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Laser trabeculoplasty (LTP) is the application of a laser beam to burn areas of the trabecular meshwork, located near the base of the iris, to increase fluid outflow. LTP is used in the treatment of various open-angle glaucomas. [1] The two types of laser trabeculoplasty are argon laser trabeculoplasty (ALT) and selective laser trabeculoplasty (SLT
Trabeculoplasty is a laser treatment for glaucoma. It is done on an argon laser equipped slit lamp, using a Goldmann gonioscope lens mirror. Specifically, an argon laser is used to improve drainage through the eye's trabecular meshwork, from which the aqueous humour drains. This helps reduce intraocular pressure caused by open-angle glaucoma. [1]
As many patients have both cataract and glaucoma, phacoemulsification is often combined with trabectome surgery, for the cost-effective treatment of both conditions [11]. Combined phaco-trabectome surgery can result in an intraocular pressure reduction of approximately 18% [12].
Cyclophotocoagulation traditionally has been performed using an external laser through the sclera, known as transscleral cyclophotocoagulation. However, side effects of the transscleral approach can include significant inflammation, chronically low intraocular pressure, intraocular bleeding, and permanent shutdown of the eye, known as phthisis.
Trabeculectomy is the most common invasive glaucoma surgery. It is highly effective in the treatment of advanced glaucoma as demonstrated in major glaucoma studies. [citation needed] Even if a prior trabeculectomy has failed a second trabeculectomy can be performed at a different site. If scarring is the main reason, anti-fibrotic and anti ...
Laser photocoagulation can help prevent the deterioration of some retinal disorders and reduce the risk of future vision loss, but it cannot restore vision once it has been lost. The procedure is safe and effective for treating indicated retinal disorders, such as tears and glaucoma. It is typically an outpatient procedure lasting 15 to 20 minutes.
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After two years researchers found that vision and quality of life are similar in both treatments. At the same time eye pressure was lower in people who underwent surgery and in the long-run surgery is more cost-effective. [114] [115] The LiGHT trial compared the effectiveness of eye drops and selective laser trabeculoplasty for open angle glaucoma.
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