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Abstract #23027 Published in IGR 11-1

Clinical observation on laser peripheral iridectomy treatment for early stage angle-closure glaucoma

Li X-H; Zheng R; Feng Y-F
International Journal of Ophthalmology 2008; 8: 2128-2129


AIM: Clinical observation on laser pheripheral iridectomy treatment for angle-closure glaucoma and the complications. METHODS: Twenty patients (25 eyes) were diagnosed by angle-closure glaucoma, of them, 22 eyes was at early clinical stage and 3 eyes at intermittent stage. Nd: YAG laser singe pulse launch was performed on the middle of iris periphery. Following-up time was for 3-12 months, and the clinical effect and complications were observed. RESULTS: All 25 eyes was finished in one time (success rate 100%). Iris inflammation reaction was found in all the patients after operation, in which 5 eyes rose the intraocular pressure (IOP) within 1-3 hours, 4 eyes were presented anterior chamber bleeding, and 1 eye had epithelial damage in the cornea. All the complications disappeared within 1-3 days. The complications such as crystalline turbid, hole obstruction were not found. Peripheral anterior chamber and chamber anger were got wide and IOP < 18mmHg. CONCLUSION: Nd: YAG laser peripheral iridectomy is a safe and effective method to treat angle-closure glaucoma, especially for the patients at early stage. It is suitable for primary hospitals. LA: Chinese

Dr. X.-H. Li, Department of Ophthalmology, Beijing Daxing District Hongxing Hospital, Beijing 100076, China. lixianhua0515@163.com


Classification:

12.2 Laser iridotomy (Part of: 12 Surgical treatment)



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