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I have just been told I have narrow angles caused by moderate cataracts that are growing. My eye doctor wants to do laser iridotomy rather than remove the cataracts because my corrected vision is not yet 20/60. Is this the usual way to proceed? I also have central serous retinopathy, Salzmann's nodular degeneration and dense asteroid hyalosis.
The treatment for narrow angles caused by progressive cataracts is cataract surgery. I would not do a laser iridotomy just to avoid surgery. If your Eye M.D. feels that he cannot dilate you safely in order to evaluate the back of the eye or safely dilate you at the time of surgery, then a laser iridotomy could be done pre-op. However cataract removal is the definitive treatment even if the vision is acceptable.
Answered by: Gary Hirshfield, MD
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Answered: Jul 25, 2013
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