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Argon Laser Trabeculoplasty Controls One Third of Cases of Progressive, Uncontrolled, Open Angle Glaucoma for 5 Years

Argon Laser Trabeculoplasty Controls One Third of Cases of Progressive, Uncontrolled, Open Angle... Abstract • Seventy-eight patients (109 eyes) with progressive glaucoma had argon laser trabeculoplasty as a substitute for filtration surgery and were then followed up for a minimum of 5 years. One hundred spots were placed at the anterior margin of the posterior trabecular meshwork over 360°. Consecutive cases between 1980 and 1985 were reviewed, 95% of treated cases being included in the final analysis. Eighty-two eyes had primary open angle glaucoma. If only the group with primary open angle glaucoma is considered, the failure rate the first year was 19%. After that, the failure rate was approximately eight per year. At the end of 5 years, 65% of all eyes had failed. At the end of 10 years, data were available on 84 of the original 109 treated eyes; in 80 treatment had failed, and four were still receiving medical therapy. References 1. Wise J. Long-term control of adult open-angle glaucoma by argon laser trabeculoplasty . Ophthalmology . 1981;88:197-202.Crossref 2. Wickham MG, Worthen DM. Argon laser trabeculoplasty: long-term follow up . Ophthalmology . 1979;86:495-503.Crossref 3. Schwartz AL, Love DC, Schwartz MA. Long-term follow up of argon laser trabeculoplasty for uncontrolled open-angle glaucoma . Arch Ophthalmol . 1985;103:1482-1484.Crossref 4. Gilbert CM, Brown RH, Lynch MG. The effect of argon laser trabeculoplasty on the rate of filtering procedure . Ophthalmology . 1986;93:362-365.Crossref 5. Blondeau P, Roberge JF, Asselin Y. Long-term results of low power, long duration laser trabeculoplasty . Am J Ophthalmol . 1987;104:339-342. 6. Schultz J, Werner EB, Krupin T, Bishop KI. Long-term effect of argon laser trabeculoplasty on glaucomatous visual field loss . Invest Ophthalmol Vis Sci . 1986;27:252. 7. Shingleton BJ, Richter CU, Bellows AR, Hutchinson BT, Glynn RJ. Long-term efficacy of argon laser trabeculoplasty . Ophthalmology . 1987;94:1513-1517.Crossref 8. Lund OE, Zink H. Langzeitresultate nach Argon Laser Trabekuloplastik (ALT) . Klin Monatsbl Augenheilkd . 1988;193:572-578.Crossref 9. Ticho U, Nesher R. Laser trabeculoplasty in glaucoma: ten-year evaluation . Arch Ophthalmol . 1989;107:844-846.Crossref 10. Beckman H. The Glaucoma Laser Trial: results of argon laser trabeculoplasty versus topical medicines . Ophthalmology . 1990;97:1403-1413.Crossref 11. Lichter P. Editorial . Ophthalmology . 1990;97:1401-1402.Crossref 12. Van Buskirk EM. The laser step in early glaucoma therapy . Am J Ophthalmol . 1991;112:87-90. 13. Tuulonen A. Laser trabeculoplasty as primary therapy in chronic open-angle glaucoma . Acta Ophthalmol . 1984;62:150-155.Crossref 14. Rosehthal AR, Chauhuri PR, Chiapella AP. Laser trabeculoplasty as primary therapy in open-angle glaucoma . Am Ophthalmol . 1984;102:699-701. 15. Watson PG, Allen ED, Graham CM, Porter GP, Pickering MS. Argon laser trabeculoplasty or trabeculectomy: a prospective randomized block study . Trans Ophthalmol Soc U K . 1987;104:55-61. 16. Midgal C, Hitchings R. Primary therapy for chronic simple glaucoma: the role of argon laser trabeculoplasty . Trans Ophthalmol Soc U K . 1987;104:62-66. 