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Related Experiment Videos

Failed laser trabeculoplasty requiring surgery in open-angle glaucoma.

D B Schoenleber1, A R Bellows, B T Hutchinson

  • 1Harvard Medical School, Massachusetts Eye and Ear Infirmary, Boston.

Ophthalmic Surgery
|November 1, 1987
PubMed
Summary
This summary is machine-generated.

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Ophthalmology·2000

Argon laser trabeculoplasty (ALT) is effective for open-angle glaucoma, but some patients need filtration surgery. Studies show ALT does not negatively impact outcomes of subsequent filtration surgery.

Area of Science:

  • Ophthalmology
  • Glaucoma Research
  • Surgical Outcomes

Background:

  • Argon laser trabeculoplasty (ALT) is a common treatment for open-angle glaucoma.
  • A subset of patients undergoing ALT eventually require filtration surgery.
  • Concerns exist regarding potential adverse effects of prior ALT on subsequent filtration surgery outcomes.

Observation:

  • This retrospective study reviewed 87 eyes with open-angle glaucoma that underwent filtration surgery after failed ALT.
  • The follow-up period ranged from 6 to 38 months (mean 18 months).
  • Surgical procedures included posterior lip sclerectomy (69 eyes) and trabeculectomy (18 eyes).

Findings:

  • The overall success rate for filtration surgery following ALT was 92%.
  • No significant difference in surgical response was observed between eyes with and without prior ALT.

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  • Neither post-laser inflammatory changes nor anatomical alterations from ALT appeared to compromise filtration surgery efficacy.

    • Implications:

    • Filtration surgery remains a viable and successful option for open-angle glaucoma patients with failed ALT.
    • Prior ALT treatment does not appear to negatively influence the success rates of subsequent glaucoma filtration surgery.
    • Ophthalmologists can confidently proceed with filtration surgery in patients with a history of ALT.