[Application progress of micropulse wave transscleral laser treatment in glaucoma]

Glaucoma is the leading cause of blindness worldwide, and reducing intraocular pressure is crucial to delaying its progression. This review aims to explore the application progress of micropulse wave transscleral laser treatment (mTLT) in the treatment of glaucoma. This article introduces the evolution of ciliary body destructive surgical methods, and focuses on the mechanism of mTLT in the treatment of glaucoma, including reducing aqueous humor production, increasing the uveoscleral pathway and trabecular meshwork pathway for aqueous humor outflow. At the same time, the indications, contraindications, procedures and parameter settings of mTLT, its application effects in different types of glaucoma, possible complications, repeatability, and factors affecting the effect are discussed, and a comparison is made with the traditional TSCPC. However, the exact mechanism of mTLT in reducing intraocular pressure still needs to be further explored and clarified, and its related parameter settings still require a large number of clinical observations and studies.