The use of the consensual light reflex as an aid to performing laser peripheral iridectomy in patients with pigment dispersion syndrome and pigmentary glaucoma

• Published in: Journal of glaucoma Vol. 7; no. 2; p. 93
• Main Authors: Moster, M R, George-Lomax, K M
• Format: Journal Article
• Language: English
• Published: United States 01.04.1998
• Subjects: Accommodation, Ocular; Adult; Exfoliation Syndrome - complications; Exfoliation Syndrome - physiopathology; Exfoliation Syndrome - surgery; Female; Follow-Up Studies; Glaucoma, Open-Angle - complications; Glaucoma, Open-Angle - physiopathology; Glaucoma, Open-Angle - surgery; Humans; Intraocular Pressure; Iris - physiopathology; Iris - surgery; Laser Therapy; Light; Male; Middle Aged; Myopia - complications; Myopia - physiopathology; Myopia - surgery; Reflex - physiology; Retinal Detachment - etiology; Retinal Detachment - prevention & control
• ISSN: 1057-0829
• DOI: 10.1097/00061198-199804000-00005

The authors explore an alternative method of performing laser peripheral iridectomy (LPI) in patients with pigment dispersion syndrome and pigmentary glaucoma (PDS/PG) who are high myopes and therefore at increased risk of developing retinal detachment. Four myopic patients with PDS/PG had LPI performed in one eye. A transilluminator was held up to the opposite eye to provide pupillary constriction via the consensual light reflex. No miotics were used. All LPIs were easily performed without complications. The authors present an alternative method to the standard use of pilocarpine for LPI theoretically to decrease further the incidence of retinal detachment in populations predisposed to it.