Q & A with Dr. Q This is an educational channel where info is provided for the patients and general audience. We have audiences from all over the world and we take great pride in answering your questions related to eye conditions/ eye diseases. Knowledge is supposed to be shared as it can help the society at large. So please spread the info with your family and friends. Facebook public page : Dr. Fatima Qureshi MD ( Pakistan ) OD Thank you 😊 Peace ☮️
Hello Doctor, I am 31 yrs old. I am using drops 3x a day. My pressure was 40 in both eyes at the time of diagnosis 1.5 yrs back. Now, the pressure is maintained under 20. Do you recommend SLT that can last at max 15 years with repeated procedures?
@@das1992 hi . Thanks for watching the channel . So glaucoma treatment involves several factors . If SLT is maintaining your IOPs in the normal range and OCT / VF are also stable , then no need to worry in my opinion.
@@dr.fatimaqureshi9803 I want to make sure I understand correctly. Are you saying that there is no need to worry about having to undergo the SLT procedure three times? I'm not trying to question your advice, I just want to make sure I understand for my own peace of mind. Nowadays, it seems like doctors don't always take the time to talk to patients and are always in a rush to see the next patient.
If you’ve never had SLT and your IOPS are under control with the help of glaucoma drops , then it’s all good . If you hate using drops , then yes you can go for SLT . If you don’t like using drops r times a day , your doctor can always change to another class like once a day , but be careful and make sure iops are steady and within normal limit . Also continue he seeing your eye doc every 3-6 months and get all glaucoma tests to make sure nerve fibre layer if not thinning out . I hope that answers your question .
@dr.fatimaqureshi9803 Have you seen one SLT pressure lowering effect lasting a long time like over 30-40 years? I was told that SLTs can last upto 5 years after which its IOP lowering effect starts to wearout requiring repeated procedure.. Asking as I may have nmbeen given the inaccurate info.
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I had cataract surgery on both eyes 2022. But now my left eye is little blurry on the left side. Eye dr said i need this yag laser capsulotomy, But a little anxious on the side effect. What are the percentage of the side effects ?
@@vicn7vThis laser surgical procedure is very safe and u can see from my videos how happy patients are with the outcome . Please read literature about possible side effects . But it doesn’t mean they are certainly going to happen in every patient. Patients read and sign consent forms being fully aware of everything .
@dr.fatimaqureshi9803 I did my yag laser capsulotomy yesterday. Everything went well ! My vision is so clear again. Thank you Dr your video and your reply made it easier for me to decide. I'm glad I did it 😄
@@vicn7v Thai laser surgical procedure is needed when the PCO develops and vision starts decreasing . Patients will be symptomatic also . Mostly a very safe procedure and patients are quite happy with the results . Everything comes with side effects . Please read the literature about potential side effects , but it doesn’t mean they will happen certainly .
Thanks Doctor. Very informative. Does this procedure a permanent fix for narrow angle glaucoma as a preventive measure. Pressure in eye is normal and there are no symptoms. But my Opthalmologist in India (Mumbai) advised me to go for laser.
thanks doctor for responding. One more question was whether this procedure cause any damage to cornea in the long term? There are some reports I read of this affecting corneal Endothelial cell density
Okay, I just had this done but there was no assistant + my eye doctor has Parkinson's disease. His hand is not very steady + he missed a spot, so I have to go back in next week + have it done, again. He is a very knowledgeable Doctor + I've been with him for 10 years but I was nervous as hell the first time he did this + I'm even more nervous to have it done, again. My insurance will not cover this procedure because they don't deem it medically necessary, so he went out of his way to push past all the red tape + get it covered for me, otherwise, I'd be S.O.L. Can I get a professional opinion on what to do in my current situation?
@@theresistance3818 sorry to hear you had a bad experience with your doctor. It is 100 % surgical procedure and covered by all major medical insurances . If you’re not satisfied with your doctor , you can always go to someone else for a second opinion. Good luck and thanks for watching the videos.
