advertisement
OBJECTIVE: To observe the change of anterior chamber angle with middle and later stage of closure angle glaucoma after modified argon laser peripheral iridoplasty. METHODS: Thirty-four eyes of 20 cases with middle and later stages of angle-closure glaucoma, including plateau-iris glaucoma and iris bombe glaucoma with angle closure of 270-360° on Goldmann gonioscopy. All cases were treated using modified argon laser peripheral iridoplasty with low power, oblique and inaccurate focus big photocoagulation spot. The follow-up period was six to 24 months. Of these cases, 26 eyes (14 cases) were followed-up > 12 months. RESULTS: Postoperatively, the intraocular pressure (IOP) in 26 eyes (15 cases) was ≤ 21 mmHg (76.47%); 28 eyes (82.35%) appeared to have a deeper peripheral chamber and improved goniosynechia or the anterior chamber angle had reopened. There were few postoperative complications. CONCLUSION: Modified argon laser peripheral iridoplasty is an effective method for treatment of the middle and later stages of angle-closure glaucoma.LA: Chinese
Dr. N. Du, Department of Ophthalmology, G. Z. Auton. Regl. People's Hospital, Nanning 530021, China. Doctorcq@ZICN.com
12.3 Laser iridoplasty (Part of: 12 Surgical treatment)