| Effectiveness of Argon Laser Peripheral Iridoplasty in the Treatment of Severe Acute Angle-Closure Glaucoma. |
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Sung Min Hyung, Jin Pae Min |
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Department of Ophthalmology, College of Medicine, Chungbuk National University, Cheongju, Korea. |
| 약물치료가 실패한 급성녹내장 환자에서 레이저주변홍채성형술의 효과 |
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형성민(Sung Min Hyung),민진배(Jin Pae Min) |
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| Abstract |
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We used argon laser peripheral iridoplasty to reduce intraocular pressure[IOP] in acute angle-closure glaucoma[ACG] which is unrelieved by medical and physical treatments and could not be treated by peripheral iridotomy due to edematous cornea and turbid aqueous. Eight of 16 eyes [16 patients] were successfully treated. These successfully treated eyes had a mean duration of angle closure of 4.1 days and 8 unsuccessfully treated eyes 9.2 days. The 6 eyes of 8 eyes with successful reduction of IOP after argon laser peripheral iridoplasty were treated peripheral iridotomy at average 1.7 day later and had deep anterior chamber. After a mean follow-up period of 2 months, 7 of these 8 successfully treated eyes had an IOP less than or equal to 21mmHg. Argon laser pripheral iridoplasty may be successful in treating ACG which is unrelieved by medical and physical treatments and could not be treated by pripheral iridotomy, especially in cases that are recognized and treated soon after onset. |
| Key Words:
Argon laser peripheral iridoplasty;Acute attack;Angle-closure glaucoma |
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