Purpose To report long-term (>5 years) outcomes of plateau iris syndrome patients treated with argon laser peripheral iridoplasty (ALPI). Patients and Methods A retrospective chart review was performed on all patients with plateau iris syndrome treated with ALPI from 1996 to 2007. The study included 22 eyes from 22 patients with plateau iris after peripheral iridotomy that were followed for at least 1 year after ALPI. The primary outcome was incidence of needing any intraocular pressure (IOP)-lowering medications or surgery (either a filtering procedure or phacoemulsification). Demographic and baseline clinical data were summarized by mean (± standard deviation) or frequency (percentage). Snellen best-corrected visual acuity was converted to logMAR. The paired t-test was used to compare IOP changes, number of IOP-lowering medications, and best-corrected visual acuity from baseline to annual follow-up. Results Mean follow-up was 76 months. Only 2 (9%) eyes maintained an IOP <21 mm Hg without requiring medication or surgery. Seventeen (77%) eyes underwent surgery at an average of 49.1 ± 7.9 months after ALPI. Eight (36%) eyes underwent filtering surgery, and 9 (41%) eyes underwent phacoemulsification. Three months after cataract extraction, no eyes required IOP-lowering medication. Conclusions The beneficial effects of ALPI last for less than 4 years, with the majority of patients (77%) requiring surgery. Phacoemulsification alone was a successful treatment for plateau iris in our patient population.

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We studied the effect of lead content (x = 0.20−0.40) on the critical current density Jc (0 T, 77 K), irreversibility field H* (77 K), and microstructure of monocore, Ag-clad Bi1.8PbxSr2Ca2Cu3Oy (2223) tapes, finding that tapes with lower lead contents (x = 0.20–0.25) required higher processing temperatures (840 and 832 °C, respectively) to complete 2223 formation, as compared to the optimum 820 °C reaction temperature of the x = 0.30–0.40 tapes. We found that both the zero-field and the in-field properties correlated strongly to the phase purity with Jc (0 T, 77 K) reaching a maximum of ˜20 kA/cm2 for x = 0.30, and then decreasing with increasing lead content to ˜12 kA/cm2 for x = 0.40. H* (77 K) increased from ˜165 mT at x = 0.20 to ˜265 mT at x = 0.30, then declined to 195 mT at x = 0.40. Optimizing the lead content at x = 0.30 maximized both the connectivity and the flux pinning contributions to the critical current density.