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Argon Laser Iridoplasty for Plateau Iris Syndrome: Long-Term Outcomes of 48 Eyes

Argon Laser Iridoplasty for Plateau Iris Syndrome: Long-Term Outcomes of 48 Eyes J Glaucoma Volume 29, Number 4, April 2020 Letters to the Editor I would request the authors to *Department of Ophthalmology (IOP) following spontaneous or pharma- Eugene and Marilyn Glick recheck the concentration of BAK used cological pupil dilation in postiridectomy Eye Institute, Indiana University in the topical glaucoma formulations. (or iridotomy) eyes. By enrolling eyes School of Medicine with appositionally closed angles for at Indianapolis, IN least 180 degrees or peripheral anterior Tarannum Mansoori, MS †Icahn School of Medicine Sita Lakshmi Glaucoma Center, Anand Eye synechiae ≤ 180-degree without increased at Mount Sinai, New York, NY Institute, Hyderabad, Telangana, India IOP, Romito and colleagues seem to ‡Moran Eye Center, Salt Lake City, UT have included eyes with PIC, according REFERENCES to the definition by Wand and colleagues or incomplete PIS according to the other 1. Mathew S, Harris A, Ridenour CM, et al. REFERENCES Management of glaucoma in pregnancy. classification mentioned by the authors. 1. Steven DW, Alaghband P, Lim KS. J Glaucoma. 2019;28:937–944. In describing the results of ALPI it Preservatives in glaucoma medication. 2. Steven DW, Alaghband P, Lim KS. would be important to include the Br J Ophthalmol. 2018;102:1497–1503. Preservatives in glaucoma medication. Br gonioscopic findings post-ALPI. This 2. Freeman PD, Kahook MY. Preservatives J Ophthalmol. 2018;102:1497–1503. study mentioned that 5 eyes needed in topical ophthalmic medications: his- 3. Freeman PD, Kahook MY. Preservatives in repeat ALPI for progressive narrowing torical and clinical perspectives. Expert topical ophthalmic medications: historical Rev Ophthalmol. 2009;4:59–64. of angles. Did any of the angles open or and clinical perspectives. Expert Rev Oph- 3. Baudouin C, Labbé A, Liang H, et al. have reduced peripheral anterior syn- thalmol. 2009;4:59–64. Preservatives in eyedrops: the good, the echiae after ALPI? It would also be 4. Baudouin C, Labbé A, Liang H, et al. bad and the ugly. Prog Retin Eye Res. useful to know if any of the post-ALPI Preservatives in eyedrops: the good, the 2010;29:312–334. eyes developed angle closure (with or bad and the ugly. Prog Retin Eye Res. 4. Coroi MC, Bungau S, Tit M. Preserva- without an IOP spike) following pupil 2010;29:312–334. tives from the eye drops and the ocular dilation with mydriatic use. surface. Rom J Ophthalmol. 2015;59:2–5. The authors mention that trabe- culectomy was not needed in any of Response to: the eyes studied. They also mentioned Argon Laser Iridoplasty that there was a statistically significant Management of decrease in IOP at the last follow-up for Plateau Iris however this pressure reduction would Glaucoma in be expected given the increase in IOP- Syndrome: Long-Term Pregnancy lowering medications and patients under- going selective laser trabeculoplasty and Outcomes of 48 Eyes phacoemulsification. In Reply: We would like to thank Tarannum To the Editor: Rini Saha, MD Mansoori for commenting on our article We read with interest the article David Mathew, MS “Management of glaucoma in pregnancy” titled “Argon laser iridoplasty for plateau Riddhi S. Dharia, MS published in the Journal of Glaucoma in iris syndrome: long-term outcomes of 48 Graham E. Trope, MB, PhD, FRCSC October 2019. Indeed as you have indi- eyes” by Romito et al. We commend the Yvonne M. Buys, MD, FRCSC cated the concentration of benzalkonium authors for reporting a large cohort of Department of Ophthalmology and Vision chloride for all ophthalmic solutions is Sciences, University of Toronto, Toronto PIC with no loss to follow-up. This ret- 1–3 listed as 0.004% to 0.02%. The article ON, Canada rospective study concluded that argon we previously cited had (incorrectly) listed laser peripheral iridoplasty (ALPI) is thedoseas 0.005% to0.2%. We appre- relatively effective and safe to prevent REFERENCES ciate your interest in our paper and atten- angle-closure glaucoma and avoid tra- tion to correcting this detail, thank you. beculectomy in patients with plateau iris 1. Romito N, Bluwol E, Graber M, et al. Argon laser iridoplasty for plateau iris syndrome (PIS). This conclusion may be syndrome: long-term outcomes of 48 overstated for several reasons. eyes. J Glaucoma. 2019;28:767–771. Sunu Mathew, MBBS, DNB* The first is the definition of PIS. The 2. Wand M, Grant WM, Simmons RJ, et al. Alon Harris, MS, PhD, FARVO† authors reference the differentiation Plateau iris syndrome. Trans Sect Oph- Colin M. Ridenour, MD* between plateau iris configuration (PIC) thalmol Am Acad Ophthalmol Otolar- Barbara M. Wirostko, MD, PhD‡ and PIS by Wand et al however, they yngol. 1977;83:122–130. Kendall M. Burgett, BS* did not use this definition in their cohort. 3. Ritch R, Tham CCY, Lam DSC. Argon Molly D. Scripture, BS* Wand and colleagues described PIS as laser peripheral iridoplasty (ALPI): an Brent Siesky, PhD† having increased intraocular pressure update. Surv Ophthalmol. 2007;52:279–288. Disclosure: A.H. receives remuneration from AdOM for serving as a consultant and a board member, and from Thea for a speaking engagement. A.H. also holds an ownership interest in AdOM, Luseed, Oxy- map, and QuLent. All relationships listed above are pursuant to the Icahn School of Medicine’s policy on outside activities. The remaining authors declare no conflict of Disclosure: The authors declare no conflict of interest. interest. DOI: 10.1097/IJG.0000000000001456 DOI: 10.1097/IJG.0000000000001459 Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved. www.glaucomajournal.com e27 Copyright r 2020 Wolters Kluwer Health, Inc. All rights reserved. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Glaucoma Wolters Kluwer Health

