Retinal complicatios after Nd:YAG Laser iridotomy

Abstract

To identify the retinal complication after Nd:YAG laser iridotomy in patients with angle- closure glaucoma (ACG) Retrospective cross sectional study reviewed the medical records of 177 eyes of 177 patients with ACG with initial intraocular pressure (IOP) above 40 mmHg. All of the patients received maximum tolerable medical therapy (MTMT), followed by laser iridotomy done in 156 eyes and not done in 21 eyes (because of variable causes). In order to follow – up the occurrence of retinal complications all patients underwent detailed retinal examinations. Retinal complications occur rarly after Nd: YAG laser iridotomy in patients with angle – closure glaucoma (ACG). Cystoid macular oedema (CMO) occurred in3(1.92%) of 156 eyes Central serous chorioretinopathy (CSR) occurred in 1(0.64%) of156 eyes. Macular hole in 1(0.64%) of156 eyes. Retinal detachment , Uveal Effusion ,Subhyaloid haemorrhage and Retinal burn not seen in the study .
Our data suggest that we can expect retinal complications after laser iridotomy in eyes with AACG (even uncommen), and the incidence increase in females and with advancing age.