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LASER TRABECULOTOMY OR TRABECULOPLASTY: EARLY EXPERIENCE WITH A NEW NON‐INVASIVE SURGICAL TECHNIQUE FOR GLAUCOMA
Author(s) -
GILLIES W. E.,
WEST R. H.,
CEBON L.
Publication year - 1983
Publication title -
australian journal of opthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 0310-1177
DOI - 10.1111/j.1442-9071.1983.tb01073.x
Subject(s) - glaucoma , open angle glaucoma , medicine , intraocular pressure , ophthalmology
A series of 38 laser trabeculoplasty operations in 32 eyes of 29 patients is described. An average fall of 5.32 mmHg intraocular pressure was obtained; if secondary glaucomas were excluded the average fall was 7.39 mmHg. If a fall of 10 mmHg or more is considered a good result then eight eyes obtained a good result, five of these eyes having pseudoexfoliative glaucoma. A fall of 3–9 mmHg was considered a moderate result and 12 eyes obtained this, 11 of them having chronic simple open‐angle glaucoma, the other being the only other case of pseudoexfoliative glaucoma in the series. Five eyes with chronic simple open‐angle glaucoma and seven eyes with secondary glaucoma all obtained no significant fall. It is stressed that in chronic simple open‐angle glaucoma there was often only a small fall or no fall at all, so that it seems unwise to temporise if there is a high uncontrolled pressure in this condition. Great care is also needed in advanced chronic simple open‐angle glaucoma because of the occasional occurrence of a high rise of pressure soon after operation. The procedure works well in pseudoexfoliative glaucoma.