A comparative study of the IOP outcomes after treatment of Angle closure by Nd: YAG laser iridomy with a follow up period of 6 months
Journal Title: Medpulse International Journal of Ophthalmology - Year 2018, Vol 5, Issue 2
Abstract
Background: primary angle closure Glaucoma is one of the leading cause of blindness worldwide, disproportionately affecting women and Asians. Glaucoma is ranked as the leading cause of irreversible blindness worldwide by the World Health Organization. Aims and Objectives :To study the IOP outcomes after treatment of Angle closure by Nd : YAG laser iridomy with a follow up period of 6 months. Methodology: This prospective study carried out at Dr. B. R. A. M. Hospital, Raipur, in the Duration from October-2010- October-2011. Patients attending Eye OPD and admitted and seeking intervention at Dr. B. R. A. M. Hospital, Raipur with angle closure underwent Nd:YAG laser iridotomy when required.Patients with acute attack were treated with anti-glaucoma medications and Nd:YAG laser iridotomy was only done when IOP was lowered and the cornea cleared. The statistical analysis was done by SPSS 19 version software. Result: Maximum number of patients was in the age group of 51-60 years, 45.4%. Minimum number of patients were in the age group of >71 years, 9.1%.A higher incidence (79.5%) was seen among the female population in this study.31 of 44 eyes which had a initial pre-laser Shaffer’s grade 0-I improved to grade III by the end of 6 month follow up. Remaining 13 cases were unsuccessful in opening the angle and had to undergo subsequent trabeculectomy. There was a difference of 8.21 mmHg in IOP after a period of 1 month post Nd-YAG iridotomy and a difference of 9.17 mmHg after a period of 6 months. This decreasing trend over the period of 6 month was statistically significant analyzed by ANOVA test (p<0.0054, F=30.174). Conclusion: It can be concluded from our study that Nd-YAG iridotomy was found highly successful in lowering the intraocular pressure (IOP) after six month follow up period.
Authors and Affiliations
Sunny Wadhwani, M L Garg
Keywords
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- DOI 10.26611/1009525
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A comparative study of the IOP outcomes after treatment of Angle closure by Nd: YAG laser iridomy with a follow up period of 6 months
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