9.2
Case 2: YAG laser iridectomy
by Eduardo Viteri, MD
This is a 64-year-old female patient who was complaining of episodes of blurred vision and tearing.
Her IOP was 18 mmHg in both eyes. Her anterior chamber was shallow on slit lamp examination
and her optic nerve had a cup/disc ratio of 0.6 in both eyes. The lens was clear, and gonioscopy
examination revealed a narrow angle in both eyes (grade I-II).
The anterior segment exam with the Pentacam®
with an ACD (epithelial) of 2.43 mm. The patient was reluctant to have YAG laser iridectomy until
she was able to compare her anterior segment biometry with that of other normal patients.
Figure 41: General Overview display showing status in OS prior to YAG laser iridectomy
(Figure 41)
documented an ACA of 22.5 degrees
9
Glaucoma
37