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Scholars Journal of Applied Medical Sciences | Volume-8 | Issue-06
Efficiency YAG Laser PI (Peripheral Iridotomy) in Management of Glaucoma Patients in Bangladesh
Dr. Md. Kamrul Islam, Dr. Md. Nasir Uddin, Dr. AKM Shamsuddin
Published: June 27, 2020 | 116 155
DOI: 10.36347/sjams.2020.v08i06.033
Pages: 1580-1583
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Abstract
Objective: In this study our main goal is to evaluate the efficiency of YAG laser PI (peripheral iridotomy) in management of glaucoma patients in Bangladesh. Method: This cross-sectional study was done in the in the National Institute of Ophthalmology & Hospitalfrom March 2019 to March 2020.A total of 180 consecutive patients were included. On the basis of Academy of Ophthalmologyprimary Angle Closure glaucomapreferred practice pattern patients were sub divided into three group: primary angle closure suspect (PACS) (#180° iridotrabecular contact [ITC], normal IOP and no optic nerve damage), n=60: primary angle closure (PAC) ($180° ITC with peripheral anterior synechiae [PAS] or elevated IOP, but no optic neuropathy), n=60; and primary angle closure glaucoma (PACG) ($180° ITC with PAS, elevated IOP and optic neuropathy, n=60. Result: during the study, 42% percent of the patients had undergone bilateral LPI.2% produced hyphema in 1st year, followed by 1% produced hyphema in 2nd year, no patients found in 3rd year. mean power used in primary angle closure glaucoma was 132±127.8.On the basis of Logmar chart, mean percentage of visual acuity where before treatment visual acuity of the primary angle closure suspect was 81%, which was 3% increased after treatment, 84%. Conclusion: From our study we can conclude that, laser iridotomy can be use as beneficial tool for the clinical treatment of early primary angle-closure glaucoma which can effectively reduce the intraocular pressure and improves the acuity level of patient. Early treatment by laser iridotomy may also reduce the risk rate to developprimary angle glaucoma.