2014-34: Monitoring of intraocular pressure after laser peripheral iriditomy preceeding Descemet Stripping Automated Endothelial Keratoplasty
Laser peripheral iridotomy (PI) is used to reduce intraocular pressure (IOP). Paradoxically, however, there is an increased risk of IOP spikes shortly after a PI which may be associated with pigment dispersion by this procedure. Also, PI may be a prophylactic measure to prevent high IOP later on, for instance when used as preparation for Descemet Stripping Automated Endothelial Keratoplasty (DSAEK).
As a precaution, we currently, monitor the IOP one hour post PI, regardless of the indication, in all patients. A clear consensus, however, whether all patients should be monitored has not been achieved. Purpose of this study is to determine if patients with an indication for a pre-DSAEK PI require post-PI monitoring.