Tips and Tricks for In-Office Laser Peripheral Iridotomy - Takeaways - MDSpire

Tips and Tricks for In-Office Laser Peripheral Iridotomy

Nicholas R. Green, OD, MPH, FAAO, reviews best practices and clinical pearls for LPI at Optometry's Meeting 2026.

  • By

  • Sarah Fackler, managing editor, Optometric Management

  • June 17, 2026

  • 5 min

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  • 1

    Careful patient selection is crucial for laser procedures, as certain conditions may contraindicate treatment.

  • 2

    Laser peripheral iridotomy (LPI) is effective for various types of angle-closure glaucoma, especially in early stages.

  • 3

    Preoperative gonioscopy and administration of antiglaucoma medication are recommended before LPI.

  • 4

    Postoperative follow-up should include IOP checks and examination of the iridotomy for patency.

  • 5

    Complications from LPI may include dysphotopsias, iris bleeding, and closure of the iridotomy.

Original Source(s)

Tips and Tricks for In-Office Laser Peripheral Iridotomy

  • by Sarah Fackler, managing editor, Optometric Management

  • June 17, 2026

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