Type of Surgery
Information

Last updated: 11/24/2009
The purpose of a laser iridotomy is to allow an equalization of pressure between the anterior (front) and posterior (back) chambers of the eye by making a hole in the superior peripheral iris. Once the laser iridotomy is completed, the intraocular...
fluid flows freely from the posterior to the anterior part of the eye, where it is drained via the trabecular meshwork. The result of this surgery is a decrease in IOP.
When laser iridotomy is performed on patients with chronic angle closure, or on patients with narrow angles with no history of angle closure, the chances of future pupillary blocks are decreased.
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Any object that we see is a collection of light energy focused on the retina. The lens of the eye helps us see near and far things equally well. This animation describes how the lens of the eye changes to accommodate and focus light.
Normally intraocular fluid flows freely between the anterior and posterior sections of the eye (A). As pressure builds in the eye, this circulation is cut off (B). In laser iridotomy, a special lens is placed on the eye (C). A laser is used to create a hole in part of the iris (D), allowing fluid to flow more normally and intraocular pressure to return to normal (E). (Illustration by GGS Inc.)
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Other Information
Laser iridotomy is a surgical procedure that is performed on the eye to treat angle closure glaucoma, a condition of increased pressure in the front chamber (anterior chamber) that is caused by sudden (acute) or slowly progressive (chronic) blockage of the normal circulation of fluid within the eye. The block occurs at the angle of the anterior chamber that is formed by the junction of the cornea with the iris. All one needs to do to see this angle is to look at a person's eye from the side. Angle closure of the eye occurs when the trabecular meshwork, the drainage site for ocular fluid, is blocked by the iris. Laser iridotomy was first used to treat angle closures in 1956. During this procedure, a hole is made in the iris of the eye, changing its configuration. When this occurs, the iris moves away from the trabecular meshwork, and proper drainage of the intraocular fluid is enabled.
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Surgeons aim for results of 20/20 or better so that you can perform most daily activities without your glasses. However, there is a possibility that after surgery, you may need to wear reading glasses or corrective lenses for at least some activities.
-Eye Surgery Education Council
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