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Laser trabeculoplasty for open-angle glaucoma: a report by the american academy of ophthalmology.

Abstract

OBJECTIVE

To provide an evidence-based summary of the outcomes, repeatability, and safety of laser trabeculoplasty for open-angle glaucoma.

METHODS

A search of the peer-reviewed literature in the PubMed and the Cochrane Library databases was conducted in June 2008 and was last repeated in March 2010 with no date or language restrictions. The search yielded 637 unique citations, of which 145 were considered to be of possible clinical relevance for further review and were included in the evidence analysis.

RESULTS

Level I evidence indicates an acceptable long-term efficacy of initial argon laser trabeculoplasty for open-angle glaucoma compared with initial medical treatment. Among the remaining studies, level II evidence supports the efficacy of selective laser trabeculoplasty for lowering intraocular pressure for patients with open-angle glaucoma. Level III evidence supports the efficacy of repeat use of laser trabeculoplasty.

CONCLUSIONS

Laser trabeculoplasty is successful in lowering intraocular pressure for patients with open-angle glaucoma. At this time, there is no literature establishing the superiority of any particular form of laser trabeculoplasty. The theories of action of laser trabeculoplasty are not elucidated fully. Further research into the differences among the lasers used in trabeculoplasty, the repeatability of the procedure, and techniques of treatment is necessary.

FINANCIAL DISCLOSURE(S)

Proprietary or commercial disclosure may be found after the references.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Ophthalmology, Oregon Health and Sciences University, Portland, Oregon, USA.

    , , , , ,

    Source

    Ophthalmology 118:11 2011 Nov pg 2296-302

    MeSH

    Academies and Institutes
    Databases, Factual
    Glaucoma, Open-Angle
    Humans
    Intraocular Pressure
    Laser Therapy
    Lasers, Excimer
    Lasers, Semiconductor
    Ophthalmology
    Reproducibility of Results
    Technology Assessment, Biomedical
    Trabecular Meshwork
    Trabeculectomy
    Treatment Outcome
    United States

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    21849211

    Citation

    Samples, John R., et al. "Laser Trabeculoplasty for Open-angle Glaucoma: a Report By the American Academy of Ophthalmology." Ophthalmology, vol. 118, no. 11, 2011, pp. 2296-302.
    Samples JR, Singh K, Lin SC, et al. Laser trabeculoplasty for open-angle glaucoma: a report by the american academy of ophthalmology. Ophthalmology. 2011;118(11):2296-302.
    Samples, J. R., Singh, K., Lin, S. C., Francis, B. A., Hodapp, E., Jampel, H. D., & Smith, S. D. (2011). Laser trabeculoplasty for open-angle glaucoma: a report by the american academy of ophthalmology. Ophthalmology, 118(11), pp. 2296-302. doi:10.1016/j.ophtha.2011.04.037.
    Samples JR, et al. Laser Trabeculoplasty for Open-angle Glaucoma: a Report By the American Academy of Ophthalmology. Ophthalmology. 2011;118(11):2296-302. PubMed PMID: 21849211.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Laser trabeculoplasty for open-angle glaucoma: a report by the american academy of ophthalmology. AU - Samples,John R, AU - Singh,Kuldev, AU - Lin,Shan C, AU - Francis,Brian A, AU - Hodapp,Elizabeth, AU - Jampel,Henry D, AU - Smith,Scott D, Y1 - 2011/08/17/ PY - 2011/04/04/received PY - 2011/04/05/accepted PY - 2011/8/19/entrez PY - 2011/8/19/pubmed PY - 2011/12/23/medline SP - 2296 EP - 302 JF - Ophthalmology JO - Ophthalmology VL - 118 IS - 11 N2 - OBJECTIVE: To provide an evidence-based summary of the outcomes, repeatability, and safety of laser trabeculoplasty for open-angle glaucoma. METHODS: A search of the peer-reviewed literature in the PubMed and the Cochrane Library databases was conducted in June 2008 and was last repeated in March 2010 with no date or language restrictions. The search yielded 637 unique citations, of which 145 were considered to be of possible clinical relevance for further review and were included in the evidence analysis. RESULTS: Level I evidence indicates an acceptable long-term efficacy of initial argon laser trabeculoplasty for open-angle glaucoma compared with initial medical treatment. Among the remaining studies, level II evidence supports the efficacy of selective laser trabeculoplasty for lowering intraocular pressure for patients with open-angle glaucoma. Level III evidence supports the efficacy of repeat use of laser trabeculoplasty. CONCLUSIONS: Laser trabeculoplasty is successful in lowering intraocular pressure for patients with open-angle glaucoma. At this time, there is no literature establishing the superiority of any particular form of laser trabeculoplasty. The theories of action of laser trabeculoplasty are not elucidated fully. Further research into the differences among the lasers used in trabeculoplasty, the repeatability of the procedure, and techniques of treatment is necessary. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found after the references. SN - 1549-4713 UR - https://www.unboundmedicine.com/medline/citation/21849211/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0161-6420(11)00461-1 DB - PRIME DP - Unbound Medicine ER -