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To Study the Efficacy of Laser Peripheral Iridoplasty in the Treatment of Eyes With Primary Angle Closure and Plateau Iris Syndrome, Unresponsive to Laser Peripheral Iridotomy, Using Anterior-Segment OCT as a Tool
摘要: The article discusses the efficacy of laser peripheral iridoplasty (LIP) in treating eyes with primary angle closure and plateau iris syndrome, unresponsive to laser peripheral iridotomy (LPI), using anterior-segment OCT as a tool. It highlights the importance of angle anatomy in the pathomechanism of primary angle closure glaucoma and the role of ASOCT in providing an objective picture of angle structures over time and after interventions. The study was conducted on 100 eyes of primary angle closure randomized to undergo either LPI or LPI plus LIP, with results showing significant IOP lowering in the LIP group, especially in eyes with appositional closure and synechiae <180 degrees.
关键词: intraocular pressure,plateau iris syndrome,primary angle closure,anterior-segment OCT,laser peripheral iridoplasty
更新于2025-09-16 10:30:52
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Intra-operative ASOCT determined changes in angle recess in plateau iris syndrome post phaco alone and post phaco-endocycloplasty
摘要: Cataract surgery alone is known to be beneficial in angle closure glaucoma with more than modest intraocular pressure (IOP) reduction and widening of the anterior chamber angle (ACA). However, this may not be true in all mechanisms of angle closure and persistence of plateau is known to occur in plateau iris syndrome (PIS). Of the currently available surgical modalities, only the combination of endocycloplasty with phaco (phaco-ECPL) is capable of delivering an anatomic change in the angle in PIS. We propose to demonstrate change in angle recess via intra-operative anterior segment optical coherence tomography (iASOCT) during phaco-endocycloplasty, post phaco alone and subsequently post phaco-ECPL. Until recently, iASOCT was synonymous with lamellar keratoplasty and iOCT with retinal surgery, but its use in the anterior segment is constantly evolving.
关键词: Anterior chamber angle,Intra-operative ASOCT,Phaco-endocycloplasty,Plateau iris syndrome
更新于2025-09-10 09:29:36