In a message of <29 Jan 90 11:52:41>, Mike Bross (1:300/10) writes:
MB> I have read your posts with interest, and would appreciate your
MB>comments on the question of whether elective surgery to prevent acute
MB>glaucoma is worse than waiting until one eye suffers an attack.
MB> My wife has been examined by an opthalmologist each year for
MB>three years because she has an acute iris-cornea angle (coded 1) in
MB>each eye. She has been told that she might have to deal with an
MB>attack of acute-angle glaucoma at any time, but that since even laser
MB>eye surgery has risks, it is best to wait and see if she ever really
MB>needs the surgery. We are wondering how risky elective iridotomy is,
MB>compared to what can happen during the usual delay between onset of
MB>symptoms and treatment. And whether, if she flies across the country
MB>without having had preventive treatment, it would be advisable for
MB>her to have oral pressure-reducing medicine with her.
MB> Whatever comments you make about elective iridotomy (in the
MB>absense of any acute-angle glaucoma attack) will be appreciated.
MB>
MB> Mike Bross
This is something that can be argued about over coffee for hours and no
solution will result. In competent hands – laser should not pose a problem.
Until (and if) she receives such treatment – yes, she should carry such
medication. The risk of such an attack is small but it’s higher than the risk
from laser – in my opinion.
Leo Bores, M.D.
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