Related Experiment Videos
Pupilloplasty in aphakic and pseudophakic pupillary block glaucoma
Transactions of the Ophthalmological Societies of the United Kingdom
|January 1, 1985
Summary
Laser pupilloplasty effectively treats secondary block glaucoma in aphakic and pseudoaphakic patients. Repeat treatments may be necessary to maintain anterior chamber depth and control intraocular pressure.
Area of Science:
- Ophthalmology
- Surgical Technology
Background:
- Secondary block glaucoma is a complication in aphakic and pseudoaphakic eyes.
- Maintaining anterior chamber depth is crucial for managing intraocular pressure in these cases.
Purpose of the Study:
- To evaluate the efficacy of laser pupilloplasty in treating secondary block glaucoma.
- To determine the optimal protocol for laser pupilloplasty, including repeat sessions and laser intensity.
Main Methods:
- Laser pupilloplasty was performed on 45 patients with aphakic and pseudoaphakic secondary block glaucoma.
- Treatment involved one or two laser sessions.
- Laser intensity was adjusted based on whether the patient was aphakic or pseudophakic, and anterior chamber depth.
Main Results:
- Positive results were achieved in 40 out of 45 cases (88.9% success rate).
- 30 cases maintained anterior chamber depth after the first session.
- 10 cases required a second pupilloplasty 2-5 days post-procedure.
- Intraocular pressure fluctuated before stabilizing post-treatment.
Conclusions:
- Laser pupilloplasty is an effective treatment for secondary block glaucoma.
- Repeat pupilloplasty may be required if anterior chamber reformation is not sustained.
- Adjusting laser intensity is important to prevent complications like corneal burns, especially in eyes with shallow or flat anterior chambers.