The safety and effectiveness of optometrist delivered laser peripheral iridotomy.
Swystun Alexander Geoffrey, Burton David, Edwards Alison, Alaghband Pouya
AI Summary
Optometrist-performed LPI showed high success (93% patent iridotomies, low adverse events). This supports expanding optometrists' scope of practice for ophthalmic laser procedures, enhancing access to care safely and effectively.
Abstract
Background
Laser Peripheral Iridotomy (LPI) is a commonly performed procedure resulting in a reduction in the risk of progression to Acute Angle Closure and subsequent glaucoma. Whilst demand for LPI has varied over the previous 25 years, non-medical clinicians have been increasingly utilised in the delivery of ophthalmic laser procedures. There is, however, a paucity of safety and effectiveness of optometrist-performed LPI.
Method
This was a retrospective study. The success rate was determined by the presence of a patent LPI at the first appointment post-procedure. Adverse events were captured from electronic patient letters from the procedure until the first appointment post-procedure.
Results
Two optometrists performed LPI on 105 eyes. Presence of a patent iridotomy was documented in 93% and 89% for optometrist one and two, respectively (n = 95). Transient adverse events were reported in four patients. The remaining 10 eyes underwent a redo LPI.
Conclusion
Optometrists delivered a safe and effective LPI service with low rate of adverse events and high success rates.
MeSH Terms
Key Concepts5
Optometrist one achieved a patent iridotomy in 93% of 105 eyes on which they performed laser peripheral iridotomy.
Optometrist two achieved a patent iridotomy in 89% of 105 eyes on which they performed laser peripheral iridotomy.
Transient adverse events were reported in 4 out of 105 patients who underwent optometrist-performed laser peripheral iridotomy.
10 out of 105 eyes that underwent optometrist-performed laser peripheral iridotomy required a redo LPI.
Two optometrists performed laser peripheral iridotomy (LPI) on 105 eyes in a retrospective study to assess safety and effectiveness.
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