Combinação de lasers Iridotomia e Iridoplastia + OCT cinético do ângulo no glaucoma


Hi, everyone! This is Dr. Honassys Rocha, I am the Head Doctor at Clinica do Olho. In this video I am going to share with you the technique I have been carrying out combining Laser Iridotomy with Laser Iridoplasty. I use the YAG laser combined with the Yellow laser. So, in this first case, this is the video of a 42-year-old female who was followed up by myself 3 years ago. I have observed that her peripheral anterior chamber was narrowing. In this exam we can see that the patient has already been treated with Laser Iridotomy along with Laser Iridoplasty. We can see the cut here, the pupil has been dilated in low light – as we usually do in the OCT Room and then here, in the right eye, we can see the cornea and the iris and that there is some space between those 2 structures and this opening is visible even in low light condition. When we compare it with the image of the same right eye from last year, we realize how wide we managed to open this angle by combining Laser Iridotomy and Laser Iridoplasty. Now we are going to see the static image of the other eye – the left eye – and here we can notice a plateau iris format and the proximity between the iris and the cornea. Here the camera has been positioned in front of the other eye by our coworker Fernanda, but this is the nasal side of the left eye. In order to display the same cut, we are moving the camera to the other side, the temporal side, and now we can see the pupil dilation, it is very enlarged. Patient in low light and now we can observe how wide this angle is under this condition. So… We observe this angle aperture. We have developed this more kinetic evaluation in association with Dr. Ricardo Leite. This is the evaluation we have carried out in lots of patients with glaucoma. By the way, there are some patients we are not sure why their conditions are improving and when we conduct this kinetic evaluation, we realize that, when they are in low light condition, there is a tendency for eye occlusion. Now, this is the first video of us performing with this mentality. e captured the image in low light condition – this video was made using a smartphone so the quality may not be that good. Check out what happens to the angle when the light enters the eye. This patient hasn’t undergone the treatment yet here, I mean, I actually have already carried out his treatment and we will make this video later on so we can show you the before and after views, in a dynamic format. So, we have been technically developing these images, they have been captured with a smartphone and in the next videos we will be showing more images of other patients too, using professional cameras. For further information on this technique, we highly recommend that you subscribe to this channel. You will not only be able to watch this series but also others. Thank you very much for watching. See you soon.

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