplished first.

Laser eye surgery is about the convenience of a reduced need for corrective lenses. To achieve that convenience, you must accept some risk. Tred very, very carefully. You are not the average patient. You may find a surgeon who is willing to provide PRK, but you are the one who is taking the lifelong risk and uncontrolled glaucoma can lead to permanent vision loss.
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Postby loadie » Thu Apr 19, 2007 12:21 pm

Have no fear, I will not compromise my vision.

The funny thing is I've had 5 opthamologists in the last 10 years and only one has advised against it.

P.S. I also forgot to mention that I have thin corneas. OTC's were done and show this, also no change in the fields in the last 10 years as well, so no further damage. The damage that is currently there is in the nasal cavity area, which I am told is not a problem as it is overlapped by the other eye, no or very minimal field loss.

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Joined: Tue Apr 17, 2007 9:20 pm

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