When Is Laser Peripheral Iridotomy Recommended for Glaucoma?

Artist illustration of an eyeball with glaucoma, featuring the words "pressure" and "damage to the optic nerve." Laser peripheral iridotomy (LPI) is an advanced laser treatment used to prevent or manage angle-closure glaucoma, a serious eye condition that can lead to sudden or permanent vision loss.

Patients at Galiani Ophthalmology Associates receive expert care from a team of ophthalmologists and optometrists led by Dr. David Galiani, a board-certified ophthalmologist with over 25 years of experience. The practice has served Central Bucks County since 1984, providing the best in eye care to our patients, from comprehensive eye exams to advanced, state-of-the-art surgical procedures.

Understanding How LPI Works

Angle-closure glaucoma develops when the eye’s natural drainage system is blocked. This prevents fluid from circulating normally, causing it to build up and create dangerous pressure within the eye.

Peripheral laser iridotomy uses precise laser energy to create a tiny opening in the iris. This allows fluid (aqueous humor) to move more freely, reducing intraocular pressure and protecting the optic nerve.

The outpatient procedure takes only a few minutes and provides a long-term solution for many patients at risk of angle-closure glaucoma.

When Ophthalmologists Recommend LPI

LPI is often advised in specific situations where the eye’s natural drainage system is at risk or already compromised.

Narrow or Closed Angles

When the space between the iris and cornea is too narrow, it can restrict the normal flow of fluid inside the eye, leading to increased intraocular pressure and a potential acute angle-closure glaucoma attack.

Acute Angle-Closure Glaucoma

In cases of sudden, painful spikes in eye pressure that cause symptoms such as blurred vision, halos, headache, or nausea, LPI can quickly relieve pressure and prevent vision loss.

Preventive Treatment

Even in eyes with narrow angles but normal pressure and no signs of optic nerve damage, your eye doctor at Galiani Ophthalmology Associates may recommend LPI as a precaution.

Fellow Eye Protection

If one eye experiences angle-closure glaucoma, ophthalmologists may treat the other eye proactively to lower the risk of a similar episode.

Comprehensive evaluations, including gonioscopy and advanced imaging, help your eye doctor determine whether LPI is right for you. These diagnostic tools enable a precise assessment of the drainage angle and eye anatomy, allowing for informed treatment recommendations.

LPI remains one of the most reliable and preventive treatments for angle-closure glaucoma. To learn more about glaucoma management or discuss whether LPI is right for your eyes, book an appointment at Galiani Ophthalmology Associates by calling 215-345-5144 (Doylestown) or 610-376-1981 (Reading).

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