The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Laser iridoplasty

Photo by Dr. Mahadhir Alhady

A 66 year-old woman attended the government eye clinic for a glaucoma follow-up. She was treated two years ago in a private hospital for left acute angle closure glaucoma and she underwent laser treatment to lower the pressure. Post-laser, she defaulted the follow-up and was on no medications. Examination revealed bilateral early cataracts but normal intraocular pressures and normal C/D ratios. Gonioscopy showed open but narrow angles of the trabecular meshworks. Anterior segment showed patent laser iridotomies in both eyes and heavy laser burnts to the periphery of the left irise.  As there were no records available regarding her treatment, we presumed the initial laser iridotomy failed to reduce the intraocular pressure and therefore peripheral iris laser was perform to cause iris contraction and open up the angle of the trabecular meshwork.

 

Patent iridotomy  at 10 O'clock and heavy laser burnts to the perihperal iris.

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