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Surgery & Complications
Peripheral Iridectomy. Both pictures shown above are incisional iridectomies.

  • Incisional Iridectomy
    • A procedure in which a small section of peripheral iris is excised through a limbal incision.
    • Very effective and safe surgical procedure for glaucoma treatment.
    • Some disadvantages:
      • Operating room procedure
      • May be complicated by bleeding, infection, wound leak, incomplete iridectomy, zonular or lens disruption
      • Costlier than laser iridotomy
      • Longer postoperative recovery time
  • Laser Iridotomy
    • Creating a small opening at the peripheral iris (usually between middle and peripheral thirds of the iris) using Neodynium:YAG and/or argon laser.
    • More commonly performed as a safe and effective prophylaxis and/or treatment of narrow angle glaucoma.
    • Clinic or office procedure.
    • Reduces the possible surgical complications such as wound leak, bleeding and infections.
    • Procedure of choice in angle-closure or narrow angle glaucoma.
    • Some conditions that preclude the undertaking of this procedure are:
      • Significant cornea cloudiness
      • Exteremely narrow angle with Iris tissue very near corneal endothelium
      • Repeatedly failed or closed iridotomy
      • Uncooperative patient

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