Abstract
Forty patients (47 eyes) with open-angle glaucoma who had been treated by laser trabeculoplasty to help reduce intraocular pressure were reviewed. The majority of patients had been followed for at least one year. Eighty-nine percent responded satisfactorily, with an average pressure decrease of 5 mmHg. There was no evidence of decay (pressure reversal) after one year. Seventy-six percent of patients who had been on carbonic anhydrase inhibitor medication were able to discontinue this therapy after laser treatment. Blacks, aphakic and diabetic patients responded satisfactorily, but hypertensive patients and those with narrow-angle glaucoma less so. Re-lasering was successful in only one of 6 patients.
Full text
PDF




Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Ellingsen B. A., Grant W. M. The relationship of pressure and aqueous outflow in enucleated human eyes. Invest Ophthalmol. 1971 Jun;10(6):430–437. [PubMed] [Google Scholar]
- Epstein D. L., Grant W. M. Carbonic anhydrase inhibitor side effects. Serum chemical analysis. Arch Ophthalmol. 1977 Aug;95(8):1378–1382. doi: 10.1001/archopht.1977.04450080088009. [DOI] [PubMed] [Google Scholar]
- Fink A. I., Jordan A. J., Bunke A., Fong D. Argon laser trabecular surgery as an alternative to carbonic anhydrase therapy. Trans Ophthalmol Soc U K. 1982 Apr;102(Pt 1):125–128. [PubMed] [Google Scholar]
- Gaasterland D., Kupfer C. Experimental glaucoma in the rhesus monkey. Invest Ophthalmol. 1974 Jun;13(6):455–457. [PubMed] [Google Scholar]
- Greenidge K. C., Spaeth G. L., Fiol-Silva Z. Effect of argon laser trabeculoplasty on the glaucomatous diurnal curve. Ophthalmology. 1983 Jul;90(7):800–804. doi: 10.1016/s0161-6420(83)34479-1. [DOI] [PubMed] [Google Scholar]
- Grierson I., Lee W. R. Changes in the monkey outflow apparatus at graded levels of intraocular pressure: a qualitative analysis by light microscopy and scanning electron microscopy. Exp Eye Res. 1974 Jul;19(1):21–33. doi: 10.1016/0014-4835(74)90068-2. [DOI] [PubMed] [Google Scholar]
- Hoskins H. D., Jr, Hetherington J., Jr, Minckler D. S., Lieberman M. F., Shaffer R. N. Complications of laser trabeculoplasty. Ophthalmology. 1983 Jul;90(7):796–799. doi: 10.1016/s0161-6420(83)34485-7. [DOI] [PubMed] [Google Scholar]
- Johnstone M. A., Grant W. G. Pressure-dependent changes in structures of the aqueous outflow system of human and monkey eyes. Am J Ophthalmol. 1973 Mar;75(3):365–383. doi: 10.1016/0002-9394(73)91145-8. [DOI] [PubMed] [Google Scholar]
- Lichter P. R. Reducing side effects of carbonic anhydrase inhibitors. Ophthalmology. 1981 Mar;88(3):266–269. doi: 10.1016/s0161-6420(81)35040-4. [DOI] [PubMed] [Google Scholar]
- Lieberman M. F., Hoskins H. D., Jr, Hetherington J., Jr Laser trabeculoplasty and the glaucomas. Ophthalmology. 1983 Jul;90(7):790–795. doi: 10.1016/s0161-6420(83)34486-9. [DOI] [PubMed] [Google Scholar]
- Nesterov A. P. Role of the blockade of Schlemm's canal in pathogenesis of primary open-angle glaucoma. Am J Ophthalmol. 1970 Nov;70(5):691–696. doi: 10.1016/0002-9394(70)90484-8. [DOI] [PubMed] [Google Scholar]
- Pohjanpelto P. Argon laser treatment of the anterior chamber angle for increased intraocular pressure. Acta Ophthalmol (Copenh) 1981 Apr;59(2):211–220. doi: 10.1111/j.1755-3768.1981.tb02981.x. [DOI] [PubMed] [Google Scholar]
- Pollack I. P., Robin A. L. Argon laser trabeculoplasty: its effect on medical control of open-angle glaucoma. Ophthalmic Surg. 1982 Aug;13(8):637–643. [PubMed] [Google Scholar]
- Pollack I. P., Robin A. L., Sax H. The effect of argon laser trabeculoplasty on the medical control of primary open-angle glaucoma. Ophthalmology. 1983 Jul;90(7):785–789. doi: 10.1016/s0161-6420(83)34487-0. [DOI] [PubMed] [Google Scholar]
- Schwartz A. L., Kopelman J. Four-year experience with argon laser trabecular surgery in uncontrolled open-angle glaucoma. Ophthalmology. 1983 Jul;90(7):771–780. doi: 10.1016/s0161-6420(83)34489-4. [DOI] [PubMed] [Google Scholar]
- Schwartz A. L., Whitten M. E., Bleiman B., Martin D. Argon laser trabecular surgery in uncontrolled phakic open angle glaucoma. Ophthalmology. 1981 Mar;88(3):203–212. doi: 10.1016/s0161-6420(81)35048-9. [DOI] [PubMed] [Google Scholar]
- Schwartz L. W., Spaeth G. L., Traverso C., Greenidge K. C. Variation of techniques on the results of argon laser trabeculoplasty. Ophthalmology. 1983 Jul;90(7):781–784. doi: 10.1016/s0161-6420(83)34488-2. [DOI] [PubMed] [Google Scholar]
- Thomas J. V., Simmons R. J., Belcher C. D., 3rd Argon laser trabeculoplasty in the presurgical glaucoma patient. Ophthalmology. 1982 Mar;89(3):187–197. doi: 10.1016/s0161-6420(82)34807-1. [DOI] [PubMed] [Google Scholar]
- Watson P. G., Grierson I. The place of trabeculectomy in the treatment of glaucoma. Ophthalmology. 1981 Mar;88(3):175–196. doi: 10.1016/s0161-6420(81)35051-9. [DOI] [PubMed] [Google Scholar]
- Weinreb R. N., Ruderman J., Juster R., Wilensky J. T. Influence of the number of laser burns administered on the early results of argon laser trabeculoplasty. Am J Ophthalmol. 1983 Mar;95(3):287–292. doi: 10.1016/s0002-9394(14)78295-9. [DOI] [PubMed] [Google Scholar]
- Weinreb R. N., Ruderman J., Juster R., Zweig K. Immediate intraocular pressure response to argon laser trabeculoplasty. Am J Ophthalmol. 1983 Mar;95(3):279–286. doi: 10.1016/s0002-9394(14)78294-7. [DOI] [PubMed] [Google Scholar]
- Wilensky J. T., Weinreb R. N. Early and late failures of argon laser trabeculoplasty. Arch Ophthalmol. 1983 Jun;101(6):895–897. doi: 10.1001/archopht.1983.01040010895007. [DOI] [PubMed] [Google Scholar]
- Wise J. B., Witter S. L. Argon laser therapy for open-angle glaucoma. A pilot study. Arch Ophthalmol. 1979 Feb;97(2):319–322. doi: 10.1001/archopht.1979.01020010165017. [DOI] [PubMed] [Google Scholar]
