Double-frequency Nd:YAG laser reduction of peripheral iridotomy size for treatment of visual symptoms

Peripheral iridotomy is a standard treatment for conditions like primary angle-closure glaucoma. However, the associated visual symptoms, such as glare and dysphotopsia, often reduce patient satisfaction. This article presents a novel surgical technique utilizing a double-frequency Nd:YAG laser (532 nm) to reduce the size of existing iridotomies, addressing these visual disturbances without compromising the functional efficacy of the iridotomy. The technique is performed under topical anesthesia, with minimal discomfort and no significant downtime for the patient. This innovative use of double-frequency Nd:YAG laser technology introduces a refined approach to managing postoperative visual outcomes in peripheral iridotomy, offering a valuable addition to the repertoire of ophthalmic surgical techniques.