Argon Laser Iridoplasty for Plateau Iris Syndrome: Long-Term Outcomes of 48 Eyes

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Publisher
Wolters Kluwer Health
Copyright
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
ISSN
1057-0829
eISSN
1536-481X
DOI
10.1097/IJG.0000000000001459
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Abstract

J Glaucoma Volume 29, Number 4, April 2020 Letters to the Editor I would request the authors to *Department of Ophthalmology (IOP) following spontaneous or pharma- Eugene and Marilyn Glick recheck the concentration of BAK used cological pupil dilation in postiridectomy Eye Institute, Indiana University in the topical glaucoma formulations. (or iridotomy) eyes. By enrolling eyes School of Medicine with appositionally closed angles for at Indianapolis, IN least 180 degrees or peripheral anterior Tarannum Mansoori, MS †Icahn School of Medicine Sita Lakshmi Glaucoma Center, Anand Eye synechiae ≤ 180-degree without increased at Mount Sinai, New York, NY Institute, Hyderabad, Telangana, India IOP, Romito and colleagues seem to ‡Moran Eye Center, Salt Lake City, UT have included eyes with PIC, according REFERENCES to the definition by Wand and colleagues or incomplete PIS according to the other 1. Mathew S, Harris A, Ridenour CM, et al. REFERENCES Management of glaucoma in pregnancy. classification mentioned by the authors. 1. Steven DW, Alaghband P, Lim KS. J Glaucoma. 2019;28:937–944. In describing the results of ALPI it Preservatives in glaucoma medication. 2. Steven DW, Alaghband P, Lim KS. would be important to include the Br J Ophthalmol. 2018;102:1497–1503. Preservatives in glaucoma medication. Br gonioscopic findings post-ALPI. This 2. Freeman PD, Kahook MY. Preservatives J Ophthalmol. 2018;102:1497–1503. study mentioned that 5 eyes needed in topical ophthalmic medications: his- 3. Freeman PD, Kahook MY. Preservatives in repeat ALPI for progressive narrowing torical and clinical perspectives. Expert topical ophthalmic medications: historical Rev Ophthalmol. 2009;4:59–64. of angles. Did any of the angles open or and clinical perspectives. Expert Rev Oph- 3. Baudouin C, Labbé A, Liang H, et al. have reduced peripheral anterior syn- thalmol. 2009;4:59–64. Preservatives in eyedrops: the good, the echiae after ALPI? It would also be 4. Baudouin C, Labbé A, Liang H, et al. bad and the ugly. Prog Retin Eye Res. useful to know if any of the post-ALPI Preservatives in eyedrops: the good, the 2010;29:312–334. eyes developed angle closure (with or bad and the ugly. Prog Retin Eye Res. 4. Coroi MC, Bungau S, Tit M. Preserva- without an IOP spike) following pupil 2010;29:312–334. tives from the eye drops and the ocular dilation with mydriatic use. surface. Rom J Ophthalmol. 