Laser peripheral iridotomy

Indications: Angle closure disease: high risk Primary Angle Closure Suspect, Primary Angle Closure [and] Primary Angle Closure Glaucoma; treatment of acute angle closure with suspected pupillary block and/or plateau iris mechanism. For a complete understanding of the indications, please consult Flowcharts X (page 140), XI (page 141), XII (page 142), and XIII (page 148) Procedure […] The iridotomy should be either completely covered or fully uncovered by the upper eyelid to reduce visual symptoms. It is preferable if the site is in the superior quadrant of the iris between 11 or 1 or at 3 or at 9 o’clock, in a thinner area or crypt, in the iris periphery, avoiding visible vessels.

EGS Guidelines, 6th Edition, Pages 187

Pearls Manager: Nestor Ventura-Abreu