Suspected primary angle closure treated with laser iridotomy before robot-assisted surgery

Abstract

Case report: We report about a patient who underwent robot-assisted laparoscopic hysterectomy (RALH) after laser iridotomy (LI) for corner angle closure.

Case: The patient was a 50-year-old woman who was gravida 2, para 1 and experienced menopause at 47 years of age. She was diagnosed with atypical endometrial hyperplasia with total curettage of the endometrium. An ophthalmologist suspected bilateral corner angle closure so that LI is needed before robot-assisted surgery in order to prevent postoperative visual loss. RALH and bilateral salpingo-oophorectomy (BSO) were performed two weeks after bilateral laser peripheral iridotomy. The patient had no complications during and after surgery. Hence, LI before RALH may be an option to prevent postoperative visual loss in patients with corner angle closure.