Long-term Intraocular Pressure Outcome after Successful Laser Iridotomy for the Acute Primary Angle-closure Glaucoma.
- Author:
Jin Ho CHUNG
1
;
Jong Seok PARK
;
Young In CHOI
Author Information
1. Department of Ophthalmology, Eulji University College of Medicine, Seoul, Korea. pjs4106@eulji.or.kr
- Publication Type:Original Article
- Keywords:
Acute primary angle-closure glaucoma;
Intraocular pressure;
Laser peripheral iridotomy;
Long-term outcome
- MeSH:
Follow-Up Studies;
Glaucoma, Angle-Closure*;
Humans;
Intraocular Pressure*;
Retrospective Studies;
Risk Factors;
Trabeculectomy
- From:Journal of the Korean Ophthalmological Society
2003;44(5):1102-1106
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the long-term outcome of intraocular pressure (IOP) after successful laser peripheral iridotomy in the eyes with acute primary angle-closure glaucoma. METHODS: Retrospective study of 45 eyes of 40 consecutive patients with acute primary angle-closure glaucoma was performed. After successful laser peripheral iridotomy, the subsequent long-term (at least 6 months) IOP outcome was analyzed. Re-elevation of IOP on follow-up was defined as IOP greater than 21 mmHg requiring medications or surgery. RESULTS: Thirty-two eyes (71.1%) of 45 eyes were successfully treated without additional treatment in the long-term follow-up. However, re-elevation of IOP developed in 13 eyes (28.9%) on follow-up, of which 5 eyes (11.1%) eventually underwent trabeculectomy. Sex and age of the patient, duration of acute symptoms and level of IOP were not the risk factors. CONCLUSIONS: Although the laser peripheral iridotomy has been known to be effective in initial treatment of acute primary angle-closure glaucoma, close monitoring of IOP is recommended in the long-term follow-up.
