Dilated, Miotic-Resistant Pupil and Laser Iridotomy in Primary Angle-Closure Glaucoma
作者:
Yong Yeon Kim,
Hai Ryun Jung,
期刊:
Ophthalmologica
(Karger Available online 1997)
卷期:
Volume 211,
issue 4
页码: 205-208
ISSN:0030-3755
年代: 1997
DOI:10.1159/000310790
出版商: S. Karger AG
关键词: Dilated pupil;Fixed pupil;Miotic-resistant pupil;Laser iridotomy;Primary angle-closure glaucoma;Peripheral anterior synechiae;Creeping angle closure
数据来源: Karger
摘要:
We analyzed 22 eyes with primary angle-closure glaucoma that underwent initial laser iridotomy to determine which factors could lead to subsequent trabeculectomy. Twenty-two eyes were divided into two groups: (1) the eyes in which intraocular pressure (IOP) could be controlled by iridotomy and/or topical medication (iridotomy success group, 15 eyes) and (2) the eyes that underwent trabeculectomy to control IOP in spite of a patent opening (iridotomy failure group, 7 eyes). The clinical variables between the two groups were analyzed. Age, sex, visual field defect, presenting IOP and cup/disk ratio were not significantly different between the iridotomy success and failure groups. However, presence of peripheral anterior synechiae (PAS) greater than 50% was found more frequently in the iridotomy failure group as compared with the iridotomy success group (4/7 vs. 1/15, p = 0.02). Dilated, miotic-resistant pupils were observed only in the iridotomy failure group (4/7 vs. 0/15, p = 0.004). PAS greater than 50% and dilated, fixed pupils were observed in these same cases (4 eyes). Our results suggest that laser iridotomy may not be helpful in cases with dilated and miotic-resistant pupils with formation of extensive PAS.
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