Where In God’s Name Should We Perform the Iridectomy?!
August 9, 2012
I was taught to put the iridectomy superiorly where it’s covered by the lid and therefore unlikely to cause symptoms from stray light. Then years later, I became aware of problems precisely at this location, especially when only partially covered by the lid, due to the prismatic effect of the tear meniscus, and so I started doing them temporally. I was also told a too-small iridectomy may diffract light and make symptoms worse. Now, an article in Ophthalmology shows that it makes no darn difference where it is or how small. I give up. Just put it anywhere you please.
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