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    Informed Consent For Peripheral Iridotomy: Angle-Closure Glaucoma

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    Samatha Biotech
    This document outlines the informed consent for a peripheral iridotomy procedure. It describes laser peripheral iridotomy as the preferred treatment for angle-closure glaucoma caused by pupillary block. It lists the indications for the procedure such as acute or chronic angle-closure glaucoma. Contraindications include conditions causing poor visualization of the iris or synechial closure of the anterior chamber angle. The risks and benefits of the procedure and alternative treatments have been explained to the patient who provides informed consent.

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    Informed Consent For Peripheral Iridotomy: Angle-Closure Glaucoma

    Uploaded by

    Samatha Biotech
    26 views2 pages
    This document outlines the informed consent for a peripheral iridotomy procedure. It describes laser peripheral iridotomy as the preferred treatment for angle-closure glaucoma caused by pupillary block. It lists the indications for the procedure such as acute or chronic angle-closure glaucoma. Contraindications include conditions causing poor visualization of the iris or synechial closure of the anterior chamber angle. The risks and benefits of the procedure and alternative treatments have been explained to the patient who provides informed consent.

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    YAG PI.docx

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    This document outlines the informed consent for a peripheral iridotomy procedure. It describes laser peripheral iridotomy as the preferred treatment for angle-closure glaucoma caused by pupillary block. It lists the indications for the procedure such as acute or chronic angle-closure glaucoma. Contraindications include conditions causing poor visualization of the iris or synechial closure of the anterior chamber angle. The risks and benefits of the procedure and alternative treatments have been explained to the patient who provides informed consent.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    26 views2 pages

    Informed Consent For Peripheral Iridotomy: Angle-Closure Glaucoma

    Uploaded by

    Samatha Biotech
    This document outlines the informed consent for a peripheral iridotomy procedure. It describes laser peripheral iridotomy as the preferred treatment for angle-closure glaucoma caused by pupillary block. It lists the indications for the procedure such as acute or chronic angle-closure glaucoma. Contraindications include conditions causing poor visualization of the iris or synechial closure of the anterior chamber angle. The risks and benefits of the procedure and alternative treatments have been explained to the patient who provides informed consent.

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    INFORMED CONSENT FOR PERIPHERAL

    IRIDOTOMY

    Laser peripheral iridotomy (LPI) is the preferred procedure for treating angle-closure
    glaucoma caused by relative or absolute pupillary block. LPI eliminates pupillary
    block by allowing the aqueous to pass directly from the posterior chamber into the
    anterior chamber, bypassing the pupil. LPI can be performed with an argon laser,
    with a neodymium:yttrium-aluminum-garnet (Nd:YAG) laser, or, in certain
    circumstances, with both.
    Indications:
    Indications for LPI include the following:

    Acute angle-closure glaucoma


    Chronic angle-closure glaucoma
    Fellow eye of acute angle-closure glaucoma
    Narrow/occludable angle
    Miscellaneous conditions, including phacomorphic glaucoma, aqueous
    misdirection, nanophthalmos, pigmentary dispersion syndrome, and plateau iris
    syndrome
    Contraindications:
    Contraindications for LPI include conditions that cause poor visualization of the iris,
    angle closure due to synechial closure of the anterior chamber angle, and a patient
    who is unable to cooperate.
    Conditions causing poor visualization of the iris include the following:

    Corneal edema
    Corneal opacity
    Flat anterior chamber
    Conditions causing synechial closure of the anterior chamber angle
    include the following:

    Neovascular glaucoma
    Iridocorneal endothelial (ICE) syndrome
    Patients who are unable to cooperate include the following:

    Patients who cannot sit comfortably at the laser table


    Patients who cannot keep the head still
    THE ALTERNATE TREATMENTS AND THEIR RISKS & BENEFITS HAS BEEN
    EXPLAINED TO MY SATIFACTION. I HEREBY GIVE MY INFORMED CONSENT
    FOR A PERIPHERAL IRIDOTOMY IN MY RIGHT/LEFT EYE WITH THE YAG
    LASER.
    Patient (or person authorized to sign for patient) Name: __________________
    Signature: _____________________ Date: __________________ Time: _______________

    INFORMED CONSENT FOR PERIPHERAL


    IRIDOTOMY

    Doctors Name: ______________________ Signature_______________________ Time:


    ___________

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