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Followup to second opinion

Question:

I suppose not when you’re the guilty party… ;-) – Hide quoted text — Show quoted text -"Raymond A. Chamberlin" wrote: > On Sat, 31 Jul 1999 16:10:09 -0400, Tin-man <tin___…@hotmail.com> > wrote: > >Oh Ray.. You really need to quit dragging all of the posts in your rely as it is > >really getting long!!! > Is this English?  I can’t read it. > Ray

Response:

On Thu, 22 Jul 1999 10:11:05 +0100, "David Wright" <djwri…@tesco.net> wrote: >The use of laser iridotomy to prevent an attack of primary closed angle >glaucoma is very common where a person has already experienced an attack in >one eye. If a person is fortunate to have narrow angles identified before >having an attack and the angles are, in the opinion of the ophthalmologist >concerned liable to closure, then the laser is probably the best way of >avoiding an attack with the inherent possibility of damage. It would also >preclude the possible development of sub acute attacks which are sometimes >referred to as intermittent glaucoma and which can cause damage also the >possible development of chronic angle closure glaucoma subsequent to an >attack. >It is always a difficult decision to make when considering any form of >treatment to an otherwise healthy eye, and there is always an element of >risk but at the end of the day, only you can make the decision.

After it didn’t work in my bad eye (never acute blockage), no way was I going to have it done to my good eye (lowering contrast in bright scenes), just because the good eye’s angle was rather narrow.  Nine years later my good eye is still unaffected.  OMDs like pat little formulae that don’t add up under many circumstances.  It’s all figured out as what you can’t sue them for, because it’s designated "the current local standard of care". Ray – Hide quoted text — Show quoted text ->Hope this helps a little. >David Wright MSAE >Chief Executive, International Glaucoma Association >While we are pleased to offer the above information, it is not possible for >the International Glaucoma Association to advise on an individual patient’s >eye condition or treatment as this has to be the role of their own doctor or >eye specialist who knows the full details of their particular case. >IGA Web Page – http://www.iga.org.uk/home.htm >In article <3795F84A.90DA6…@idirect.com>, Cheryl Archibald ><cher…@idirect.com> wrote: >>Thanks for all the replies to my earlier post. I am still unsure about >>going ahead with the iridotomy. Here’s the history. A few years ago, my >>regular eye doctor (eye surgeon) through a VFT thought perhaps I was >>borderline glaucoma, and he would monitor it. I then saw a glaucoma >>specialist who said I didn’t have glaucoma, and that the pressure was >>acctually low. He did, however say that I could have an iridotomy done >>to eliminate any chance of developing it, but the choice was mine. On >>the next visit with my regular doctor, he now thought maybe I didn’t >>have it. Then a couple of months ago, when I saw him again, he explained >>that I have a risk of developing closed angle glaucoma and he referred >>me to another eye surgeon to get an opinion on the iridotomy. This >>doctor is the one wants to perform the iridotomy. He says basically the >>same thing as the specialist, except that he recommends the procedure >>sometime in the near future because there is a case in my family history >>in which an aunt develped closed angle glaucoma and went blind from it >>because she did not seek treatment in time, and because he says this >>type of glaucoma can develop very rapidly. Sorry about the long post, >>but after reading the release form that I have to sign to have this >>procedure done, I’m spooked that it could make things worse.

Response:

On Sat, 31 Jul 1999 16:10:09 -0400, Tin-man <tin___…@hotmail.com> wrote: >Oh Ray.. You really need to quit dragging all of the posts in your rely as it is >really getting long!!!

Is this English?  I can’t read it. Ray

Response:

Thanks for all the replies to my earlier post. I am still unsure about going ahead with the iridotomy. Here’s the history. A few years ago, my regular eye doctor (eye surgeon) through a VFT thought perhaps I was borderline glaucoma, and he would monitor it. I then saw a glaucoma specialist who said I didn’t have glaucoma, and that the pressure was acctually low. He did, however say that I could have an iridotomy done to eliminate any chance of developing it, but the choice was mine. On the next visit with my regular doctor, he now thought maybe I didn’t have it. Then a couple of months ago, when I saw him again, he explained that I have a risk of developing closed angle glaucoma and he referred me to another eye surgeon to get an opinion on the iridotomy. This doctor is the one wants to perform the iridotomy. He says basically the same thing as the specialist, except that he recommends the procedure sometime in the near future because there is a case in my family history in which an aunt develped closed angle glaucoma and went blind from it because she did not seek treatment in time, and because he says this type of glaucoma can develop very rapidly. Sorry about the long post, but after reading the release form that I have to sign to have this procedure done, I’m spooked that it could make things worse.

