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AIM: To observe the efficacy and complications of DF (doubling frequency) Nd:YAG laser combined with YAG laser iridectomy for acute ACG (angle-closure glaucoma). METHODS: A total of 105 cases included 91 pre-clinical, 32 precursor period and 46 intermittent period. First the specific iris layer to be penetrated was fired by the DF Nd:YAG laser, and then was penetrated by YAG laser. Patients were followed up for 12 months, and the efficacy and complications were observed. RESULTS: A temporary increase occured in intraocular pressure, 1-6 hours after surgery, after 24 hours intraocular pressure decreased, iris pores were unblocked and angle open, and partial opacity lens in iris hole occurred in 3 eyes. CONCUSION: The DF Nd:YAG laser combined with YAG laser peripheral iridotomy can prevent acute onset of ACG safely and effectively. LA: Chinese
C.-Y. Feng. Department of Ophthalmology, Panzhihua College, Panzhihua 617000, Sichuan Province, China. fengchunyang@yahoo.com.cn
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)