Dilated, Miotic-Resistant Pupil and Laser Iridotomy in Primary Angle-Closure Glaucoma

Yong Yeon Kim, Hai Ryun Jung

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

We analyzed 22 eyes with primary angle-closure glaucoma that underwent initial laser iridotomy to determine which factors could lead to subsequent trabeculectomy. Twenty-two eyes were divided into two groups: (1) the eyes in which intraocular pressure (IOP) could be controlled by iridotomy and/or topical medication (iridotomy success group, 15 eyes) and (2) the eyes that underwent trabeculectomy to control IOP in spite of a patent opening (iridotomy failure group, 7 eyes). The clinical variables between the two groups were analyzed. Age, sex, visual field defect, presenting IOP and cup/disk ratio were not significantly different between the iridotomy success and failure groups. However, presence of peripheral anterior synechiae (PAS) greater than 50% was found more frequently in the iridotomy failure group as compared with the iridotomy success group (4/7 vs. 1/15, p = 0.02). Dilated, miotic-resistant pupils were observed only in the iridotomy failure group (4/7 vs. 0/15, p = 0.004). PAS greater than 50% and dilated, fixed pupils were observed in these same cases (4 eyes). Our results suggest that laser iridotomy may not be helpful in cases with dilated and miotic-resistant pupils with formation of extensive PAS.

Original languageEnglish
Pages (from-to)205-208
Number of pages4
JournalOphthalmologica
Volume211
Issue number4
DOIs
Publication statusPublished - 1997 Jan 1

Fingerprint

Miotics
Angle Closure Glaucoma
Pupil
Lasers
Intraocular Pressure
Trabeculectomy
Pupil Disorders
Visual Fields

Keywords

  • Creeping angle closure
  • Dilated pupil
  • Fixed pupil
  • Laser iridotomy
  • Miotic-resistant pupil
  • Peripheral anterior synechiae
  • Primary angle-closure glaucoma

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems

Cite this

Dilated, Miotic-Resistant Pupil and Laser Iridotomy in Primary Angle-Closure Glaucoma. / Kim, Yong Yeon; Jung, Hai Ryun.

In: Ophthalmologica, Vol. 211, No. 4, 01.01.1997, p. 205-208.

Research output: Contribution to journalArticle

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