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In acute angle-closure glaucoma cases, surgical iridectomy has been superseded by Nd:YAG laser iridotomy, because the laser procedure is much safer. Opening the globe for a surgical iridectomy in a patient with high intraocular pressure greatly increases the risk of suprachoroidal hemorrhage , with potential for associated expulsive hemorrhage .
A laser peripheral iridotomy (LPI) is the application of a laser beam to selectively burn a hole through the iris near its base. LPI may be performed with either an argon laser or Nd:YAG laser. [6] [7] There is currently no sufficient evidence to show any benefit on the use of iridotomy versus no iridotomy to slow down visual field loss.
Plateau iris is a medical condition of the eye resulting from anterior displacement of the peripheral iris by the ciliary body, causing angle closure glaucoma. First line treatment for all causes of narrow angle glaucoma is laser iridotomy.
Slit lamp photograph of posterior capsular opacification visible a few months after implantation of intraocular lens in eye, seen on retroillumination. Nd:YAG lasers are used in ophthalmology to correct posterior capsular opacification, [6] after cataract surgery, for peripheral iridotomy in patients with chronic [7] and acute angle-closure glaucoma, [8] where it has largely superseded ...
Laser peripheral iridotomy has high efficacy in the treatment of pigmentary glaucoma. Argon laser trabeculoplasty is effective in the management of corticosteroid and pigmentary glaucoma. [ 2 ] However, this is often contraindicated due to high rates of failure in patients with uveitic glaucoma. [ 6 ]
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Nd:YAG laser peripheral iridotomy (LPI) may be used in patients susceptible to or affected by angle closure glaucoma or pigment dispersion syndrome. During laser iridotomy, laser energy is used to make a small, full-thickness opening in the iris to equalize the pressure between the front and back of the iris, thus correcting any abnormal ...
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