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July 1987

Advantages of a Portable Q-Switched Neodymium-YAG Laser System for Anterior Segment Surgery

Arch Ophthalmol. 1987;105(7):892. doi:10.1001/archopht.1987.01060070028010

To the Editor.  —Lasers have revolutionized anterior segment ophthalmic surgery. However, there are a few patients who, because of their health or age, are unable to obtain optimal ophthalmic care easily. The following case reports demonstrate the value of a portable Q-switched neodymium (Nd)-YAG laser system in treating these patients.

Report of Cases.—Case 1.  —A senile and physically debilitated 95-year-old nursing home patient developed an acute attack of primary angle closure glaucoma. Her intraocular pressure could not be lowered medically. Both the patient's family and her physician felt that it would not be wise to move her to a hospital for either a conventional surgical or laser iridectomy.The previously described1 Coherent 7905 portable battery-operated Q-switched Nd-YAG laser was transported to the nursing home. Nursing personnel sat the patient at the side of the bed and braced her head at the laser system's slit lamp. Bilateral patent peripheral iridotomies

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