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Understand all about YAG laser iridotomy. Time codes 0:00 Introduction 0:27 What is angle closure glaucoma, animated mechanism, difference to open angle glaucoma 2:12 Who is at risk of developing angle closure glaucoma 3:02 Clinical presentations of angle closure or narrow angles 3:49 The eye clinic appointment slit lamp examination and gonioscopy 4:20 The laser procedure preparation and application of contact lens and treatment 5:07 Iridotomy appearance in blue eye, difference between blue and brown eyes 5:25 Post laser care. Do's and Don'ts 6:05 Risks of laser iridotomy 7:30 What if I dont want laser treatment, be aware of symptoms of acute angle closure glaucoma 8:10 Alternatives to laser iridotomy. Cataract or clear lens surgery and the EAGLE Study 8:32 Conclusion This video discusses: The mechanism of angle closure glaucoma (ACG) and the difference to open angle glaucoma. Peripheral iridotomy (PI) used to prevent or treat ACG. The risk factors: hyperopia, small eyes, age, gender and ethnicity are discussed. How do people present - from asymptomatic incidental findings to acute angle closure glaucoma. Examination in the eye clinic with a slit lamp to assess a shallow anterior chamber and gonioscopy to establish a narrow or closed angle. Preparation with eye drops for laser treatment (topical anaesthetic, pilocarpine and iopidine). Application of a contact lens during treatment and how laser is performed in the outpatient clinic setting. The location of the iridotomy site on the iris, the Moorfields Eye Hospital technique. Aftercare following laser iridotomy, do's and don'ts, driving, use of steroid eye drops, follow up. The risks of treatment including bleeding, pressure rise or spike, inflammation, sight loss or blurred vision, cataract, how to prevent seeing a peripheral light. The risks of not treating with laser, what to do in this case, the signs of acute angle closure glaucoma to watch out for and the risk of losing sight. Alternatives to laser iridotomy including cataract surgery or early lens extraction using phacoemulsification with lens implant. The EAGLE study in the Lancet journal: randomised control trial of peripheral iridotomy v cataract surgery /early lens extraction. Lens surgery showed greater efficacy and was more cost effective than laser peripheral iridotomy and should be considered as an option for initial treatment in angle closure glaucoma. The safety of peripheral iridotomy when used appropriately and performed by experienced ophthalmologists to maintain eye sight.