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ISSN 1684-1824 (Electronic)

2015, Number 6

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Rev Méd Electrón 2015; 37 (6)

Effectiveness of the Nd: YAG laser iridectomy in glaucoma caused by primary angle closing

López LN, Darias RG, Cabrera AMA, Herrera HN, González DRI

Language: Spanish
References: 30
Page: 559-569
PDF size: 62.98 Kb.


ABSTRACT

Background: glaucoma management includes the opportune surgical decision. Laser iridectomy could be a surgical solution, or may be used as prophylaxis of an acute event that could lead to blindness.
Aim: describing the Nd:YAG laser iridectomy effectiveness in patients with glaucoma caused by primary angular closing.
Materials and methods: we carried out a longitudinal, prospective, descriptive study. The universe was formed by 36 eyes subjected to peripheral iridectomy with Nd:Yag laser, in the Teaching Clinic Surgical Hospital “Comandante Faustino Pérez Hernández”, from January 2014 until January 2015.
Outcomes: all the eyes showed central anterior camera depths less than 2.5 mm. In the post-surgery period, depth improved in 58.3 % of the cases. Pre-surgery goniometry showed up to the anterior trabecula in 66.7% of the cases, and 6 eyes (16.7%) presented totally closed angles. In the post-surgery period, 66.7% of the eyes showed up to sclerar spur or band. 14 eyes (38.9%) answered to the procedure without any other treatment, all of them with diagnosis according to the procedure of chance assignation; the rest needed any other extra therapy.
Conclusions: it was showed that iridectomy is a choice procedure in cases of glaucoma caused by primary angular closure, but its effectiveness is limited.


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