Treat the individual and not the angle

Background: Glaucoma, the silent thief of sight, is one of the most common vision‑threatening conditions. Even though POAG (primary
open angle glaucoma) is more common, PACG (primary angle closure glaucoma) is the dreaded variant. ISGEO (International Society
for Geographical and Epidemiological Ophthalmology) has classified primary angle closure as PACS (primary angle closure suspect),
PAC (primary angle closure), and PACG (primary angle closure glaucoma. The inconspicuous nature of PACS makes its diagnosis and
treatment very tricky.
Purpose: To determine which cases are best suited for laser peripheral iridotomy.
Synopsis: Laser peripheral
iridotomy is the gold standard for acute primary angle closure glaucoma treatment. But there is a lot of confusion regarding its use in
PACS as a prophylactic measure. We have tried to throw light on laser peripheral iridotomy, a much debatable topic. The video focuses
on various trials regarding laser peripheral iridotomy, the indications, side effects, and contraindications. We have also discussed its use
as a therapeutic and prophylactic procedure.
Highlights: The video highlights that the approach of laser peripheral iridotomy should
be on a case‑by‑case basis.