Technique for testing the patency of laser iridotomies

With laser iridotomy it may often be difficult to achieve total penetration of the iris, particularly in very light or very dark irides. It may be impossible to determine with the slit-lamp whether a small laser iridotomy is functionally penetrating. We describe a straightforward method to test iridotomies for aqueous flow patency. Transcorneally introduced fluorescein is used to delineate any aqueous bulk flow from the posterior to the anterior chamber.