Type of laser used in Laser iridotomy is: (E. REPEAT 2009)
**Core Concept**
Laser iridotomy is a surgical procedure used to treat angle-closure glaucoma by creating a small hole in the iris to allow aqueous humor to flow freely. This procedure requires a specific type of laser that can precisely target and cut through the iris tissue without causing damage to surrounding structures.
**Why the Correct Answer is Right**
Nd:YAG (Neodymium-doped Yttrium Aluminum Garnet) lasers are commonly used in laser iridotomy due to their high power density and ability to precisely cut through the iris tissue. The Nd:YAG laser emits a 1064-nm wavelength of light, which is selectively absorbed by the iris pigment, allowing for precise incision and minimal damage to surrounding tissues. The goal of the procedure is to create a small hole in the iris, allowing aqueous humor to flow freely and reducing intraocular pressure.
**Why Each Wrong Option is Incorrect**
**Option A:** Argon lasers are not typically used for laser iridotomy due to their lower power density and difficulty in precisely cutting through the iris tissue.
**Option B:** Excimer lasers are not suitable for laser iridotomy as they are primarily used for corneal procedures, such as LASIK surgery, and are not effective in cutting through the iris tissue.
**Option C:** Diode lasers are not typically used for laser iridotomy due to their variable power density and potential for causing damage to surrounding tissues.
**Clinical Pearl / High-Yield Fact**
It is essential to note that laser iridotomy is typically performed under local anesthesia and requires careful patient selection, as the procedure can cause complications such as iris damage or inflammation.
**Correct Answer:** C. Diode lasers are not suitable for laser iridotomy due to their variable power density and potential for causing damage to surrounding tissues.