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Abstract #23454 Published in IGR 11-2

Laser contribution in angle closure glaucoma

El Afrit MA; Trojet S; Mazlout H; Ali SB; Kammoun H; Hamdouni M; Kraiem A
Tunisie Medicale 2008; 86: 564-566


BACKGROUND: A better understanding of angle-closure glaucoma mechanisms is necessary to indicate the appropriate treatment. AIM: the aim of our study is to discuss the laser indication in various type of angle-closure glaucoma. METHODS: The study investigate 25 eyes of 22 patients who had an angle-closure glaucoma. The mechanisms are an anterior chamber angle blockage in 19 eyes, a plateau iris structure in 4 eyes and a nanophthalmos in 2 eyes. RESULTS: Laser peripheral iridotomy is the most used technic; it was practised in 19 eyes. Argon laser iridoplasty was practised in 4 cases of plateau iris structure and in 2 patients who had a residual angle closure with a functional iridotomy. CONCLUSION: Laser is an effective alternative in the treatment of angle-closure glaucoma and can alleviate the need for high-risk filtering surgery. LA: French

M.A. El Afrit. Service d'Ophtalmologie, Hopital Habib Thameur, Tunis.


Classification:

9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
9.3.3 Plateau iris syndrome (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.2 Laser iridotomy (Part of: 12 Surgical treatment)
12.3 Laser iridoplasty (Part of: 12 Surgical treatment)



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