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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Autores principales: Nakabayashi S, Kawai M, Yamaguchi T, Yoshida A
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Lenguaje:EN
Publicado: Dove Medical Press 2014
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Nakabayashi S
Kawai M
Yamaguchi T
Yoshida A
Patency of small laser iridotomy evaluated using anterior-segment optical coherence tomography
description 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
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