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Date Published: 26/04/2022
Abstract Views: 685
Views PDF: 131
DOI: https://doi.org/10.51298/vmj.v512i2.2282
Issue
Vol. 512 No. 2 (2022)
Section
Các bài báo
How to Cite
Tấn, Đỗ, & Văn Cường, N. (2022). COMPLICATIONS OF ND.YAG LASER IRIDOTOMY AND ARGON LASER PERIPHERAL IRIDOPLASTY IN TREATMENT OF RESPONSIVE ACUTE PRIMARY ACUTE CLOSURE GLAUCOMA. Vietnam Medical Journal, 512(2). https://doi.org/10.51298/vmj.v512i2.2282

COMPLICATIONS OF ND.YAG LASER IRIDOTOMY AND ARGON LASER PERIPHERAL IRIDOPLASTY IN TREATMENT OF RESPONSIVE ACUTE PRIMARY ACUTE CLOSURE GLAUCOMA

Đỗ Tấn1,, Nguyễn Văn Cường2
1 Central Eye Hospital
2 Military Hospital 103, Vietnam Military Medical University

Main Article Content

Abstract

Objectives: To evaluate the complications of Nd YAG laser iridotomy and argon laser peripheral iridoplasty for responsive acute PACG. Patients and Methods: 39 eligible eyes were recruited into the study from 3 centers: Vietnam National Eye Hospital, Ha Dong Eye Hospital and Eye department of 103 Military Hospital from 1/2018 to 11/2019. Results: All of 39 eyes achieved good results with 100% IOP control after 1 year of follow-up. However, there was a few complications occurred. Hyphema occured in 3 eyes (8.5%) mainly mild (2/3 eyes) that happened more commonly when laser was performed in thick iris (100%). Peripheral corneal burns occurred in 8 eyes (22.8%), of which 2 cases due to iridectomy and 8 cases related with iridoplasty. It is more often in the shallow anterior chamber (<2 mm) (100%) and laser was performed close to the base of the iris (100%). IOP measured 24 hours after the procedure was 21.1±3.65 (16-25mmHg), that increased on average 5.88±3.27mmHg (3-7mmHg) and increased more remarkably in the group of eyes with thick iris (75%). Anterior uveitis occurred in 9/35 eyes (25.7%), at mild cell level (+), completely improved after 5.43±2.06 (3-6 days), it is more often on eyes with thick iris (75%). Occlusion of the peripheral iridotomy occurred in 3/35 eyes (8.5%), it is more in the group of eyes with thick iris pigment (100%) and small iridotomy < 150µm (100%). From week 3, additional laser to small iridotomy helped to get good results. Conclusion: Nd: YAG laser peripheral iridectomy in combination with argon laser iridoplasty is quite safety method, although there is a certain rate of complications, which were mild and can be easily treated without affecting to the final result.

Article Details

Keywords

ACAG, laser peripheral iridotomy, Iridoplasty, complications

References

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