The Use of the Consensual Light Reflex as an Aid to Performing Laser Peripheral Iridectomy in Patients With Pigment Dispersion Syndrome and Pigmentary Glaucoma

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Purpose: The authors explore an alternative method of performing laser peripheral iridectomy (LPI) in patients with pigment dispersion syndrome and pigmentary glaucoma (PDS/PG) who are high myopes and therefore at increased risk of developing retinal detachment.

Methods: Four myopic patients with PDS/PG had LPI performed in one eye. A transilluminator was held up to the opposite eye to provide pupillary constriction via the consensual light reflex. No miotics were used.

Results: All LPIs were easily performed without complications.

Conclusion: The authors present an alternative method to the standard use of pilocarpine for LPI theoretically to decrease further the incidence of retinal detachment in populations predisposed to it.

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