Laser peripheral iridotomy (LPI) uses a laser (e.g., Nd:YAG or argon) to perforate the peripheral iris, allowing fluid to bypass the pupil and reach the anterior chamber, thus opening the drainage angle. It treats primary angle-closure glaucoma (PACG), acute angle closure (AAC), narrow angles, and secondary causes like uveitis.
Iridectomy: Surgical removal of iris tissue (historical precursor to LPI).
greek “iridotomy” derives from “irido-” (from Greek îris, rainbow, referring to the iris) + “-tomy” (Greek tomḗ, a cutting, incision). The term was coined in 1818 by Karl Wilhelm Ulrich Wagner from Greek roots for iris (îris) and cut (tomḗ).