A cross-sectional study on the complications of inferotemporal laser peripheral iridotomy

PURPOSE: The purpose of this study was to identify the incidence of dysphotopsia and other associated complications after inferotemporal laser peripheral iridotomy (IT-LPI). METHODS: This is a cross-sectional study on patients who underwent IT-LPI with neodymium: yttrium–aluminum–garnet laser who we...

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Main Authors: Manoj Prathapan, Shreeya Pareshbhai Rughani, Praveena Shyam, Kannisha Nainesh Shah, H Sujithra, Gopal S Pillai
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Oman Journal of Ophthalmology
Subjects:
Online Access:http://www.ojoonline.org/article.asp?issn=0974-620X;year=2022;volume=15;issue=3;spage=321;epage=325;aulast=Prathapan
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author Manoj Prathapan
Shreeya Pareshbhai Rughani
Praveena Shyam
Kannisha Nainesh Shah
H Sujithra
Gopal S Pillai
author_facet Manoj Prathapan
Shreeya Pareshbhai Rughani
Praveena Shyam
Kannisha Nainesh Shah
H Sujithra
Gopal S Pillai
author_sort Manoj Prathapan
collection DOAJ
description PURPOSE: The purpose of this study was to identify the incidence of dysphotopsia and other associated complications after inferotemporal laser peripheral iridotomy (IT-LPI). METHODS: This is a cross-sectional study on patients who underwent IT-LPI with neodymium: yttrium–aluminum–garnet laser who were followed up for a minimum of 3 months. RESULTS: In our study, out of a total of 116 patients, new-onset dysphotopsia was reported in 6.03% and significant pain during the procedure in 12.93% of patients. Other complications noticed were photophobia in 29.31% (34/116), rise in intraocular pressure at the end of 3 months in 1.72%, pigment dispersion in 0.86%, epiretinal membrane formation in 04.31%, and cystoid macular edema in 1.72%. No patients had hyphema or diplopia. CONCLUSIONS: The incidence of dysphotopsia following IT-LPI was relatively low in our study and was comparable to the superior PI under full lid cover from the literature. Although dysphotopsia rates were not superior, no patient developed hyphema, which could be due to the remoteness of the laser spot to the larger blood vessels located at 3 and 9 o'clock positions. Furthermore, the procedure was well tolerated as significant pain was reported by only less than a quarter of the patients. Hence, IT-LPI can be considered an easy to perform, safe, and comfortable procedure for the patient.
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spelling doaj.art-aa368ea9306d4e53a89c0d8b768e14fd2022-12-22T02:49:46ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2022-01-0115332132510.4103/ojo.ojo_8_21A cross-sectional study on the complications of inferotemporal laser peripheral iridotomyManoj PrathapanShreeya Pareshbhai RughaniPraveena ShyamKannisha Nainesh ShahH SujithraGopal S PillaiPURPOSE: The purpose of this study was to identify the incidence of dysphotopsia and other associated complications after inferotemporal laser peripheral iridotomy (IT-LPI). METHODS: This is a cross-sectional study on patients who underwent IT-LPI with neodymium: yttrium–aluminum–garnet laser who were followed up for a minimum of 3 months. RESULTS: In our study, out of a total of 116 patients, new-onset dysphotopsia was reported in 6.03% and significant pain during the procedure in 12.93% of patients. Other complications noticed were photophobia in 29.31% (34/116), rise in intraocular pressure at the end of 3 months in 1.72%, pigment dispersion in 0.86%, epiretinal membrane formation in 04.31%, and cystoid macular edema in 1.72%. No patients had hyphema or diplopia. CONCLUSIONS: The incidence of dysphotopsia following IT-LPI was relatively low in our study and was comparable to the superior PI under full lid cover from the literature. Although dysphotopsia rates were not superior, no patient developed hyphema, which could be due to the remoteness of the laser spot to the larger blood vessels located at 3 and 9 o'clock positions. Furthermore, the procedure was well tolerated as significant pain was reported by only less than a quarter of the patients. Hence, IT-LPI can be considered an easy to perform, safe, and comfortable procedure for the patient.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2022;volume=15;issue=3;spage=321;epage=325;aulast=Prathapancomplicationsdysphotopsiainferotemporallaser peripheral iridotomypain
spellingShingle Manoj Prathapan
Shreeya Pareshbhai Rughani
Praveena Shyam
Kannisha Nainesh Shah
H Sujithra
Gopal S Pillai
A cross-sectional study on the complications of inferotemporal laser peripheral iridotomy
Oman Journal of Ophthalmology
complications
dysphotopsia
inferotemporal
laser peripheral iridotomy
pain
title A cross-sectional study on the complications of inferotemporal laser peripheral iridotomy
title_full A cross-sectional study on the complications of inferotemporal laser peripheral iridotomy
title_fullStr A cross-sectional study on the complications of inferotemporal laser peripheral iridotomy
title_full_unstemmed A cross-sectional study on the complications of inferotemporal laser peripheral iridotomy
title_short A cross-sectional study on the complications of inferotemporal laser peripheral iridotomy
title_sort cross sectional study on the complications of inferotemporal laser peripheral iridotomy
topic complications
dysphotopsia
inferotemporal
laser peripheral iridotomy
pain
url http://www.ojoonline.org/article.asp?issn=0974-620X;year=2022;volume=15;issue=3;spage=321;epage=325;aulast=Prathapan
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