Lasers in primary open angle glaucoma
Identifieur interne : 000425 ( Ncbi/Checkpoint ); précédent : 000424; suivant : 000426Lasers in primary open angle glaucoma
Auteurs : Ramanjit Sihota [Inde]Source :
- Indian Journal of Ophthalmology [ 0301-4738 ] ; 2011.
Abstract
Lasers have been used in the treatment of primary open angle glaucoma (POAG) over the years, with the hope that they would eventually replace medical and surgical therapy. Laser trabeculoplasty (LT) is an application of argon, diode, or selective laser energy to the surface of the trabecular meshwork to increase the aqueous outflow. The mechanisms by which intraocular pressure (IOP) is lowered could be mechanical, biologic, or by division of adjacent cells. It is commonly used as an adjunct to medical therapy, but is contraindicated if the angle is obstructed, e.g., peripheral anterior synechia (PAS) or developmental glaucomas. About 75% of individuals will show a significant fall in IOP after argon laser trabeculoplasty (ALT), and the response is similar with selective laser trabeculoplasty (SLT). The effects of LT are not always long lasting, with about 10% of individuals showing a rise in IOP with every passing year. Laser thermal sclerostomy,
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DOI: 10.4103/0301-4738.73698
PubMed: 21150022
PubMed Central: 3038499
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Lasers in primary open angle glaucoma</title><author><name sortKey="Sihota, Ramanjit" sort="Sihota, Ramanjit" uniqKey="Sihota R" first="Ramanjit" last="Sihota">Ramanjit Sihota</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Glaucoma Research Facility and Clinical Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Glaucoma Research Facility and Clinical Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21150022</idno><idno type="pmc">3038499</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038499</idno><idno type="RBID">PMC:3038499</idno><idno type="doi">10.4103/0301-4738.73698</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">000203</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000203</idno><idno type="wicri:Area/Pmc/Curation">000203</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000203</idno><idno type="wicri:Area/Pmc/Checkpoint">000252</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000252</idno><idno type="wicri:Area/Ncbi/Merge">000425</idno><idno type="wicri:Area/Ncbi/Curation">000425</idno><idno type="wicri:Area/Ncbi/Checkpoint">000425</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Lasers in primary open angle glaucoma</title><author><name sortKey="Sihota, Ramanjit" sort="Sihota, Ramanjit" uniqKey="Sihota R" first="Ramanjit" last="Sihota">Ramanjit Sihota</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Glaucoma Research Facility and Clinical Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Glaucoma Research Facility and Clinical Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author></analytic><series><title level="j">Indian Journal of Ophthalmology</title><idno type="ISSN">0301-4738</idno><idno type="eISSN">1998-3689</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Lasers have been used in the treatment of primary open angle glaucoma (POAG) over the years, with the hope that they would eventually replace medical and surgical therapy. Laser trabeculoplasty (LT) is an application of argon, diode, or selective laser energy to the surface of the trabecular meshwork to increase the aqueous outflow. The mechanisms by which intraocular pressure (IOP) is lowered could be mechanical, biologic, or by division of adjacent cells. It is commonly used as an adjunct to medical therapy, but is contraindicated if the angle is obstructed, e.g., peripheral anterior synechia (PAS) or developmental glaucomas. About 75% of individuals will show a significant fall in IOP after argon laser trabeculoplasty (ALT), and the response is similar with selective laser trabeculoplasty (SLT). The effects of LT are not always long lasting, with about 10% of individuals showing a rise in IOP with every passing year. Laser thermal sclerostomy, <italic>ab interno or externo</italic>, is an alternative to other full-thickness filtration procedures. Longer wavelengths in the infrared range have water-absorptive characteristics that facilitate perforation of the sclera. These lasers can be used to avoid intraocular instrumentation and minimize conjunctival trauma.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wise, Jb" uniqKey="Wise J">JB Wise</name></author><author><name sortKey="Witter, Sl" uniqKey="Witter S">SL Witter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Samples, J" uniqKey="Samples J">J Samples</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alvarado, Ja" uniqKey="Alvarado J">JA Alvarado</name></author><author><name sortKey="Alvarado, Rg" uniqKey="Alvarado R">RG Alvarado</name></author><author><name sortKey="Yeh, Rf" uniqKey="Yeh R">RF Yeh</name></author><author><name sortKey="Franse Carman, L" uniqKey="Franse Carman L">L Franse-Carman</name></author><author><name sortKey="Marcellino, Gr" uniqKey="Marcellino G">GR Marcellino</name></author><author><name sortKey="Brownstein, Mj" uniqKey="Brownstein M">MJ 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