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Abstract #23654 Published in IGR 11-2
The importance of Nd:YAG laser iridotomy in the therapy of the closed angle glaucoma
Paunovic S; Stankovic Z; Paunovic MSerbian Journal of Experimental and Clinical Research 2008; 9: 31-33
The final goal of the survey was to make a comparison between the efficiency of the drug, surgical and laser-wise treatment in patients with PACG in order to reach: a) normalization of IOP, b) maintaining the useful visual sharpness, c) stabilization of optic nerve papilla, and d) stabilization of visual field deterioration. The patients treated at the Clinic for Eye Diseases of the Clinical Hospital Centre in Kragujevac in the period from June 1, 2004 until June 1, 2006. There were 81 patients in total, diagnosed with PACG who had been selected for this study. They were treated with: 1) medication, 2) Nd: YAG laser iridotomy and 3) operation. Ophthalmology check-ups have been introduced every one to three months, the vision field being tested twice a year. During the monitoring period of 24 months, no statistically significant difference occurred in terms of changes of the visual sharpness among the three groups of examinees. The best IOP regulation was achieved after a laser treatment (45%), followed by a surgical treatment (35%) while the weakest was recorded in patients treated with medication (20%). The percentage of the visual field loss was the biggest in patients treated with medication (55%), and then in those treated with the laser (25%) while the least one occurred in patients with the surgical treatment (20%). In the laser-treated group of 51 patient, the frequency of complications was 19, 6%, while out of 30 patients who had been surgically treated, the frequency of complications was 20%. The laser iridotomy was proved to be efficient in 80, 4% of patients with PACG, while the non-reactive were subjected to trabeculectomy. Apart from the great efficiency of the Nd:YAG laser iridotomy in regulating IOP in patients suffering from PACG, the advantages of this method lie in outpatient departments' maneuvering, local anesthetic, being easy to bear and short performance time.
S. Paunovic. Clinic of Ophthalmology, Clinical Center Kragujevac, Zmaj Jovina 30, 34000 Kragujevac, . mpaunovic@ptt.yu
Classification:
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.2 Laser iridotomy (Part of: 12 Surgical treatment)