[Laser contribution in angle closure glaucoma].
BACKGROUND
A better understanding of angle-closure glaucoma mechanisms is necessary to indicate the appropriate treatment.


OBJECTIVE
the aim of our study is to discuss the laser indication in various type of angle-closure glaucoma.


METHODS
The study investigate 25 eyes of 22 patients who had an angle-closure glaucoma. The mechanisms are an anterior chamber angle blockage in 19 eyes, a plateau iris structure in 4 eyes and a nanophthalmos in 2 eyes.


RESULTS
Laser peripheral iridotomy is the most used technic; it was practised in 19 eyes. Argon laser iridoplasty was practised in 4 cases of plateau iris structure and in 2 patients who had a residual angle closure with a functional iridotomy.


CONCLUSIONS
Laser is an effective alternative in the treatment of angle-closure glaucoma and can alleviate the need for high-risk filtering surgery.
El Afrit
Mohamed Ali
MA
Service d'Ophtalmologie, Hôpital Habib Thameur, Tunis.
Trojet
Sonia
S
Mazlout
Héla
H
Ali
Sonia Belhaj
SB
Kammoun
Héla
H
Hamdouni
Malek
M
Kraiem
Abdelafidh
A
D000208:Acute Disease; D015812:Glaucoma, Angle-Closure / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D032801:Iridectomy / Q000379:methods*; D007498:Iris / Q000002:abnormalities / Q000601:surgery*; D053685:Laser Therapy / Q000379:methods; D011183:Postoperative Complications; D012189:Retrospective Studies; D012307:Risk Factors; D014130:Trabeculectomy / Q000379:methods; D016896:Treatment Outcome; D014792:Visual Acuity