Long-term Intraocular Pressure Outcome after Successful Laser Iridotomy for the Acute Primary Angle-closure Glaucoma
Journal of the Korean Ophthalmological Society
;
: 1102-1106, 2003.
Article
in Korean
| WPRIM
| ID: wpr-159438
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Trabeculectomy
/
Glaucoma, Angle-Closure
/
Retrospective Studies
/
Risk Factors
/
Follow-Up Studies
/
Intraocular Pressure
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2003
Type:
Article
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