Greslechner, Roman and Spiegel, Detlev (2019) Laser Trabeculoplasty in Modern Glaucoma Therapy - a Review = Die Lasertrabekuloplastik in der modernen Glaukomtherapie – ein Überblick. KLINISCHE MONATSBLATTER FUR AUGENHEILKUNDE, 236 (10). pp. 1192-1200. ISSN 0023-2165, 1439-3999
Full text not available from this repository. (Request a copy)Abstract
Background Laser trabeculoplasty (LTP) is a well established treatment modality in the management of chronic open angle glaucoma. Nonetheless there is much variation in practice. Methods A literature search in the PubMed database was conducted and the most important evidence-based results were summarised. Results Argon laser trabeculoplasty (ALT) and selective laser trabeculoplasty (SLT) are safe and effective treatment modalities, achieving an IOP reduction of 20-30%. Similar success rates have been reported for both procedures. A 50% rate of failure occurs after 2-5 years. Repeat-ALT is associated with a lower IOP decrease and a shorter duration of treatment effect. Repetition of SLT after initial SLT seems to be associated with loss of efficiency as well. SLT has been shown to be successful after initial ALT, whereas there are no data on ALT after initial SLT. For advanced glaucoma on maximum medical therapy, low success rates have been reported with regard to additional interventions. Conclusion LTP is a good option for initial and adjunctive treatment. In advanced glaucoma on maximum medical therapy, low target pressures are needed, and filtering surgery has to be considered.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TRABECULAR MESHWORK CELLS; LONG-TERM EFFICACY; INTRAOCULAR-PRESSURE FLUCTUATION; OPEN-ANGLE GLAUCOMA; SELECTIVE LASER; ULTRASTRUCTURAL-CHANGES; CORNEAL EDEMA; RISK-FACTOR; ARGON; LATANOPROST; glaucoma; argon laser trabeculoplasty; selective laser trabeculoplasty |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Augenheilkunde |
| Depositing User: | Petra Gürster |
| Date Deposited: | 06 Apr 2020 09:58 |
| Last Modified: | 06 Apr 2020 09:58 |
| URI: | https://pred.uni-regensburg.de/id/eprint/26132 |
Actions (login required)
 |
View Item |
