ARGON-LASER TRABECULOPLASTY IN YOUNGER PATIENTS WITH PRIMARY OPEN-ANGLE GLAUCOMA

被引:40
作者
SAFRAN, MJ [1 ]
ROBIN, AL [1 ]
POLLACK, IP [1 ]
机构
[1] JOHNS HOPKINS UNIV HOSP, INST OPHTHALMOL, GLAUCOMA SERV, BALTIMORE, MD 21205 USA
关键词
D O I
10.1016/0002-9394(84)90625-1
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
A retrospective comparison of the effectiveness of Ar laser trabeculoplasty, in controlling increased intraocular pressure in 2 different age groups treated for medically uncontrolled primary open-angle glaucoma, was conducted. Of 15 eye of patients < 40 yr old who had primary open-angle glaucoma, 9 (60%) had uncontrolled intraocular pressures postoperatively and needed filtering surgery within 2 yr of Ar laser trabeculoplasty. Only 2 of 29 (7%) eyes in older patients had unacceptably high intraocular pressures during a mean (.+-. 1 SD) follow-up period of 17 .+-. 5 mo. Older eyes had greater decreases in intraocular pressure (12 .+-. 6 mm Hg) than younger eyes (5 .+-. 6 mm Hg) after laser treatment. Failure in young eyes appeared to correlate with a high preoperative intraocular pressure. Ar laser trabeculoplasty is not a reliably effective form of therapy for younger patients with primary open-angle glaucoma.
引用
收藏
页码:292 / 295
页数:4
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