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  • Title: The use of the consensual light reflex as an aid to performing laser peripheral iridectomy in patients with pigment dispersion syndrome and pigmentary glaucoma.
    Author: Moster MR, George-Lomax KM.
    Journal: J Glaucoma; 1998 Apr; 7(2):93-4. PubMed ID: 9559494.
    Abstract:
    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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