Acute angle closure glaucoma: relative failure of YAG iridotomy in affected eyes and factors influencing outcome.

The treatment of acute angle closure glaucoma has been influenced by the development of the YAG laser and its ability to perform iridotomies as an outpatient procedure. In this retrospective study the results of YAG iridotomy were compared with surgical peripheral iridectomy. When compared with surgical peripheral iridectomy patients, YAG iridotomy patients were at greater risk of proceeding to further surgery, with this risk being significantly associated with increasing duration of attack. The authors suggest that in selected cases, surgical iridectomy should be given consideration as a primary procedure.

[1]  J. Weiter,et al.  Optic nerve head blood speed as a function of age in normal human subjects. , 1991, Investigative ophthalmology & visual science.

[2]  B. Fleck,et al.  A randomised, prospective comparison of ND:YAG laer iridotomy and operative peripheral iridectomy in fellow eyes , 1991, Eye.

[3]  B. Fleck.  How large must an iridotomy be? , 1990, The British journal of ophthalmology.

[4]  T. Waubke,et al.  [Surgical iridectomy following acute angle-closure glaucoma. A retrospective study of 107 patients]. , 1990, Fortschritte der Ophthalmologie : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft.

[5]  J. Nairne,et al.  Efficacy of Nd-YAG laser iridotomies in acute angle closure glaucoma. , 1989, The British journal of ophthalmology.

[6]  S. Schutz,et al.  Sector iridectomy in the management of prolonged attacks of acute congestive glaucoma. , 1987, Annals of Ophthalmology.

[7]  Y. Yassur,et al.  Long-term outcome of primary acute angle-closure glaucoma. , 1985, The British journal of ophthalmology.

[8]  R. Ingram,et al.  Acute glaucoma: results of treatment by bilateral simultaneous iridectomy, now without admission to hospital. , 1983, The British journal of ophthalmology.

[9]  J. Hillman.  Acute closed-angle glaucoma: an investigation into the effect of delay in treatment. , 1979, The British journal of ophthalmology.

[10]  P. Watson,et al.  Management of acute primary angle-closure glaucoma: a long-term follow-up of the results of peripheral iridectomy used as an initial procedure. , 1979, The British journal of ophthalmology.

[11]  B Becker,et al.  The long-term effects of iridectomy for primary acute angle-closure glaucoma. , 1978, American journal of ophthalmology.

[12]  I L Bailey,et al.  New Design Principles for Visual Acuity Letter Charts* , 1976, American journal of optometry and physiological optics.

[13]  M. Johnstone,et al.  Pressure-dependent changes in structures of the aqueous outflow system of human and monkey eyes. , 1973, American journal of ophthalmology.

[14]  W. M. Grant,et al.  Lectures on glaucoma , 1965 .

[15]  P A CHANDLER,et al.  Narrow-angle glaucoma. , 1952, American journal of ophthalmology.

[16]  F. J. Slataper,et al.  AGE NORMS OF REFRACTION AND VISION , 1950 .

[17]  H. Gifford.  Peripheral Iridotomy (Curran) in the Treatment of Glaucoma , 1921 .