@dr.fatimaqureshi9803 my doctor did all the tests (OCT and VF), he also checked my optic nerve and everything is fine. I am worried about glaucoma in the future. Should I use eye drops as a precaution? Plus are there any natural ways to lower eye pressure?
I have RA from which I realized in 2012, from 2015 i am having severe eye pain yearly once. Mostly it happens around august month. I need to diagnose it every year with doctor visit it goes away after troubling me for at least 2-3 weeks. Is there a permanent solution for this? Will this be serious in the future? Do I need to be more cautious?
@@johnmichael6566 hi this video is about scleritis which affects the eyes and it’s underlying cause could be an autoimmune disease if it’s recurrent . Is you’re having such symptoms in the eyes , I would recommend seeing your eye doctor and PCP/ rheumatologist
Hi Doctor, I had my eye lasik surgery 3 years back and my eye pressure is now 18 and 16 without adding any points. CCT is 492 and 497. Is it something to worry about? Is my pressure normal? It would be great if you reply
@@laibaharoon7543 hi lasik surgery is different . This video is about YAG laser surgery post cataract . your eye pressure seem fine , but with thinner cornea , it could be slightly higher . Do you always have iops in the same range ? Are your optic nerves large ? Do you have family history of glaucoma , do you have history of ocular hypertension ? These are questions that need to be answered and it’s best to see your local eye doctor . Also get tests such as OCT , VF etc .
@@dr.fatimaqureshi9803 hi, my optic nerves are completely fine and no history of anything that you mentioned. I never got my IOPs checked before but the doctor said that it would have been the same as I was highly myopic. Also how many points do doctors usually add in IOPs of thin corneas? My CCT is 492 and 497.
@@dr.fatimaqureshi9803 it means my IOPs are between 20-22mmhg. Are these okay or do I need to use drops to lower them? Plus are there any natural ways to reduce eye pressure?
Hello I have scleritis, been having this since November and havent gone away I have rhuematoid arthritis I have been having RA since I was 26 been on and off medication for RA now i have been put on hymiroz medication because the retina specialist said thats what will help with my scleritis so far have done 8 injections pens and have not seen a difference with my scleritis it's still there they told me usually takes 3 months to kick in is there anything that you can advise me.
@@Sandi14. so scleritis affects the sclera and if you have recurrent scleritis , it warrants attention immediately as I have mentioned in the video . Please get help in the form of steroid eye drops or even IV steroids if condition doesn’t get better . Get HLA markers checked again to pin point any other autoimmune disease . Immunomodulators is another treatment option . I hope that helps . Early treatment is extremely important for scleritis . It’s painful and can cause permanent vision loss if treatment is delayed . Hymitoz is adalimumab which is also used for RA , but if ur not showing improvement , it’s always good to go for other treatment options .
@@dr.fatimaqureshi9803 yes thank you so far this has been happening since November and I am also on steroids 10mg day they started me on a higher dose but they taper me down for now along with sulfasalazine and the hymiroz is what I'm taking for now it hasn't gone away I'm still checking up with the retina specialist and just really waiting to see medicine will start helping my RA doctor told me give it time before we switch to something else thank you
Dr Fatima Qureshi plz tell me about Slt Treatment is safe or not for glaucoma. If one eye vision loss coz of high pressure.. Aur dosri ankh ko bachany k liye Slt laser treatment sahi hei ? Its safe for eye vision ? Or surgery oprtae is safe ? Plz plz dr Fatima plz guide me plz .
I have an issue with my eyes . Every time I see your videos , my eyes seem to just get stuck on you. They don't blink and they don't look away. What should I do ? I hope you don't give me a heartbreaking prognosis !
Walecumassalam WR. I’m located in lafayette , LA USA . It’s an ophthalmology practice . Pls check the Facebook public page for address or google me . Thanks for watching the videos .
