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Laser Trabeculoplasty Primary Therapy in Open-angle Glaucoma: A Preliminary Report

Laser Trabeculoplasty Primary Therapy in Open-angle Glaucoma: A Preliminary Report Abstract • Thirty-three patients with chronic open-angle glaucoma were treated with argon laser trabeculoplasty as the primary therapeutic modality. In 18 patients (55%) successful normalization of intraocular pressure (<21 mm Hg) was achieved. Of these, ten patients underwent bilateral procedures and eight patients underwent unilateral treatment. The IOP was normalized within five weeks in 27 of these 28 eyes. During the followup period, ranging from six to 18.5 months, IOP has remained lower than 21 mm Hg in all the successfully treated eyes. In 15 patients (45%) the treatment failed to control IOP by four weeks. In these patients, only one eye was treated. Significant correlations with successful outcome included initial IOP, well-delineated angle landmarks, and date of treatment. The date of treatment was consistent with an improvement in the treatment administration over time. References 1. Wise JB, Witter SL: Argon laser therapy for open-angle glaucoma: A pilot study . Arch Ophthalmol 1979;97:319-322.Crossref 2. Wise JB: Long-term control of adult openangle glaucoma by argon laser treatment . Ophthalmology 1981;88:197-202.Crossref 3. Schwartz AL, Whitten ME, Bleiman B, et al: Argon laser trabecular surgery in uncontrolled phakic open-angle glaucoma . Ophthalmology 1981;88:203-212.Crossref 4. Wilensky JT, Jampol LM: Laser treatment for open-angle glaucoma . Ophthalmology 1981; 88:213-217.Crossref 5. Thomas JV, Simmons RJ, Belcher CD: Argon laser trabeculoplasty in the presurgical glaucoma patient . Ophthalmology 1982;89:187-197.Crossref 6. Thomas JV, El-Mofty A, Hamdy EE, et al: Argon laser trabeculoplasty as initial therapy for glaucoma . Arch Ophthalmol 1984;102:702-703.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Laser Trabeculoplasty Primary Therapy in Open-angle Glaucoma: A Preliminary Report

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Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1984.01040030555015
Publisher site
See Article on Publisher Site

Abstract

Abstract • Thirty-three patients with chronic open-angle glaucoma were treated with argon laser trabeculoplasty as the primary therapeutic modality. In 18 patients (55%) successful normalization of intraocular pressure (<21 mm Hg) was achieved. Of these, ten patients underwent bilateral procedures and eight patients underwent unilateral treatment. The IOP was normalized within five weeks in 27 of these 28 eyes. During the followup period, ranging from six to 18.5 months, IOP has remained lower than 21 mm Hg in all the successfully treated eyes. In 15 patients (45%) the treatment failed to control IOP by four weeks. In these patients, only one eye was treated. Significant correlations with successful outcome included initial IOP, well-delineated angle landmarks, and date of treatment. The date of treatment was consistent with an improvement in the treatment administration over time. References 1. Wise JB, Witter SL: Argon laser therapy for open-angle glaucoma: A pilot study . Arch Ophthalmol 1979;97:319-322.Crossref 2. Wise JB: Long-term control of adult openangle glaucoma by argon laser treatment . Ophthalmology 1981;88:197-202.Crossref 3. Schwartz AL, Whitten ME, Bleiman B, et al: Argon laser trabecular surgery in uncontrolled phakic open-angle glaucoma . Ophthalmology 1981;88:203-212.Crossref 4. Wilensky JT, Jampol LM: Laser treatment for open-angle glaucoma . Ophthalmology 1981; 88:213-217.Crossref 5. Thomas JV, Simmons RJ, Belcher CD: Argon laser trabeculoplasty in the presurgical glaucoma patient . Ophthalmology 1982;89:187-197.Crossref 6. Thomas JV, El-Mofty A, Hamdy EE, et al: Argon laser trabeculoplasty as initial therapy for glaucoma . Arch Ophthalmol 1984;102:702-703.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: May 1, 1984

References