Laser iridotomy vs surgical iridectomy. Have the indications changed?

A. H. Rivera, R. H. Brown, Douglas Anderson

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

The number of laser iridotomies in 1982 was more than four times the annual rate of surgical iridectomies performed before the laser was in common use at the Bascom Palmer Eye Institute, Miami. No single reason accounts for the increase. Only a minority of the increase is due to a 32% increase in our outpatient volume, a backlog of individuals with borderline indications who had not undergone surgery, or the number of iridotomies performed prophylactically for asymptomatic narrow angles. The proportion of eyes treated for each of several classic indications (acute attacks, chronic angle closure with pressure elevation or synechiae, aphakic pupillary block, etc.) remained the same. However, eyes with acute attacks and their fellow eyes had iridotomy more promptly and more often with the availability of laser. In addition, the laser was applied earlier in the course of chronic angle closure. We believe that the increased use of an assay, low-risk procedure represents an improvement in the quality of care.

Original languageEnglish
Pages (from-to)1350-1354
Number of pages5
JournalArchives of Ophthalmology
Volume103
Issue number9
StatePublished - Jan 1 1985

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Iridectomy
Lasers
Quality of Health Care
Outpatients
Pressure

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Rivera, A. H., Brown, R. H., & Anderson, D. (1985). Laser iridotomy vs surgical iridectomy. Have the indications changed? Archives of Ophthalmology, 103(9), 1350-1354.

Laser iridotomy vs surgical iridectomy. Have the indications changed? / Rivera, A. H.; Brown, R. H.; Anderson, Douglas.

In: Archives of Ophthalmology, Vol. 103, No. 9, 01.01.1985, p. 1350-1354.

Research output: Contribution to journalArticle

Rivera, AH, Brown, RH & Anderson, D 1985, 'Laser iridotomy vs surgical iridectomy. Have the indications changed?', Archives of Ophthalmology, vol. 103, no. 9, pp. 1350-1354.
Rivera AH, Brown RH, Anderson D. Laser iridotomy vs surgical iridectomy. Have the indications changed? Archives of Ophthalmology. 1985 Jan 1;103(9):1350-1354.
Rivera, A. H. ; Brown, R. H. ; Anderson, Douglas. / Laser iridotomy vs surgical iridectomy. Have the indications changed?. In: Archives of Ophthalmology. 1985 ; Vol. 103, No. 9. pp. 1350-1354.
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