Dear doctor, i tested eyes for not able to read letters while getting near to eyes...but they also diagnosed narrow angle problem and said the opening is 1 mm and suggested yag pi.....may i know this procedure is necessary to me and also what precautions to be taken before doing the procedure and how much time it takes for this procedure...pls clarify
Dr. FatimabQureshi pls guide, my daughter is 8 years old. Her right eye is diagnosed with 360 degri corneal revascularization. Dr. Suggest conjuctiva grafting from fellow eye. A year befor her vision right eye 6/60 now 1.75. left eye is normal. Is there any risik invove. Dr. Said they will do it on trail basis. Seeking your help from Pakistan
Imran if the corneal neovascularization was from sleeping in contact lenses and if it’s really severe , to the point of losing vision, then yes corneal graft would be an option. Here in the US , I do amniotic membrane grafts first and see if it helps . So you can ask your doctor about those as well. Good luck with your daughter and thanks for watching the videos .
Mam Im from srilanka ,22 years I did my inner incision surgery of chalazion an 8 months back But my eye lid is drooped mam What can I do for it I can sense a tiny lump without pus inside I'm not sure but my eye lid is sag what can do for this Anything without surgery again? And my eye lid is uneven I think it has not shrink properly
Hi . You can try using oral antibiotic pills and see if the chalazion decreases in size . A chalazion can develop again even after surgery. I would suggest going back to your doctor and getting it checked again.
@@dr.fatimaqureshi9803Firstly thanks for reply madam. I had watched that video doctor. Can you suggest me suggestions what I have to do to make my eyes to look good with out any exotropia in my blind eye
Like I have mentioned in the strabismus video , you can do prisms or eye surgery for muscle issues. Depends on age when surgery can work unless it’s cosmetic procedure
Hi. depends on how long the walk is . The laser surgery requires only topical anesthetic so she will be fully alert , but I would still recommend “ taking it easy “ after the procedure . She will be okay to walk , but please don’t get her exhausted in NYC ! And yes sunglasses will def be needed - I recommend them at all times when outdoor .
I am terrified! To get laser. Why did she jump the first shot? Was it the sound or did she feel something? I’m so scared it’s terrifying to me to get surgery in the eye. I feel like for some reason I’m going to feel it in some way. Please someone tell me how I’m going to feel so I’m prepared. :(
Eyes are numbed fully with with drops . I didn’t see her jump :)) it’s the sound of the laser machine ur hearing . U will be fine and best of luck wherever you are getting it done. If ur still feeling anxious about the laser surgery , then I would recommend contacting your PCP and asking for a one time Valium Rx , half a pill 40 mins before getting the laser procedure works in calming down the patient .
No gloves required for this . Please read the protocols for this procedure on internet . Thanks for watching the video . Don’t forget to like , share and subscribe 😀
Yes this video is part of the series of amniotic membrane grafts for dry eyes . You can find them in the playlist . I agree with u , I should make one on the prognosis. Thanks for the suggestion . The patient is coming back for another follow up and I’ll try to make the prognosis video if my schedule permits. Sometimes it’s difficult to make even short videos in between seeing patients on busy days . But the patient is showing great improvement in both comfort and vision since we did this graft on her cornea. Thanks for watching the video
I’m glad you liked the video . I have to see the patient back for a follow up and from I heard , after visiting the ER , they took care of everything including the brain scans I ordered , spinal tap and meds if needed .
Is it safe and have any side effects? One doctor has told me that you should get the YAG laser done And A doctor said that your lens is crooked what should I do now Please answer my question
I have exotropia in my left eye and it's vision is also blur. I took online video consultation with a doctor and he told me that if I use prism glasses so my both eyes will look straight. Kindly tell me is he right that if I use prism for left eye in glasses so my eyes will look straight or not?
@@dr.fatimaqureshi9803 i don't have any double vision problem. I just have exotropia in my left eye and the vision is also low in my left eye. So do you agree that wearing prism glasses can make my eyes look straight and also please let me know that can this be the permanent solution for lifetime? And who can make prism glasses like can a normal glasses shop make prism glasses?
