What laser is used for peripheral iridotomy?

What laser is used for peripheral iridotomy?

Iridotomy can be accomplished using the photodisruptive Q-switched Nd:YAG laser (Nd:YAG) or the photo-thermal Nd:YAG-KTP 532 nm (which is still often called Argon laser) and solid-state lasers.

When do you refer to laser peripheral iridotomy?

When to refer. An LPI should be performed whenever evidence of previous or current angle closure exists. Ideally, it is performed prior to the development of acute or chronic IOP elevation and VF loss.

When is LPI indicated?

When is LPI indicated? Laser peripheral iridotomy is generally recommended for patients with narrow angles, narrow angle glaucoma, or acute angle closure glaucoma.

Is laser iridotomy really necessary?

It is recommended in eyes which have the angle closed for at least half the eye and have high eye pressure or glaucoma. In eyes which have a closed angle but normal eye pressure and no optic nerve damage, laser iridotomy may be recommended as a preventive treatment.

Is there an alternative to laser peripheral iridotomy?

Alternatives to Peripheral Iridotomy Surgery. Alternatives to laser iridotomy include a surgical iridectomy in which an incision is made in the eye to remove a portion of the iris. Surgical iridectomy has more significant risks than laser iridotomy and is rarely used anymore.

When did they start using laser iridotomy for glaucoma?

Thanks for emailing that article! Laser peripheral iridotomy is the standard first-line treatment in closed angle glaucoma and eyes at risk for this condition. It has been used since 1984 both as treatment and prevention of the disease.

What are the risks of laser iridotomy in the eye?

Possible risks include, rise in eye pressure, bleeding at the laser site, and inflammation; these are usually temporary. Closure of the iridotomy may occur, requiring retreatment. Extra visual images including bright lights or flashes, or double vision in the treated eye, may rarely occur. 8.

What kind of test is done for laser iridotomy?

It contains the trabecular meshwork, which is the main structure that directs fluid out of the eye. The angle can be examined with a test called gonioscopy, which is done by the eye doctor in the office.