Patency of small laser iridotomy evaluated using anterior-segment optical coherence tomography
Seigo Nakabayashi, Motofumi Kawai, Toru Yamaguchi, Akitoshi Yoshida Department of Ophthalmology, Asahikawa Medical University, Asahikawa, Japan Abstract: We report the case of a patient with recurrent acute angle-closure glaucoma who had undergone a previous laser iridotomy. Because the initial ir...
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Dove Medical Press
2014
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oai:doaj.org-article:e8855bfd03c8485c8fb0938eee9cbe7f2021-12-02T06:09:36ZPatency of small laser iridotomy evaluated using anterior-segment optical coherence tomography1177-5483https://doaj.org/article/e8855bfd03c8485c8fb0938eee9cbe7f2014-03-01T00:00:00Zhttp://www.dovepress.com/patency-of-small-laser-iridotomy-evaluated-using-anterior-segment-opti-a16181https://doaj.org/toc/1177-5483 Seigo Nakabayashi, Motofumi Kawai, Toru Yamaguchi, Akitoshi Yoshida Department of Ophthalmology, Asahikawa Medical University, Asahikawa, Japan Abstract: We report the case of a patient with recurrent acute angle-closure glaucoma who had undergone a previous laser iridotomy. Because the initial iridotomy was small, patency could not be determined by slit-lamp examination. Therefore, anterior-segment optical coherence tomography was used to evaluate the patency. Cross-sectional images showed the presence of a membrane with an anterior bowing configuration at the base of the iridotomy, suggesting that recurrent pupillary block was the causative mechanism. A repeat laser iridotomy was performed, with a resultant decrease in the intraocular pressure and widening of the anterior chamber angle. Anterior-segment optical coherence tomography may be helpful to confirm the status of a laser iridotomy, especially when the iridotomy is small. Keywords: anterior-segment optical coherence tomography, laser iridotomy, acute angle-closure glaucomaNakabayashi SKawai MYamaguchi TYoshida ADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 595-597 (2014) |
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Ophthalmology RE1-994 Nakabayashi S Kawai M Yamaguchi T Yoshida A Patency of small laser iridotomy evaluated using anterior-segment optical coherence tomography |
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Seigo Nakabayashi, Motofumi Kawai, Toru Yamaguchi, Akitoshi Yoshida Department of Ophthalmology, Asahikawa Medical University, Asahikawa, Japan Abstract: We report the case of a patient with recurrent acute angle-closure glaucoma who had undergone a previous laser iridotomy. Because the initial iridotomy was small, patency could not be determined by slit-lamp examination. Therefore, anterior-segment optical coherence tomography was used to evaluate the patency. Cross-sectional images showed the presence of a membrane with an anterior bowing configuration at the base of the iridotomy, suggesting that recurrent pupillary block was the causative mechanism. A repeat laser iridotomy was performed, with a resultant decrease in the intraocular pressure and widening of the anterior chamber angle. Anterior-segment optical coherence tomography may be helpful to confirm the status of a laser iridotomy, especially when the iridotomy is small. Keywords: anterior-segment optical coherence tomography, laser iridotomy, acute angle-closure glaucoma |
format |
article |
author |
Nakabayashi S Kawai M Yamaguchi T Yoshida A |
author_facet |
Nakabayashi S Kawai M Yamaguchi T Yoshida A |
author_sort |
Nakabayashi S |
title |
Patency of small laser iridotomy evaluated using anterior-segment optical coherence tomography |
title_short |
Patency of small laser iridotomy evaluated using anterior-segment optical coherence tomography |
title_full |
Patency of small laser iridotomy evaluated using anterior-segment optical coherence tomography |
title_fullStr |
Patency of small laser iridotomy evaluated using anterior-segment optical coherence tomography |
title_full_unstemmed |
Patency of small laser iridotomy evaluated using anterior-segment optical coherence tomography |
title_sort |
patency of small laser iridotomy evaluated using anterior-segment optical coherence tomography |
publisher |
Dove Medical Press |
publishDate |
2014 |
url |
https://doaj.org/article/e8855bfd03c8485c8fb0938eee9cbe7f |
work_keys_str_mv |
AT nakabayashis patencyofsmalllaseriridotomyevaluatedusinganteriorsegmentopticalcoherencetomography AT kawaim patencyofsmalllaseriridotomyevaluatedusinganteriorsegmentopticalcoherencetomography AT yamaguchit patencyofsmalllaseriridotomyevaluatedusinganteriorsegmentopticalcoherencetomography AT yoshidaa patencyofsmalllaseriridotomyevaluatedusinganteriorsegmentopticalcoherencetomography |
_version_ |
1718400085024309248 |