Response:

- Hide quoted text — Show quoted text -Cheryl Archibald wrote: > Thanks for all the replies to my earlier post. I am still unsure about > going ahead with the iridotomy. Here’s the history. A few years ago, my > regular eye doctor (eye surgeon) through a VFT thought perhaps I was > borderline glaucoma, and he would monitor it. I then saw a glaucoma > specialist who said I didn’t have glaucoma, and that the pressure was > acctually low. He did, however say that I could have an iridotomy done > to eliminate any chance of developing it, but the choice was mine. On > the next visit with my regular doctor, he now thought maybe I didn’t > have it. Then a couple of months ago, when I saw him again, he explained > that I have a risk of developing closed angle glaucoma and he referred > me to another eye surgeon to get an opinion on the iridotomy. This > doctor is the one wants to perform the iridotomy. He says basically the > same thing as the specialist, except that he recommends the procedure > sometime in the near future because there is a case in my family history > in which an aunt develped closed angle glaucoma and went blind from it > because she did not seek treatment in time, and because he says this > type of glaucoma can develop very rapidly. Sorry about the long post, > but after reading the release form that I have to sign to have this > procedure done, I’m spooked that it could make things worse.

Have you ever heard of a surgeon who did not want to do surgery? I’d run it I were you.

Response:

On Wed, 21 Jul 1999 12:41:46 -0400, Cheryl Archibald – Hide quoted text — Show quoted text -<cher…@idirect.com> wrote: >Thanks for all the replies to my earlier post. I am still unsure about >going ahead with the iridotomy. Here’s the history. A few years ago, my >regular eye doctor (eye surgeon) through a VFT thought perhaps I was >borderline glaucoma, and he would monitor it. I then saw a glaucoma >specialist who said I didn’t have glaucoma, and that the pressure was >acctually low. He did, however say that I could have an iridotomy done >to eliminate any chance of developing it, but the choice was mine. On >the next visit with my regular doctor, he now thought maybe I didn’t >have it. Then a couple of months ago, when I saw him again, he explained >that I have a risk of developing closed angle glaucoma and he referred >me to another eye surgeon to get an opinion on the iridotomy. This >doctor is the one wants to perform the iridotomy. He says basically the >same thing as the specialist, except that he recommends the procedure >sometime in the near future because there is a case in my family history >in which an aunt develped closed angle glaucoma and went blind from it >because she did not seek treatment in time,

Some kinds of angle-closure glaucoma can’t be prevented with laser iridotomy, according to an NYEE page:                 http://www.nyee.edu/glaucoma/ubmclose.htm .  You likely don’t know whether your aunt wouldn’t've lost her vision regardless of any iridotomy given.  Also, you do lose contrast in bright scenes from bypassing your iris with laser holes. >and because he says this >type of glaucoma can develop very rapidly.

*Sometimes*. Ray – Hide quoted text — Show quoted text ->Sorry about the long post, >but after reading the release form that I have to sign to have this >procedure done, I’m spooked that it could make things worse.

Response:

The use of laser iridotomy to prevent an attack of primary closed angle glaucoma is very common where a person has already experienced an attack in one eye. If a person is fortunate to have narrow angles identified before having an attack and the angles are, in the opinion of the ophthalmologist concerned liable to closure, then the laser is probably the best way of avoiding an attack with the inherent possibility of damage. It would also preclude the possible development of sub acute attacks which are sometimes referred to as intermittent glaucoma and which can cause damage also the possible development of chronic angle closure glaucoma subsequent to an attack. It is always a difficult decision to make when considering any form of treatment to an otherwise healthy eye, and there is always an element of risk but at the end of the day, only you can make the decision. Hope this helps a little. David Wright MSAE Chief Executive, International Glaucoma Association While we are pleased to offer the above information, it is not possible for the International Glaucoma Association to advise on an individual patient’s eye condition or treatment as this has to be the role of their own doctor or eye specialist who knows the full details of their particular case. IGA Web Page – http://www.iga.org.uk/home.htm In article <3795F84A.90DA6…@idirect.com>, Cheryl Archibald – Hide quoted text — Show quoted text -<cher…@idirect.com> wrote: >Thanks for all the replies to my earlier post. I am still unsure about >going ahead with the iridotomy. Here’s the history. A few years ago, my >regular eye doctor (eye surgeon) through a VFT thought perhaps I was >borderline glaucoma, and he would monitor it. I then saw a glaucoma >specialist who said I didn’t have glaucoma, and that the pressure was >acctually low. He did, however say that I could have an iridotomy done >to eliminate any chance of developing it, but the choice was mine. On >the next visit with my regular doctor, he now thought maybe I didn’t >have it. Then a couple of months ago, when I saw him again, he explained >that I have a risk of developing closed angle glaucoma and he referred >me to another eye surgeon to get an opinion on the iridotomy. This >doctor is the one wants to perform the iridotomy. He says basically the >same thing as the specialist, except that he recommends the procedure >sometime in the near future because there is a case in my family history >in which an aunt develped closed angle glaucoma and went blind from it >because she did not seek treatment in time, and because he says this >type of glaucoma can develop very rapidly. Sorry about the long post, >but after reading the release form that I have to sign to have this >procedure done, I’m spooked that it could make things worse.

Response:

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