I told you Bill had to have another laser procedure and this one was different from the Laser Iridotomy last month which didn’t work. He’s had the Laser Trabeculoplasty procedure done 3 times now within a 9 year period plus the Iridotomy. He said this one really hurt and burned, they were going to put in 80 holes, but it got too bad and the contact popped out and he kept moving his head, they did reach 79 though before they quit.
This Laser Trabeculoplasty had to be done at the York Hospital instead of his office like the last one. It didn’t take very long after the drops to anesthetize and make the pupil smaller and we were required to go back to his office within an hour so he could check the pressure. An older lady had the procedure at the same time or rather right before Bill’s and she had to go have her pressure checked also. Hers went down to 14 and Bill’s went down to 20 which was great since it had been up around 33 and climbing.
Second week of August we go back to check the pressure again and I’m hoping it will be even lower. Below is the consent form we had to read and sign which explains what would be done and any complications that might be expected. His insurance isn’t the greatest and it costs a fortune to maintain, but at least it pays a portion of these surgeries and medications for his eyes. It really worries me that many people can’t afford insurance so what the hell do they do, go blind?
Of course I’m sure there are free clinics out there that help and will go by your income, but it sure would be nice if we had a national health system like Canada and other places. Well I’m closing this post now so have a great coming weekend if I don’t post tomorrow.
Consent To Perform Laser Trabeculoplasty
Purpose: The laser treatment that you will receive is being given as an alternative to surgery for open-angle glaucoma. The object is to re-open the microscopic channels that carry fluid (aqueous humor) from the interior of the eye by directing the laser beam into this portion of the eye. The published success rate of this type of therapy is about 75%, meaning in about 3 out of 4 cases there will be some lowering of intraocular pressure after the treatment. Generally the glaucoma drops that were being used prior to laser treatment will have to be continued after the laser treatment.
Method: The eye is anesthetized with a drop and a special contact lens is applied to the eye. From 40 to 100 applications of the laser will be made. depending upon the individual circumstances. These applications are generally given in one session, but sometimes a second treatment is required months to years later.
Complications: Minor complications that may occur include slight pain with the laser flashes, a foreign body sensation for a couple of days, and blurred vision lasting for up to a day. There is typically some redness and light sensitivity for several days. Potentially more serious are transient rises in pressure within the first few hours after the laser treatment that may require the temporary use of extra medication. In up to 3% of cases, there may actually be a permanent increase in eye pressure, rarely requiring surgical intervention. In some cases there may be a gradual loss of therapeutic effect or a rise in eye pressure over a period of months to years, requiring either a second laser treatment or other form of treatment like surgery.
Consent: I understand the reason for the proposed treatment, the chances of a successful outcome and the the risk of complications.
