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[Laser Trabeculoplasty in Modern Glaucoma Therapy - a Review]
Roman Greslechner1, Detlev Spiegel1
1Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Regensburg.
Klinische Monatsblatter Fur Augenheilkunde
|April 12, 2018
Summary
Laser trabeculoplasty (LTP) is an effective glaucoma treatment, reducing intraocular pressure (IOP) by 20-30%. While both Argon (ALT) and Selective (SLT) laser trabeculoplasty show similar success, repeat procedures may decrease efficiency.
Area of Science:
- Ophthalmology
- Glaucoma Management
- Laser Therapy
Background:
- Laser trabeculoplasty (LTP) is a standard treatment for chronic open-angle glaucoma.
- Significant variations exist in current LTP clinical practice.
Purpose of the Study:
- To review the evidence-based outcomes of different laser trabeculoplasty techniques.
- To compare the efficacy and longevity of Argon laser trabeculoplasty (ALT) and Selective laser trabeculoplasty (SLT).
Main Methods:
- A comprehensive literature search was performed using the PubMed database.
- Key evidence-based findings regarding LTP efficacy were summarized.
Main Results:
- Both ALT and SLT are safe and effective, reducing intraocular pressure (IOP) by 20-30%.
- Success rates are similar for initial ALT and SLT, with a 50% failure rate after 2-5 years.
- Repeat procedures (ALT after ALT, SLT after SLT) show reduced efficacy; SLT after ALT is effective, but data on ALT after SLT is lacking.
Conclusions:
- LTP is a viable option for both initial and adjunctive glaucoma therapy.
- In advanced glaucoma with maximal medical therapy, filtering surgery should be considered due to low success rates of additional interventions.
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