2015;59:2–5. The authors mention that trabe- culectomy was not needed in any of Response to: the eyes studied. They also mentioned Argon Laser Iridoplasty that there was a statistically significant Management of decrease in IOP at the last follow-up for Plateau Iris however this pressure reduction would Glaucoma in be expected given the increase in IOP- Syndrome: Long-Term Pregnancy lowering medications and patients under- going selective laser trabeculoplasty and Outcomes of 48 Eyes phacoemulsification. In Reply: We would like to thank Tarannum To the Editor: Rini Saha, MD Mansoori for commenting on our article We read with interest the article David Mathew, MS “Management of glaucoma in pregnancy” titled “Argon laser iridoplasty for plateau Riddhi S. Dharia, MS published in the Journal of Glaucoma in iris syndrome: long-term outcomes of 48 Graham E. Trope, MB, PhD, FRCSC October 2019. Indeed as you have indi- eyes” by Romito et al. We commend the Yvonne M. Buys, MD, FRCSC cated the concentration of benzalkonium authors for reporting a large cohort of Department of Ophthalmology and Vision chloride for all ophthalmic solutions is Sciences, University of Toronto, Toronto PIC with no loss to follow-up. This ret- 1–3 listed as 0.004% to 0.02%. The article ON, Canada rospective study concluded that argon we previously cited had (incorrectly) listed laser peripheral iridoplasty (ALPI) is thedoseas 0.005% to0.2%. We appre- relatively effective and safe to prevent REFERENCES ciate your interest in our paper and atten- angle-closure glaucoma and avoid tra- tion to correcting this detail, thank you. beculectomy in patients with plateau iris 1. Romito N, Bluwol E, Graber M, et al. Argon laser iridoplasty for plateau iris syndrome (PIS). This conclusion may be syndrome: long-term outcomes of 48 overstated for several reasons. eyes. J Glaucoma. 2019;28:767–771. Sunu Mathew, MBBS, DNB* The first is the definition of PIS. The 2. Wand M, Grant WM, Simmons RJ, et al. Alon Harris, MS, PhD, FARVO† authors reference the differentiation Plateau iris syndrome. Trans Sect Oph- Colin M. Ridenour, MD* between plateau iris configuration (PIC) thalmol Am Acad Ophthalmol Otolar- Barbara M. Wirostko, MD, PhD‡ and PIS by Wand et al however, they yngol. 1977;83:122–130. Kendall M. Burgett, BS* did not use this definition in their cohort. 3. Ritch R, Tham CCY, Lam DSC. Argon Molly D. Scripture, BS* Wand and colleagues described PIS as laser peripheral iridoplasty (ALPI): an Brent Siesky, PhD† having increased intraocular pressure update. Surv Ophthalmol. 2007;52:279–288. Disclosure: A.H. receives remuneration from AdOM for serving as a consultant and a board member, and from Thea for a speaking engagement. A.H. also holds an ownership interest in AdOM, Luseed, Oxy- map, and QuLent. All relationships listed above are pursuant to the Icahn School of Medicine’s policy on outside activities. The remaining authors declare no conflict of Disclosure: The authors declare no conflict of interest. interest. DOI: 10.1097/IJG.0000000000001456 DOI: 10.1097/IJG.0000000000001459 Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved. www.glaucomajournal.com e27 Copyright r 2020 Wolters Kluwer Health, Inc. All rights reserved.

Journal

Journal of GlaucomaWolters Kluwer Health

Published: Apr 21, 2020

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