{"id":33154,"date":"2023-03-05T11:02:09","date_gmt":"2023-03-05T10:02:09","guid":{"rendered":"https:\/\/www.drvincentqin.be\/pathology\/glaucome-aigu-a-angle-ferme-et-iridotomie\/"},"modified":"2023-03-10T20:52:17","modified_gmt":"2023-03-10T19:52:17","slug":"acute-angle-closure-glaucoma-and-iridotomy","status":"publish","type":"page","link":"https:\/\/www.drvincentqin.be\/en\/pathology\/acute-angle-closure-glaucoma-and-iridotomy\/","title":{"rendered":"Acute angle-closure glaucoma and iridotomy"},"content":{"rendered":"<p>[vc_row content_placement=&#8221;middle&#8221;][vc_column][vc_column_text]<\/p>\n<h2>Acute angle-closure glaucoma and iridotomy<\/h2>\n<p>You suffer from an abnormality or damage to the iris and\/or the iridocorneal angle that is responsible for visual problems or glaucoma. Your ophthalmologist will suggest laser treatment as the most appropriate way to remedy this.<\/p>\n<p>This sheet contains information on the operation proposed to you, its results and its risks.<\/p>\n<p><strong>The iris<\/strong><br \/>\nThis is the coloured diaphragm directly visible in the eye, centred by an orifice: the pupil.<br \/>\nThe intraocular circulation of the aqueous humor (liquid which gives the eye its pressure), takes place through this orifice, then in the iridocorneal angle (space between the iris and the cornea).<br \/>\nThe blockage of the circulation of the aqueous humour by the abnormal position of the iris can lead to an increase in intraocular pressure with the risk of blindness.<br \/>\nOnly your ophthalmologist is qualified to assess the risk of blockage and its harmful effect on vision.<\/p>\n<p><strong>Why operate on the iris?<\/strong><br \/>\n1\/ Iridotomy is the creation of an opening in the iris. It is intended to prevent the occurrence of acute glaucoma or its recurrence. It allows the passage of aqueous humor from the back to the front of the iris in case of blockage at the pupil.<br \/>\n2\/ Iridoplasty, by modifying the shape of the iris, allows the base of the iris to be slightly retracted, so as to facilitate the passage of the aqueous humour towards the iridocorneal angle.<\/p>\n<p><strong>Why treat with laser?<\/strong><br \/>\nIn the presence of iris anomalies with a risk of blockage, eye drops are insufficient to avoid this risk. Surgery requires an opening of the eyeball.<br \/>\nThe lasers used act like a scalpel to create an opening, or make a burn to create a retractile scar.<\/p>\n<p><strong>The laser treatment<\/strong><br \/>\nHospitalization: The procedure is performed on an outpatient basis: the patient sits in front of the machine.<br \/>\nAnaesthesia: A local anaesthetic using drops makes it possible to apply a lens to the eye.<br \/>\nLaser procedure: It is carried out in one or two sessions spaced a few days or weeks apart. Incidents or difficulties during the operation: They are rare and unpredictable.<br \/>\nSome pain may be felt. A haemorrhage may occur, always minimal.<br \/>\nThese difficulties may lead to a second session being proposed, and more rarely a subsequent surgery.<\/p>\n<p><strong>Usual postoperative evolution<\/strong><br \/>\nThe care is reduced to the instillation of drops and the possible taking of tablets during a period which will be specified by your ophthalmologist.<br \/>\nIn the vast majority of cases, the operated eye is painless.<\/p>\n<p>A certain degree of irritation or inflammation of the eye, as well as a momentary increase in visual difficulties may be observed.<br \/>\nA transient increase in intraocular pressure is possible, which may require the temporary addition of eye drops.<\/p>\n<p>After laser iridotomy, it is possible to see a luminous line in certain circumstances: it corresponds to the passage of light through the hole in the iris. This perception is usually temporary.<br \/>\nThe effectiveness of the laser treatment can be judged after a few days or weeks. In most cases, the risk of blockage and a sudden rise in eye pressure is eliminated.<br \/>\nIn some cases, it may be necessary to enlarge or complete an iridotomy or to complete an iridoplasty that is loosening.<\/p>\n<p>The associated continuation of medical treatment is sometimes necessary.<br \/>\nIn very rare cases, if the laser is not available or in case of insufficient effect of the laser, as in certain malformations, it is necessary to resort to surgery (iridectomy or even filtering surgery).<br \/>\nThe treatment can in no way claim to improve vision.<\/p>\n<p>Complications of iris laser<br \/>\nDiscomfort during the treatment or immediately afterwards, as with any examination with a contact lens.<br \/>\nAlthough it is perfectly standardised and usually followed by good results, laser iris surgery does not escape the general rule that there is no surgery without risk.<br \/>\nIt is therefore not possible for your ophthalmologist to formally guarantee the success of the procedure.<br \/>\nHowever, severe complications of iris laser surgery are exceptional.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content&#8221; css=&#8221;.vc_custom_1665505883361{margin-bottom: -40px !important;padding-top: 6vh !important;padding-right: 6vh !important;padding-bottom: 6vh !important;padding-left: 6vh !important;background-color: #5abbed !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column width=&#8221;2\/3&#8243;]<div class=\"title-wrapper  basel-title-color-white basel-title-style-simple basel-title-size-extra-large text-center \"><span class=\"title-subtitle font-default\">Ophthalmologist in Brussels and Namur<\/span><div class=\"liner-continer\"> <span class=\"left-line\"><\/span> <h4 class=\"title\" >CONTACT<span class=\"title-separator\"><span><\/span><\/span><\/h4> <span class=\"right-line\"><\/span> <\/div><\/div>[vc_column_text basel_color_scheme=&#8221;light&#8221;]<\/p>\n<p style=\"text-align: center;\">You want to make an appointment? You can either call one of the 5 sites via the button below, or make an appointment directly online in the Contact section, or send me a message in the Contact section<br \/>\nThe ophthalmology secretaries and Dr. Qin\u2019s team are available to answer all your questions and requests for information in order to make the best choice. I will be pleased to welcome you at one of the 5 sites.<\/p>\n<p>[\/vc_column_text]<div class=\"basel-button-wrapper text-center\"><a href=\"https:\/\/www.drvincentqin.be\/en\/contact\/\" title=\"\" class=\"btn btn-color-white btn-style-round btn-size-default\">DISCOVER THE 5 SITES<\/a><\/div>[\/vc_column][vc_column width=&#8221;1\/6&#8243;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row content_placement=&#8221;middle&#8221;][vc_column][vc_column_text] Acute angle-closure glaucoma and iridotomy You suffer from an abnormality or damage to the iris and\/or the iridocorneal<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":32732,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"content-type":"","footnotes":""},"class_list":["post-33154","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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