Iridectomy is the procedure that consists of making a small hole at the periphery of the iris, a structure located between the cornea and the lens, constituting the coloured part of the eyes. It is carried out to avoid an increase in intraocular pressure. The iridectomy hole functions as a new drainage pathway, allowing the passage of aqueous humor through the iris when the conventional pathway is closed.
- People with closed-angle glaucoma
- Individuals with acute glaucoma or glaucoma attack
- A temporary decrease in visual acuity
- Dilation of the pupil
- A low intraocular pressure
- The presence of blood in the eye
- Changes in the flow of aqueous mood
- Opacification of the lens (cataract)
- An iridotomy by laser
- A trabeculectomy
- A sclerectomy
A rest period of 3 weeks
What is an iridectomy?
Iridectomy, also known as iridotomy, is a surgical procedure that involves the removal of part of the iris of the eye. Indeed, an iris is the colored disc of the eye, pierced by the pupil in the center of the eye.
The surgical operation of iridectomy is carried out in favor of an optical reason to provide an artificial pupil or for a therapeutic reason, in the case of glaucoma or cataract operation.
In addition, it is proposed in case the eye examination detects acute glaucoma, or in the prevention of acute glaucoma crisis, or to reduce inflammation in case of iridocyclitis, or even for resection of a tumor.
The different types of iridectomy
Depending on its location on the iris, there are three types of iridectomy:
- Peripheral iridectomy: consists of a surgical or laser opening, performed at the periphery of the iris. In this case, the pupil remains intact.
- Sector iridectomy: it eliminates a radial section of the iris that extends from the pupil to the periphery. In this case, the pupil appears as a keyhole.
- An optical iridectomy: in this case, iridectomy aims to improve vision by enlarging the existing pupil or by constituting an artificial pupil in the presence of a central opacity of the cornea.
Reasons for undergoing iridectomy
Iridectomy surgery is required if patients are affected by the following eye conditions:
- Closed-angle glaucoma or acute congestive glaucoma: commonly more frequent in women who generally have small eyes (hyperopia). The closing of the angle is the result of the affixing of the trabecular and the periphery of the iris that obstructs it.
The risk of this ophthalmic pathology begins at the age of 35 and progresses over time, following the increase in the size of the lens. Moreover, it should be noted that this risk refers to a family character, so it is necessarily recommended for the whole family to consult an ophthalmologist to assess the potential risk.
- Iris melanoma: is a slowly evolving ocular tumor, whose uncontrolled growth can lead to vision loss, exteriorization outside the eyeball, and even spread to preferential liver damage (metastases). Its excessive local progression no longer allows to keep the eye, and enucleation becomes indispensable. Its local exploration is done through two medical examinations: liver ultrasound and chest radiography.
- Ciliary body melanoma: is a uveal melanoma that is a rare intraocular tumor that is usually common in people with light eyes. Its symptoms are manifested in decreased visual acuity or sometimes in severe pain.
Iridectomy in Istanbul Turkey
Before the operation :
For subjects who are going to perform iridectomy surgery in Istanbul Turkey, they need to first perform the following tests a few days before the surgery :
Routine tests: blood tests, urine tests, an electrocardiogram (ECG) to measure electrical activity and heart function.
● Specific tests: this is a detailed examination of the eye that is articulated through two important tests concerning tonometry (to evaluate the eye pressure in the eyeball.),and a gonioscopy (an examination used to explore the angle of drainage of the eye to specify the type of glaucoma found).
During the operation:
On the day of the operation, the surgery is performed in one of the best clinics located in Istanbul Turkey under local anesthesia. you will be taken in charge by a nurse who will transfer you to the operating room. Tests to verify oxygen levels, cardiac activity, etc. will be established.
Once installed on the operating table, a sterile cloth with a hole will be placed on your eye so that it is visible to the surgeon.
Our surgeons in Turkey will use a small microscope and privileged miniature surgical instruments to make an incision in the cornea, followed by partial excision of the iris.
You'll be able to return home the same day. In addition, it is recommended to wear a patch on the eye for a few days and avoid intense activities for three weeks.
After the operation:
The risks and complications of surgical iridectomy or laser iridotomy are possible, including the following:
- Scars in the incision area or at the point of laser beam contact.
- No release of fluid pressure in the eye.
- Risk of infections or inflammations.
- Risk of cataract formation.
- Temporary increase in intraocular pressure.
Find the best clinics & prices for iridectomy surgery in Istanbul Turkey
In addition to the risks listed above, iridectomy or iridotomy surgery may fail if the patient has opted for the wrong choice of the outpatient or ophthalmologist. This may be manifested through the appearance of glaucoma due to the growth of new blood vessels near the angle, cataract formation, or even the recurrence of the tumor.
With Turquie Santé, you benefit from the best medical assistance by guaranteeing you an iridectomy operation at the best clinics in the world in Istanbul and with the best-experienced surgeons at affordable prices.
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