Laser Iridotomy in Pune
Dr Rajeev Raut Eye Clinic Raut Eye Care

Read the article to know more about Laser Iridotomy

Reviewed by
Dr. Aditya Raut M.B.B.S D.O.MS
Updated on Mar 08  •  2 mins read
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What is Laser Iridotomy

Laser Iridotomy is a procedure that uses a laser to make a tiny hole in the colored part of the eye, called the iris.This hole is used to relieve pressure in the eye caused by a condition called angle-closure glaucoma.

The procedure is done in a doctor's office and takes only a few minutes.During the procedure, the patient will be given numbing drops so they don't feel any pain.

The laser creates a small hole in the iris, allowing fluid to escape and reducing pressure in the eye.After the procedure, the patient will be monitored for a few hours to make sure the pressure in the eye has been reduced.

Patients may experience some blurriness or light sensitivity for a few days after the procedure.Laser Iridotomy is a safe and effective way to treat angle-closure glaucoma and can help to prevent vision loss.


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Am I eligible for Laser Iridotomy

  1. Have you ever had an eye injury or surgery?
  2. Are you currently taking any medication for glaucoma?
  3. Do you have an existing eye condition that affects your vision?
  4. Are you pregnant or nursing?
  5. Do you have a history of heart disease?

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Causes of Laser Iridotomy

  1. Primary Angle Closure Glaucoma (PACG): This is a condition in which the drainage angle of the eye is blocked, resulting in an increase in intraocular pressure.
  2. Chronic Angle Closure Glaucoma (CACG): This is similar to PACG, but the blockage of the drainage angle is more gradual and may not present symptoms until it has caused permanent damage to the optic nerve.
  3. Primary Pigmentary Glaucoma: This is a genetic condition in which the drainage angle of the eye is blocked due to the accumulation of pigment.
  4. Pigment Dispersion Syndrome: This is a condition in which pigment from the iris is dispersed throughout the eye, resulting in the blockage of the drainage angle.
  5. Neovascular Glaucoma: This is a condition in which new blood vessels grow in the drainage angle of the eye, blocking the flow of fluid and resulting in an increase in intraocular pressure.

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Risks involved in Laser Iridotomy

  1. Pain or discomfort during and after the procedure
  2. Bleeding or infection
  3. Damage to the cornea or lens
  4. Increased sensitivity to light
  5. Temporary blurring or double vision

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Is there any option other than Laser Iridotomy

  1. Medicated eye drops: Medicated eye drops can help reduce eye pressure, which is a major factor in angle closure glaucoma, one of the conditions that can be treated with an iridotomy.
  2. Oral medications: Alpha-adrenergic agonists, beta-blockers, and other oral medications can help reduce intraocular pressure and prevent the progression of angle closure glaucoma.
  3. Drainage devices: Implantation of a drainage device can help reduce intraocular pressure by allowing fluid to drain from the eye.
  4. Laser trabeculoplasty: A laser is used to create tiny holes in the trabecular meshwork of the eye, allowing for increased drainage and reduced intraocular pressure.
  5. Miotics: Miotics are drugs that cause pupil constriction, which can help reduce intraocular pressure and prevent further progression of angle closure glaucoma.

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FAQ's

  1. Before the Surgery
    1. Inform your doctor of any allergies you may have
    2. Avoid contact lenses for at least two weeks before the surgery
    3. Refrain from using eye makeup and creams for one week before the surgery
    4. Follow your doctor's instructions regarding any necessary medications before the surgery
    5. Avoid strenuous activities and lifting heavy objects for a few days before the surgery
  2. After the Surgery
    1. Wear protective sunglasses when going outdoors for the next few weeks.
    2. Use eye drops as prescribed by your doctor to reduce inflammation and swelling.
    3. Avoid strenuous activities for the next few days.
    4. Apply a cold compress to the eyes periodically to reduce swelling.
    5. Visit your doctor for a follow-up appointment to ensure that the procedure was successful.

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Reviewed By

Dr.Aditya Raut, MBBS, DOMS, Cataract and Refractive Surgeon, with experience of over 3000 cataract surgeries.

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Article Reviewed by Dr. Aditya Raut M.B.B.S D.O.MS Cataract Lasik and refractive surgeon
Specialist in number reduction surgery, Refractive Lens exchange and ICL surgery.

What people say about us

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Khushboo Jain 2022-09-01
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Absolutely love how understanding Dr. Kumud Raut is. The only place where I have not been told about only the process of getting a surgery, but rather they insist on educating about how the eye functions and the importance of having a healthy eye before any surgery.
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Anupama Naidu 2023-02-02
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This is the best eye clinic ever. It's amazing how every staff is so caring. The faculty is simply top class and Dr. Aditya Raut is the best. His treatment is par excellence, but even more than more than that, he is a great human being.
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Atharva Badhade 2023-02-05
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Excellent doctor! We are extremely happy and satisfied with the treatment ,the concern and friendly staff, very caring attitude of all!! Your are half cured even before the treatment starts!! The cleanliness and precautions are also upto the mark!!Recommending to all , family and friends!!
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Preeti Gosavi 2023-01-10
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My cataract surgery is done by Dr Rajeev Raut. I am very satisfied with my surgery. Dr. Bhargav is an excellent doctor and is very calm and polite. I was also operated for my retina by Dr. Nilesh. He too is a great doctor. I am Very satisfied. And all the staff here is very cooperative and accommodating. Thanks
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