| Long-term Intraocular Pressure Change in Attacked and Fellow eyes with Acute Angle-closure Glaucoma after Laser Iridotomy. |
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Hye Jin Lee, Jung Han Kim, Yong Ho Sohn |
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Department of Ophthalmology, Konyang University College of Medicine, Myung-Gok Eye Research Institute, Kim's Eye Hospital, Seoul, Korea. yhsohn@konyang.ac.kr |
| 급성폐쇄각녹내장 환자에서 발작안과 반대편안의 레이저홍채절개술 후 안압의 장기 변화 |
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이혜진 ( Hye Jin Lee ) , 김정한 ( Jung Han Kim ) , 손용호 ( Yong Ho Sohn ) |
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| Abstract |
PURPOSE
To study long-term change of intraocular pressure (IOP) in attacked and fellow eyes after laser iridotomy (LI) in the patients with acute angle-closure glaucoma (AACG). METHODS: All eyes of 72 patients were studied for more than 6-month follow-up (range: 6-67 months). LI was performed in both eyes. Subsequent long-term IOP change, and additional medical or surgical management were analyzed retrospectively. We defined re-elevation as, (1) IOP greater than 21mmHg or, (2) progression of glaucomatous optic disc change or visual field defect despite initial reduction of IOP after LI. RESULTS: The mean IOP of attacked eyes dropped from 46.6 +/- 16.5 to 13.8 +/- 6.9 mmHg after LI. Among the attacked eyes, 32 (44.4%) required further medical therapy due to re-elevation of IOP, of which 4 (5.6%) eventually underwent operation. Among the fellow eyes, 16 (22.2%) underwent further medical therapy, although none required surgery. CONCLUSIONS: We recommend close, long-term follow-up for patients with AACG, because there is high risk of re-elevation of IOP, despite well-controlled immediate IOP after LI in both attacked and fellow eyes. |
| Key Words:
Acute angle-closure glaucoma;Fellow eyes;Laser iridotomy;Re-elevation of intraocular pressure |
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