RUTLEDGE: When Eye Surgery by Optometrists Goes Wrong - My Story - NH Journal

Why are we doing YAG on a 20/20 eye? Seems odd.

But putting that aside.....no medical intervention, not even brushing your teeth is without some risk.

So what is the rate of YAG complications for ODs vs ophthalmologists? That's the only question that should be answered.
 
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Why are we doing YAG on a 20/20 eye? Seems odd.

But putting that aside.....no medical intervention, not even brushing your teeth is without some risk.

So what is the rate of YAG complications for ODs vs ophthalmologists? That's the only question that should be answered.
It is not unheard of that when doing a YAG or SLT on a laser that does both, the settings are not at what laser application is needed for the procedure at hand. One of the risks of having a dual-purpose laser. It has happened to OMD's as well, of course.
 
From the link:
At my evaluation, my right eye had 20/20 vision as noted by the optometrist who performed a YAG capsulotomy on that eye the same day. During the surgery, I sensed things weren’t going well based on the optometrist’s body language and reactions, but did not say anything because my optometrist was a “doctor” with nearly 25 years of experience. I trusted her to perform the surgery, which was explained as being a quick, in-office procedure.

I went home with a patch on my eye, which is not typical, and the next day, when I removed the patch as instructed, I saw a large black area in the center of my vision. I went back to the same optometrist and was told that I had to see a retina specialist, who diagnosed damage to the macula, the center of my retina. I was told that my condition was untreatable and permanent.

My vision was now 20/500 in the right eye that had been 20/20 days before, and my central vision from that eye is permanently gone.

Subsequently, I had cataract surgery on my left eye and things went well for four months until I unfortunately suffered a retinal detachment in my left eye to go along with the permanently poor vision in my right eye. I underwent surgery to repair the retinal detachment, but unfortunately, I now have 20/400 vision in my left eye, leaving me legally blind in both eyes.
I’ve never done a YAG Capsulotomy, but I’ve co-managed plenty and have never heard of anything like this. What exactly happened here? Did the LASER somehow hit the macula? How could that happen? It’s focused on the posterior capsule, right? And why would you ever patch someone after a YAG Capsulotomy? Is a gonio lens used? Maybe there was a cornea abrasion?