Laser peripheral iridoplasty for angle-closure

Abstract

There is currently no strong evidence for laser peripheral iridoplasty's use in treating angle-closure.

Efficacy and Safety of Argon Laser Peripheral Iridoplasty and Systemic Medical Therapy in Asian Patients with Acute Primary Angle Closure: A Meta-Analysis of Randomized Controlled Trials

“…Lowering the IOP is the goal of treatment to prevent progressive and irreversible optic neuropathy [26]. It is not recommended to perform surgery like trabeculectomy during a period of acute attack.…”

Efficacy and Safety of Argon Laser Peripheral Iridoplasty and Systemic Medical Therapy in Asian Patients with Acute Primary Angle Closure: A Meta-Analysis of Randomized Controlled Trials

“…Lowering the IOP is the goal of treatment to prevent progressive and irreversible optic neuropathy [26]. It is not recommended to perform surgery like trabeculectomy during a period of acute attack.…”

Quantitative assessment of changes in anterior segment morphology after argon laser peripheral iridoplasty: findings from the EARL study group

“…Although the success of ALPI as a treatment modality is well established in APAC with welldesigned randomized controlled trials, the level of evidence of its use in non-acute angle-closure eyes is limited. 41 As our understanding of angle-closure mechanisms increases with the advent of ASOCT, more mechanisms such as peripheral iris crowding, 17 aside from pupil block and plateau iris syndrome, have been described. Whether ALPI has a role to play in modifying specific angle parameters in described selected mechanisms aside from plateau iris configuration, to delay progression of the angle-closure processes is not known.…”

Lasers in Primary Angle Closure

“…There is little evidence that ALP is helpful in these situations and, therefore, remains controversial. [27][28][29]…”

Efficacy and Safety of Argon Laser Peripheral Iridoplasty and Systemic Medical Therapy in Asian Patients with Acute Primary Angle Closure: A Meta-Analysis of Randomized Controlled Trials

“…Lowering the IOP is the goal of treatment to prevent progressive and irreversible optic neuropathy [26]. It is not recommended to perform surgery like trabeculectomy during a period of acute attack.…”

Quantitative assessment of changes in anterior segment morphology after argon laser peripheral iridoplasty: findings from the EARL study group

“…Although the success of ALPI as a treatment modality is well established in APAC with welldesigned randomized controlled trials, the level of evidence of its use in non-acute angle-closure eyes is limited. 41 As our understanding of angle-closure mechanisms increases with the advent of ASOCT, more mechanisms such as peripheral iris crowding, 17 aside from pupil block and plateau iris syndrome, have been described. Whether ALPI has a role to play in modifying specific angle parameters in described selected mechanisms aside from plateau iris configuration, to delay progression of the angle-closure processes is not known.…”

Lasers in Primary Angle Closure

“…There is little evidence that ALP is helpful in these situations and, therefore, remains controversial. [27][28][29]…”

Efficacy and Safety of Argon Laser Peripheral Iridoplasty and Systemic Medical Therapy in Asian Patients with Acute Primary Angle Closure: A Meta-Analysis of Randomized Controlled Trials

“…Lowering the IOP is the goal of treatment to prevent progressive and irreversible optic neuropathy [26]. It is not recommended to perform surgery like trabeculectomy during a period of acute attack.…”

Quantitative assessment of changes in anterior segment morphology after argon laser peripheral iridoplasty: findings from the EARL study group

“…Although the success of ALPI as a treatment modality is well established in APAC with welldesigned randomized controlled trials, the level of evidence of its use in non-acute angle-closure eyes is limited. 41 As our understanding of angle-closure mechanisms increases with the advent of ASOCT, more mechanisms such as peripheral iris crowding, 17 aside from pupil block and plateau iris syndrome, have been described. Whether ALPI has a role to play in modifying specific angle parameters in described selected mechanisms aside from plateau iris configuration, to delay progression of the angle-closure processes is not known.…”

Lasers in Primary Angle Closure

“…There is little evidence that ALP is helpful in these situations and, therefore, remains controversial. [27][28][29]…”