The use of the consensual light reflex as an aid to performing laser peripheral iridectomy in patients with pigment dispersion syndrome and pigmentary glaucoma.
OBJECTIVE
The authors explore an alternative method of performing laser peripheral iridectomy (LPI) in patients with pigment dispersion syndrome and pigmentary glaucoma (PDS/PG) who are high myopes and therefore at increased risk of developing retinal detachment.


METHODS
Four myopic patients with PDS/PG had LPI performed in one eye. A transilluminator was held up to the opposite eye to provide pupillary constriction via the consensual light reflex. No miotics were used.


RESULTS
All LPIs were easily performed without complications.


CONCLUSIONS
The authors present an alternative method to the standard use of pilocarpine for LPI theoretically to decrease further the incidence of retinal detachment in populations predisposed to it.
Moster
M R
MR
Glaucoma Service, Wills Eye Hospital, Philadelphia, PA 19107, USA.
George-Lomax
K M
KM
D000065:Accommodation, Ocular; D000328:Adult; D017889:Exfoliation Syndrome / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005902:Glaucoma, Open-Angle / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D007498:Iris / Q000503:physiopathology / Q000601:surgery*; D053685:Laser Therapy; D008027:Light; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000150:complications / Q000503:physiopathology / Q000601:surgery; D012018:Reflex / Q000502:physiology*; D012163:Retinal Detachment / Q000209:etiology / Q000517:prevention & control