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Article: Argon laser peripheral iridoplasty versus systemic intraocular pressure-lowering medications as immediate management for acute phacomorphic angle closure.

TitleArgon laser peripheral iridoplasty versus systemic intraocular pressure-lowering medications as immediate management for acute phacomorphic angle closure.
Authors
Issue Date2013
PublisherDove Medical Press Ltd. The Journal's web site is located at http://www.dovepress.com/articles.php?journal_id=9
Citation
Clinical Ophthalmology, 2013, v. 7 n. 1, p. 63-69 How to Cite?
AbstractBackground: The purpose of this study was to compare the efficacy and safety of argon laser peripheral iridoplasty (ALPI) and systemic intraocular pressure (IOP)-lowering medications in the immediate management of acute phacomorphic angle closure. Methods: Consecutive cases of acute phacomorphic angle closure were randomized to receive ALPI and an intravenous or oral carbonic anhydrase inhibitor as initial treatment. Intravenous mannitol was administered for presenting IOP > 60 mmHg or IOP > 40 mmHg 2 hours posttreatment in both arms. Results: Of 10 consecutive cases, six received medical therapy and four received ALPI. Fifty percent in the medical group and none in the ALPI group required intravenous mannitol. The ALPI group took less time to achieve IOP < 25 mmHg (18.8 ± 7.5 minutes versus 115.0 ± 97.0 minutes, P = 0.001, F test); had a greater IOP reduction within 30 minutes (69.8% ± 7.7% versus 40.9 ± 23.9%, P = 0.03, t-test); and had a consistently smaller post-attack cup to disc ratio (0.50 ± 0.02 versus 0.60 ± 0.20, P = 0.002, F test). Conclusion: ALPI offers greater safety, consistency, and efficacy than systemic IOP-lowering medications as initial treatment for phacomorphic angle closure. © 2013 Lee et al, publisher and licensee Dove Medical Press Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/191101
ISSN
2015 SCImago Journal Rankings: 0.787
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorLee, WYJ-
dc.contributor.authorLai, JSM-
dc.contributor.authorYick, DWF-
dc.contributor.authorYuen, CYF-
dc.date.accessioned2013-09-17T16:16:24Z-
dc.date.available2013-09-17T16:16:24Z-
dc.date.issued2013-
dc.identifier.citationClinical Ophthalmology, 2013, v. 7 n. 1, p. 63-69-
dc.identifier.issn1177-5467-
dc.identifier.urihttp://hdl.handle.net/10722/191101-
dc.description.abstractBackground: The purpose of this study was to compare the efficacy and safety of argon laser peripheral iridoplasty (ALPI) and systemic intraocular pressure (IOP)-lowering medications in the immediate management of acute phacomorphic angle closure. Methods: Consecutive cases of acute phacomorphic angle closure were randomized to receive ALPI and an intravenous or oral carbonic anhydrase inhibitor as initial treatment. Intravenous mannitol was administered for presenting IOP > 60 mmHg or IOP > 40 mmHg 2 hours posttreatment in both arms. Results: Of 10 consecutive cases, six received medical therapy and four received ALPI. Fifty percent in the medical group and none in the ALPI group required intravenous mannitol. The ALPI group took less time to achieve IOP < 25 mmHg (18.8 ± 7.5 minutes versus 115.0 ± 97.0 minutes, P = 0.001, F test); had a greater IOP reduction within 30 minutes (69.8% ± 7.7% versus 40.9 ± 23.9%, P = 0.03, t-test); and had a consistently smaller post-attack cup to disc ratio (0.50 ± 0.02 versus 0.60 ± 0.20, P = 0.002, F test). Conclusion: ALPI offers greater safety, consistency, and efficacy than systemic IOP-lowering medications as initial treatment for phacomorphic angle closure. © 2013 Lee et al, publisher and licensee Dove Medical Press Ltd.-
dc.languageeng-
dc.publisherDove Medical Press Ltd. The Journal's web site is located at http://www.dovepress.com/articles.php?journal_id=9-
dc.relation.ispartofClinical Ophthalmology-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.titleArgon laser peripheral iridoplasty versus systemic intraocular pressure-lowering medications as immediate management for acute phacomorphic angle closure.-
dc.typeArticle-
dc.identifier.emailLee, WYJ: jackylee@hku.hk-
dc.identifier.emailLai, JSM: laism@hku.hk-
dc.identifier.authorityLee, WYJ=rp01498-
dc.identifier.authorityLai, JSM=rp00295-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.2147/OPTH.S39503-
dc.identifier.pmid23326185-
dc.identifier.pmcidPMC3544332-
dc.identifier.scopuseid_2-s2.0-84872714511-
dc.identifier.hkuros223880-
dc.identifier.volume7-
dc.identifier.issue1-
dc.identifier.spage63-
dc.identifier.epage69-
dc.publisher.placeNew Zealand-

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