Type of Surgery
Information
Last updated: 11/24/2009
BOOKS
Albert, Daniel M., M.D. Ophthalmic Surgery Principles and Techniques. Oxford, England: Blackwell Science, 1999.
Albert, Daniel M., M.D. Principles and Practice of Ophthalmology, 2nd ed. Philadelphia,...
PA: W. B. Saunders Company, 2000.
Azuara-Blanco, Augusto, M.D, Ph.D., et. al. Handbook of Glaucoma. London, England: Martin Dunitz Ltd, 2002.
Kanski, Jack J. M. D., et. al. Glaucoma A Colour Manual of Diagnosis and Treatment. Oxford, England: Butterworth-Heinemann, 1996.
Ritch, Robert, M. D., et. al. The Glaucomas. St. Louis, MO: 1996.
PERIODICALS
Breingan, Peter J. M. D., et. al. "Iridolenticular Contact Decreases Following Laser Iridotomy For Pigment Dispersion Syndrome."Archives of Ophthalmology 117 (March 1999): 325-28.
Brown, Reay H.,M. D., et. al. "Glaucoma Laser Treatment Parameters and Practices of ASCRS Members–1999 Survey."Journal of Cataract and Refractive Surgery 26 (May 2000): 755-65.
Nolan, Winifred P., et. el. "YAG Laser Iridotomy Treatment for Primary Angle Closure in East Asian Eyes."British Journal of Ophthalmology 84 (2000): 1255-59.
Wu, Shiu-Chen, M. D., et. al. "Corneal Endothelial Damage After Neodymium: YAG Laser Iridotomy."Ophthalmic Surgery and Lasers 31 (October 2000): 411-16.
OTHER
"Narrow Angle Glaucoma and Acute Angle Closure Glaucoma."
"Laser Iridotomy and Iridoplasty."
"Lasers in the Treatment of Anterior Segment Disorders."
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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.
Other Information
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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