17. Spaeth GL, Feldman RL, Starita RJ. Argon laser trabeculoplasty in the secondary glaucomas . Trans Am Acad Ophthalmol . 1983;81:325-332. 18. Robin AL, Pollack IP. Argon laser trabeculoplasty in secondary forms of open-angle glaucoma . Arch Ophthalmol . 1983;101:382-384.Crossref 19. Sherwood MB, Svedbergh B. Argon laser trabeculoplasty in exfoliation syndrome . Br J Ophthalmol . 1985;69:886-890.Crossref 20. Starita RJ, Fellman RL, Spaeth GL, Poryzees EM. The effect of repeating full circumference argon laser trabeculoplasty . Ophthalmic Surg . 1984;15:41-43. 21. Brown SVL, Thomas JV, Simmons RJ. Laser trabeculoplasty re-treatment . Am J Ophthalmol . 1985;99:8-10. 22. Bergea B. Repeated argon laser trabeculoplasty . Acta Ophthalmol . 1986;64:246-250.Crossref 23. Richter CU, Shingleton BJ, Bellows AR, Hutchinson BT, Jacobson LP. Retreatment with argon laser trabeculoplasty . Ophthalmology . 1987;94:1085-1087.Crossref 24. Messner D, Siegel LI, Kass MA, Kolker AE, Gordon M. Repeat argon laser trabeculoplasty . Am J Ophthalmol . 1987;103:113-115. 25. Jorizzo PA, Samples JR, VanBuskirk EM. The effect of repeat argon laser trabeculoplasty . Am J Ophthalmol . 1988;106:682-685. 26. Brooks AMV, Gillies WE. Do any factors predict a favorable response to laser trabeculoplasty? Aust J Ophthalmol . 1984;12:149-153.Crossref 27. Rouhiainen HJ, Terasvirta ME, Touvinen EJ. The effect of some treatment variables on the results of trabeculoplasty . Arch Ophthalmol . 1988;106:611-613.Crossref 28. Bergea B. Some factors affecting the intraocular pressure reduction after argon laser trabeculoplasty in open-angle glaucoma . Acta Ophthalmol . 1984;62:696-704.Crossref 29. Fellman RL, Starita RJ, Spaeth GL. The effect of varying energy levels on argon laser trabeculoplasty . Invest Ophthal Vis Sci . 1983;24:55. 30. Lustgarten J, Podos SM, Ritch R, et al. Laser trabeculoplasty: a prospective study of treatment variables . Arch Ophthalmol . 1984;102:517-519.Crossref 31. Klein HZ, Shields MB, Ernest JT. Two-stage argon laser trabeculoplasty in open-angle glaucoma . Am J Ophthalmol . 1985;99:392-395. 32. Wilensky JT, Weinreb RN. Low-dose trabeculoplasty . Am J Ophthalmol . 1983;95:423-426. 33. Kimura A, Azuma I. Low power laser trabeculoplasty. In: Proceedings of the Seventh Congress of the European Society of Ophthalmology; May 25-28,1984; Helsinki, Finland. Pages 585-586. 34. Safran MJ, Robin AL, Pollack IP. Argon laser trabeculoplasty in younger patients with primary open-angle glaucoma . Am J Ophthalmol . 1984;97:292-295. 35. Fu YA. Argon laser trabeculoplasty in juvenile glaucoma. In: Proceedings of the Seventh Congress of the European Society of Ophthalmology; May 25-28,1984; Helsinki, Finland. Pages 587-589. 36. Bishop KI, Krupin T, Fei[unk] ME, Adelson A, Werner EB. Bilateral argon laser trabeculoplasty in primary open-angle glaucoma . Am J Ophthalmol . 1989;107:591-595. 37. Levy NS, Bonney RC. Argon laser therapy for open-angle glaucoma . Invest Ophthalmol Vis Sci . 1981;20:83. 38. Pollack IP, Robin AL. Argon laser trabeculoplasty: its effect on medical control of open-angle glaucoma . Ophthalmic Surg . 1982;19:637-643. 39. Raitta C, Lehto I. Laser trabeculoplasty in open-angle glaucoma . Acta Ophthalmol . 1983;61:673-677.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Argon Laser Trabeculoplasty Controls One Third of Cases of Progressive, Uncontrolled, Open Angle Glaucoma for 5 Years

