Laser Iridoplasty in Moscow
Laser iridoplasty is used in ophthalmology when it is important to change the configuration of the iris and improve the condition of the anterior segment of the eye without surgical intervention. The procedure is most often recommended for patients with a narrow anterior chamber angle and a risk of increased intraocular pressure. At K+31, we conduct diagnostics before the procedure, assess the eye's condition, and tailor the treatment plan to your individual needs. It is important for us not only to perform the laser procedure but also to explain to the patient why it is being performed and what results can be expected.
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Indications and contraindications for iridoplasty
Not all diseases and pathologies are an indication for such therapy.
When the procedure really helps
The primary indication is a narrow anterior chamber angle or anatomical features that impair the normal outflow of aqueous humor.
Indications for laser iridoplasty:
- Narrow or prone to closure anterior chamber angle
- Risk of increased intraocular pressure
- Need for gentle correction of the anterior chamber
- Preparation for further treatment at the doctor's discretion
Sometimes this method is used as part of a comprehensive treatment plan for suspected angle-closure glaucoma. However, the decision is always made individually after an examination.
When do we postpone intervention?
There are situations in which the procedure is temporarily suspended. These include active inflammatory diseases, certain corneal changes, and conditions that require intraocular pressure stabilization first.
The doctor also takes into account possible contraindications, the overall condition of the eye, and the results of examinations.
We do not recommend choosing a treatment on your own. The treatment plan depends on the condition of the eye and the diagnostic results.
And here's how we choose treatment:
| Method | When it's used | How it's performed | What it provides |
|---|---|---|---|
| Iridoplasty | For a narrow anterior chamber angle | Laser treatment of the iris periphery | Helps change the anatomy of the angle |
| Iridotomy | For certain types of outflow obstruction | Creation of an additional opening | Improves fluid outflow |
| Drug therapy | As prescribed by a doctor | Drops or individualized treatment regimen | Helps control intraocular pressure |
General information
How is laser iridoplasty performed?
For many patients, it's important to understand in advance how the treatment is performed and what sensations they may experience. We explain each step in detail during the consultation and answer questions before the procedure.
Pre-procedure diagnostics
Before treatment, an ophthalmologist consultation and a comprehensive examination are performed. The doctor assesses the condition of the anterior segment, measures intraocular pressure, and performs gonioscopy—a test that helps evaluate the anterior angle of the eye.
An ophthalmologist also performs an examination to determine if there are any contraindications to laser treatment.
Accurate diagnostics are especially important because different types of aqueous outflow obstruction require different treatment approaches.
"In our practice, iridoplasty is especially valuable when it's important to act gently and precisely. We always begin with a diagnosis: this helps us choose a safe approach and tailor treatment to the specific anatomy of the eye," says an ophthalmologist.
Stages of the procedure
Before the procedure, special anesthetic drops are used. They help make the treatment more comfortable for the patient.
Then the doctor inserts a special lens and performs laser treatment on the peripheral areas of the iris. The iridoplasty procedure itself usually takes a short time and is performed on an outpatient basis.
After the procedure, the patient remains under the doctor's observation to assess the eye's response and intraocular pressure.
What the patient feels during the session
In most cases, laser iridoplasty is well-tolerated. Thanks to the use of anesthetic drops, there is usually no significant pain.
The patient may feel slight pressure, flashes of light, or brief discomfort. After the procedure, slight blurred vision or sensitivity to light may sometimes occur, but these symptoms usually gradually subside.
FAQ
What is laser iridoplasty?
Is iridoplasty painful?
How long does recovery take after iridoplasty?
How does iridoplasty differ from iridotomy?
The Registry of Clinical Guidelines of the Ministry of Health of the Russian Federation — https://cr.minzdrav.gov.ru/
The Russian Medical Journal, Ophthalmology — https://www.rmj.ru/articles/oftalmologiya/
The Bulletin of Ophthalmology — https://www.mediasphera.ru/journal/vestnik-oftalmologii
CyberLeninka (search on iridoplasty) — https://cyberleninka.ru/search?q=иридопластика
eLIBRARY, search for ophthalmological publications — https://elibrary.ru/
Russian ophthalmology publications and reviews — https://eyepress.ru/
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What is iridoplasty and when do we recommend it?
Many patients hear this term for the first time during a consultation. Therefore, one of the most common questions is what iridoplasty is and why it is needed. This is a laser eye treatment in which the doctor applies pressure to the periphery of the iris to change its position and improve the flow of aqueous humor to the anterior chamber angle.
Iridoplasty is most often used for conditions associated with a narrow anterior chamber angle or the risk of obstructed aqueous outflow. In some cases, the procedure helps reduce the risk of increased intraocular pressure and is used as part of a comprehensive treatment.
The decision to perform the procedure is made only by an ophthalmologist after an examination. Before treatment, it is important to evaluate the anatomy of the eye, the condition of the iris, and the parameters of the anterior segment.
How laser iridoplasty works
During the procedure, the laser targets the peripheral areas of the iris. Under the influence of the pulses, the iris tissue slightly changes its configuration, causing the anterior chamber angle to become more open.
This approach is especially important in conditions where there is a risk of impaired aqueous humor circulation. In some cases, laser iridoplasty helps improve the anatomical conditions in the anterior chamber and reduce the risk of increased intraocular pressure.
In modern ophthalmology, the term peripheral iridoplasty is also used. This term emphasizes that the procedure is performed specifically on the periphery of the iris.
What are the advantages of this method?
The main advantage of this method is the gentle laser treatment, without incisions or lengthy hospitalization. The procedure is performed on an outpatient basis, and takes only a few minutes.
The advantages of this method include:
It is important to understand that iridoplasty is not suitable for all patients. An ophthalmological examination and diagnostics are mandatory before the procedure.