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LASER CONSENT FORM DATE: NAME: DOCTOR: PROCEDURE: YAG Peripheral Iridotomy DIAGNOSIS: EYE: RIGHT / LEFT 1. I hereby consent to the above Laser treatment of my RIGHT / LEFT eye to be performed by Dr.
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How to fill out yag peripheral iridotomy?

01
First, ensure that you have the appropriate equipment and materials for the procedure, including a yag laser, gonioscopy lens, anesthesia, and speculum.
02
Begin by placing the patient in a supine position and ensuring proper sterilization of the eye and surrounding areas.
03
Administer local anesthesia to numb the eye and minimize discomfort during the procedure.
04
Insert the speculum to keep the eye open and maintain stability during the procedure.
05
Use the gonioscopy lens to visualize the anterior chamber angle and identify the location for the iridotomy.
06
Adjust the laser settings, including power and duration, according to the specific needs of the patient.
07
Aim the laser at the predetermined location and deliver the laser beam to create a small hole in the iris.
08
Monitor the patient's reaction and adjust the laser settings if necessary to ensure successful completion of the iridotomy.
09
After the procedure is completed, provide appropriate postoperative instructions to the patient, including the use of medicated eye drops and possible restrictions or precautions.

Who needs yag peripheral iridotomy?

01
Individuals with narrow or occludable angles: Yag peripheral iridotomy is commonly performed on patients who have narrow angles or are at risk of developing angle closure glaucoma. This procedure helps to create an alternate channel for the flow of aqueous humor, relieving intraocular pressure and reducing the risk of angle closure.
02
Patients with primary angle-closure glaucoma: Yag peripheral iridotomy is often recommended for patients diagnosed with primary angle-closure glaucoma. By creating a small hole in the iris, it equalizes the pressure between the anterior and posterior chambers of the eye, resulting in reduced intraocular pressure and improved drainage.
03
Individuals with angle-closure suspects: Individuals who exhibit signs of narrow angles or are at risk of developing angle closure, but have not yet developed glaucoma, may also benefit from yag peripheral iridotomy. This preventive procedure can reduce the chances of developing angle-closure glaucoma and its associated complications.
04
Patients with previous angle-closure episodes: Individuals who have experienced previous episodes of angle closure may require yag peripheral iridotomy to prevent future occurrences. Creating a hole in the iris allows for better flow and prevents the iris from blocking the drainage angle, thereby preventing further angle closures.
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YAG peripheral iridotomy is a surgical procedure in which a laser is used to create a small hole in the iris of the eye to relieve intraocular pressure.
Patients with certain eye conditions such as narrow angles or glaucoma may be required to undergo YAG peripheral iridotomy.
YAG peripheral iridotomy is typically performed by an ophthalmologist or eye surgeon using a specialized laser device.
The purpose of YAG peripheral iridotomy is to prevent or alleviate symptoms of increased intraocular pressure by improving the flow of aqueous humor within the eye.
Information such as the date of the procedure, the eye that was treated, any complications or follow-up care needed, and the patient's response to the treatment should be documented.
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