Archives of Ophthalmology , Volume 110 (4) – Apr 1, 1992

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Publisher
American Medical Association
Copyright
Copyright © 1992 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1992.01080160069032
Publisher site
See Article on Publisher Site

Abstract

Abstract • Seventy-eight patients (109 eyes) with progressive glaucoma had argon laser trabeculoplasty as a substitute for filtration surgery and were then followed up for a minimum of 5 years. One hundred spots were placed at the anterior margin of the posterior trabecular meshwork over 360°. Consecutive cases between 1980 and 1985 were reviewed, 95% of treated cases being included in the final analysis. Eighty-two eyes had primary open angle glaucoma. If only the group with primary open angle glaucoma is considered, the failure rate the first year was 19%. After that, the failure rate was approximately eight per year. At the end of 5 years, 65% of all eyes had failed. At the end of 10 years, data were available on 84 of the original 109 treated eyes; in 80 treatment had failed, and four were still receiving medical therapy. References 1. Wise J. Long-term control of adult open-angle glaucoma by argon laser trabeculoplasty . Ophthalmology . 1981;88:197-202.Crossref 2. Wickham MG, Worthen DM. Argon laser trabeculoplasty: long-term follow up . Ophthalmology . 1979;86:495-503.Crossref 3. Schwartz AL, Love DC, Schwartz MA. Long-term follow up of argon laser trabeculoplasty for uncontrolled open-angle glaucoma . Arch Ophthalmol . 1985;103:1482-1484.Crossref 4. Gilbert CM, Brown RH, Lynch MG. The effect of argon laser trabeculoplasty on the rate of filtering procedure . Ophthalmology . 1986;93:362-365.Crossref 5. Blondeau P, Roberge JF, Asselin Y. Long-term results of low power, long duration laser trabeculoplasty . Am J Ophthalmol . 1987;104:339-342. 6. Schultz J, Werner EB, Krupin T, Bishop KI. Long-term effect of argon laser trabeculoplasty on glaucomatous visual field loss . Invest Ophthalmol Vis Sci . 1986;27:252. 7. Shingleton BJ, Richter CU, Bellows AR, Hutchinson BT, Glynn RJ. Long-term efficacy of argon laser trabeculoplasty . Ophthalmology . 1987;94:1513-1517.Crossref 8. Lund OE, Zink H. Langzeitresultate nach Argon Laser Trabekuloplastik (ALT) . Klin Monatsbl Augenheilkd . 1988;193:572-578.Crossref 9. Ticho U, Nesher R. Laser trabeculoplasty in glaucoma: ten-year evaluation . Arch Ophthalmol . 1989;107:844-846.Crossref 10. Beckman H. The Glaucoma Laser Trial: results of argon laser trabeculoplasty versus topical medicines . Ophthalmology . 1990;97:1403-1413.Crossref 11. Lichter P. Editorial . Ophthalmology . 1990;97:1401-1402.Crossref 12. Van Buskirk EM. The laser step in early glaucoma therapy . Am J Ophthalmol . 1991;112:87-90. 13. Tuulonen A. Laser trabeculoplasty as primary therapy in chronic open-angle glaucoma . Acta Ophthalmol . 1984;62:150-155.Crossref 14. Rosehthal AR, Chauhuri PR, Chiapella AP. Laser trabeculoplasty as primary therapy in open-angle glaucoma . Am Ophthalmol . 1984;102:699-701. 15. Watson PG, Allen ED, Graham CM, Porter GP, Pickering MS. Argon laser trabeculoplasty or trabeculectomy: a prospective randomized block study . Trans Ophthalmol Soc U K . 1987;104:55-61. 16. Midgal C, Hitchings R. Primary therapy for chronic simple glaucoma: the role of argon laser trabeculoplasty . Trans Ophthalmol Soc U K . 