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Norlase Leaf - Rarely, Severe Iritis May Occur, Related to Either an Unusual Patient Response or Improper Spot Location; Residual Risk

Norlase Leaf
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Leaf User Manual
P/N: 97-4000, Revision 08, Release date: 2020-11-10 Page 80 of 85
Pupillary distortion may be encountered if the iris root or peripheral iris has been
treated. This distortion may or may not be permanent, depending on the severity of the
accidental damage.
Intraocular pressure elevations have been reported to occur in up to 53% of eyes
when 360º of the trabecular meshwork has been treated with 100 spots at the initial
session. Intraocular pressure rises occur most frequently from 1 to 2 hours following
laser treatment, although they may occur several hours afterward. For this reason, it
is imperative to monitor patient intraocular pressure after laser treatment for up to 24
hours.
Peripheral anterior synechiae may occur when the posterior portion of the
trabecular meshwork or other structures posterior to the meshwork are treated.
These are best avoided by meticulous delivery of a well-focused laser beam.
Transient corneal epithelial burns have reportedly been resolved within 1 week
without scarring. Endothelial burns are rarely encountered when careful focusing is
employed.
Rarely, severe iritis may occur, related to either an unusual patient response or improper
spot location.
Residual Risk
Patient Movement
Patient movement during photocoagulation could result in the exposure of
unintended tissues to laser therapy. If patient movement inhibits clear viewing of
target tissue, consider necessary restraints to ensure patient compliance or
discontinue laser treatment. If the system Interval setting is used, longer Interval
settings will aid in proper tissue targeting and allow adequate physician
response time in case of patient movement.

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