title: Bilateral Same-day Laser Peripheral Iridotomy in the Philadelphia Glaucoma Detection and Treatment Project.
abstract: To report the outcomes of bilateral, same-day laser peripheral iridotomy (LPI) in the Philadelphia Glaucoma Detection and Treatment Project.
  
  
  
  The Philadelphia Glaucoma Detection and Treatment Project was a community-based initiative aimed to improve detection, management, treatment, and follow-up care of individuals at high risk for glaucoma. This novel project performed LPI, where 2 eyes received laser therapy on the same day. Of the 1649 patients examined between January 1, 2013 and May 31, 2014, patients who underwent bilateral, same-day LPI were included in our analysis. Main outcome measures were visual acuity, intraocular pressure (IOP), and postoperative complication rates.
  
  
  
  A total of 132 eyes of 66 patients underwent bilateral, same-day LPI. Mean visual acuity remained unchanged following treatment (P=0.85). Eight patients (12.1%) had IOP spikes >5 mm Hg following treatment, and 4 patients (6.1%) spiked >10 mm Hg. IOP returned to normal in all but 1 patient, who was diagnosed with chronic angle-closure glaucoma. Hyphema was reported in 2 patients (3%) and glare in 1 patient (1.5%). Thirteen patients (19.7%) had repeat LPI treatment. All patients successfully tolerated LPI treatment without serious complications.
  
  
  
  Performing bilateral, same-day LPI was well tolerated in a large community-based, glaucoma detection and treatment project. Applying this treatment strategy may be considered in similar settings, where patients' access to eye care is limited and it may be a cost-effective strategy.
authors.affiliation: *Glaucoma Research Center, Wills Eye Hospital †Department of Ophthalmology, Temple University School of Medicine ‡Thomas Jefferson University School of Pharmacy, Philadelphia, PA.
authors.forename: Michael
authors.initials: M
authors.lastname: Waisbourd
authors.forename: Anousheh
authors.initials: A
authors.lastname: Shafa
authors.forename: Radha
authors.initials: R
authors.lastname: Delvadia
authors.forename: Harjeet
authors.initials: H
authors.lastname: Sembhi
authors.forename: Jeanne
authors.initials: J
authors.lastname: Molineaux
authors.forename: Jeffery
authors.initials: J
authors.lastname: Henderer
authors.forename: Laura T
authors.initials: LT
authors.lastname: Pizzi
authors.forename: Jonathan S
authors.initials: JS
authors.lastname: Myers
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Hark
authors.forename: L Jay
authors.initials: LJ
authors.lastname: Katz
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000175:diagnosis / Q000601:surgery*; D006297:Health Services Accessibility; D006801:Humans; D007429:Intraocular Pressure; D032801:Iridectomy / Q000379:methods*; D007498:Iris / Q000601:surgery*; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D015143:Philadelphia; D011183:Postoperative Complications / Q000601:surgery; D013997:Time Factors; D014065:Tonometry, Ocular; D014792:Visual Acuity