1987;104:62-66. 17. Spaeth GL, Feldman RL, Starita RJ. Argon laser trabeculoplasty in the secondary glaucomas . Trans Am Acad Ophthalmol . 1983;81:325-332. 18. Robin AL, Pollack IP. Argon laser trabeculoplasty in secondary forms of open-angle glaucoma . Arch Ophthalmol . 1983;101:382-384.Crossref 19. Sherwood MB, Svedbergh B. Argon laser trabeculoplasty in exfoliation syndrome . Br J Ophthalmol . 1985;69:886-890.Crossref 20. Starita RJ, Fellman RL, Spaeth GL, Poryzees EM. The effect of repeating full circumference argon laser trabeculoplasty . Ophthalmic Surg . 1984;15:41-43. 21. Brown SVL, Thomas JV, Simmons RJ. Laser trabeculoplasty re-treatment . Am J Ophthalmol . 1985;99:8-10. 22. Bergea B. Repeated argon laser trabeculoplasty . Acta Ophthalmol . 1986;64:246-250.Crossref 23. Richter CU, Shingleton BJ, Bellows AR, Hutchinson BT, Jacobson LP. Retreatment with argon laser trabeculoplasty . Ophthalmology . 1987;94:1085-1087.Crossref 24. Messner D, Siegel LI, Kass MA, Kolker AE, Gordon M. Repeat argon laser trabeculoplasty . Am J Ophthalmol . 1987;103:113-115. 25. Jorizzo PA, Samples JR, VanBuskirk EM. The effect of repeat argon laser trabeculoplasty . Am J Ophthalmol . 1988;106:682-685. 26. Brooks AMV, Gillies WE. Do any factors predict a favorable response to laser trabeculoplasty? Aust J Ophthalmol . 1984;12:149-153.Crossref 27. Rouhiainen HJ, Terasvirta ME, Touvinen EJ. The effect of some treatment variables on the results of trabeculoplasty . Arch Ophthalmol . 1988;106:611-613.Crossref 28. Bergea B. Some factors affecting the intraocular pressure reduction after argon laser trabeculoplasty in open-angle glaucoma . Acta Ophthalmol . 1984;62:696-704.Crossref 29. Fellman RL, Starita RJ, Spaeth GL. The effect of varying energy levels on argon laser trabeculoplasty . Invest Ophthal Vis Sci . 1983;24:55. 30. Lustgarten J, Podos SM, Ritch R, et al. Laser trabeculoplasty: a prospective study of treatment variables . Arch Ophthalmol . 1984;102:517-519.Crossref 31. Klein HZ, Shields MB, Ernest JT. Two-stage argon laser trabeculoplasty in open-angle glaucoma . Am J Ophthalmol . 1985;99:392-395. 32. Wilensky JT, Weinreb RN. Low-dose trabeculoplasty . Am J Ophthalmol . 1983;95:423-426. 33. Kimura A, Azuma I. Low power laser trabeculoplasty. In: Proceedings of the Seventh Congress of the European Society of Ophthalmology; May 25-28,1984; Helsinki, Finland. Pages 585-586. 34. Safran MJ, Robin AL, Pollack IP. Argon laser trabeculoplasty in younger patients with primary open-angle glaucoma . Am J Ophthalmol . 1984;97:292-295. 35. Fu YA. Argon laser trabeculoplasty in juvenile glaucoma. In: Proceedings of the Seventh Congress of the European Society of Ophthalmology; May 25-28,1984; Helsinki, Finland. Pages 587-589. 36. Bishop KI, Krupin T, Fei[unk] ME, Adelson A, Werner EB. Bilateral argon laser trabeculoplasty in primary open-angle glaucoma . Am J Ophthalmol . 1989;107:591-595. 37. Levy NS, Bonney RC. Argon laser therapy for open-angle glaucoma . Invest Ophthalmol Vis Sci . 1981;20:83. 38. Pollack IP, Robin AL. Argon laser trabeculoplasty: its effect on medical control of open-angle glaucoma . Ophthalmic Surg . 1982;19:637-643. 39. Raitta C, Lehto I. Laser trabeculoplasty in open-angle glaucoma . Acta Ophthalmol . 1983;61:673-677.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Apr 1, 1992

References

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