Immediate argon laser peripheral iridoplasty (ALPI) as initial treatment for acute phacomorphic angle-closure (phacomorphic glaucoma) before cataract extraction: a preliminary study

Eye
Clement C Y ThamD S Lam

Abstract

To study the safety and efficacy of immediate argon laser peripheral iridoplasty (ALPI) as initial treatment of acute phacomorphic angle-closure (phacomorphic glaucoma) before cataract extraction. In all, 10 consecutive patients with acute phacomorphic angle-closure and intraocular pressure (IOP) > or =40 mmHg were recruited into the study. Each patient received topical atropine (1%) and timolol (0.5%), and immediate ALPI as initial treatment. The IOP at 15, 30, 60, and 120 min, and then 1 day, after ALPI were documented by applanation tonometry. Systemic IOP-lowering drugs were only started if IOP remained above 40 mmHg at 2 h after ALPI. Cataract extraction was subsequently performed as definitive treatment. In total, 10 patients (five male, five female), with a mean age+/-SD of 73.1+/-10.3 years were recruited. Mean duration of symptomatic attack was 128+/-232 h. After ALPI, the mean IOP was reduced from 56.1+/-12.5 to 45.3+/-14.5 mmHg at 15 min, 37.6+/-7.5 mmHg at 30 min, 34.2+/-9.7 mmHg at 60 min, 25.5+/-8.7 mmHg at 120 min, and 13.6+/-4.2 mmHg at 1 day. In one patient, systemic acetazolamide was administered, because the IOP remained above 40 mmHg at 2 h after ALPI. All 10 patients had uncomplicated cataract extraction pe...Continue Reading

References

Jun 1, 1988·Ophthalmology·L G Mogk, M N Cyrlin
Apr 1, 1985·The British Journal of Ophthalmology·R DavidY Yassur
Feb 1, 1966·Archives of Ophthalmology·P D'Alena, W Ferguson
Nov 1, 1967·Archives of Ophthalmology·G L SpaethA C Lucier
Mar 1, 1982·Ophthalmology·D L Epstein
Aug 1, 1982·American Journal of Ophthalmology·R Ritch
Apr 1, 1997·Archives of Ophthalmology·S ShiratoS Joukou

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Citations

Mar 1, 2006·Photomedicine and Laser Surgery
Jun 1, 2010·Optometry : Journal of the American Optometric Association·Joseph Sowka, Nadine Girgis
Mar 21, 2009·Survey of Ophthalmology·Pamela TarongoyDavid S Walton
May 3, 2007·Survey of Ophthalmology·Robert RitchDennis S C Lam
Dec 13, 2006·Optometry : Journal of the American Optometric Association·Joseph Sowka
Mar 26, 2016·The Open Ophthalmology Journal·Feyzahan EkiciL Jay Katz
Feb 2, 2008·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Jie Zhang, David Lester
Apr 14, 2009·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Jie ZhangLi Zhou
Mar 24, 2020·The Cochrane Database of Systematic Reviews·Aileen Antonio-SantosChristine Powell
Feb 18, 2016·Asia-Pacific Journal of Ophthalmology·Jimmy LaiJennifer W H Shum
May 1, 2014·Journal of Current Glaucoma Practice·Vitor Gomes PradoTiago Santos Prata
May 1, 2013·Journal of Current Glaucoma Practice·Vidyarani RajkumariRajkumar Victor

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