AIM: To evaluate the value of Nd: YAG laser iridotomy in glaucoma secondary to uveitis.

METHODS: Totally 35 eyes of 35 patients with glaucoma secondary touveitis were treated by Nd: YAG laser iridotomy and retrospectively analyzed. The patients were followed up for 8 months to 39 months(mean 24.6 months).

RESULTS: All eyes got laser holes in iris after the initial treatment. Three days after surgery, the intro-ocular pressure of all patients varied from 14 to 23mmHg with an average of 19.8±6.5mmHg. Compared with that before surgery(43.5±10.3mmHg), the difference in the intro-ocular pressure was significant(t=2.421, P<0.01). Compared with that before surgery, the anterior chamber of all the eyes were deepened after surgery. As shown in the UBM examined 2 weeks after surgery, the anterior chamber angle of 14 eyes were re-opened, which was significant in comparison with that before the surgery(χ²=12.78, P<0.01).

CONCLUSION:Nd: YAG laser iridotomy is a safe and effective therapy in the control of glaucoma secondary to uveitis, which can avoid the permanent adherence of anterior chamber angle.