Skip to main content
Log in

Behandlungsmethoden und Komplikationen der Lasertrabekuloplastik

Laser trabeculoplasty: therapeutic options and adverse effects

  • Leitthema
  • Published:
Der Ophthalmologe Aims and scope Submit manuscript

Zusammenfassung

Die Lasertrabekuloplastik ist eine einfache und komplikationsarme Behandlung eines Offenwinkelglaukoms oder einer okulären Hypertension. Zur Durchführung einer Lasertrabekuloplastik stehen derzeit verschiedene Lasersysteme zur Verfügung, die den Augeninnendruck senken. Die wichtigsten Komplikationen sind passagere Augeninnendrucksteigerungen, eine Begleitiritis oder vordere Synechierungen.

Abstract

Laser trabeculoplasty is a simple method for treating glaucoma and ocular hypertension and has few adverse effects. There are different laser systems for reducing the intraocular pressure of patients with glaucoma and ocular hypertension. Complications include transient intraocular pressure elevation, iritis, and anterior synechiae.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3

Literatur

  1. Alvarado JA et al (2005) A new insight into the cellular regulation of aqueous outflox: how trabecular meshwork endothelial cells drive a mechanism that regulates the permeability of Schlemm‘s canal endothelial cells. Br J Ophthalmol 89:1500–1505

    Article  CAS  PubMed  Google Scholar 

  2. Best UP et al (2007) Pressure reduction after selective laser trabeculoplasty with two different laser systems and after argon laser trabeculoplasty- a controlled prospective clinical trial on 284 eyes. Klin Monatsbl Augenheilkd 224(3):173–179

    Article  PubMed  Google Scholar 

  3. Damji KF et al (1999) Selective laser trabeculoplasty vs. argon laser trabeculoplasty. Br J Ophthalmol 83:718–722

    Article  CAS  PubMed  Google Scholar 

  4. Englert JA et al (1997) Argon versus Diode Laser Trabeculoplasty. Invest Ophthalmol Vis Sci 38:168

    Google Scholar 

  5. George MK et al (2008) Evaluation of a modified protocol for selective laser trabeculoplasty. J Glaucoma 17:197–202

    Article  PubMed  Google Scholar 

  6. Glaucoma Laser Trial Research Group (1989) The Glaucoma Laser Trial. I. Acute effects of argon laser trabeculoplasty on intraocular pressure. Arch Ophthalmol 107:1135–1142

    Google Scholar 

  7. Glaucoma Laser Trial Research Group (1995) The Glaucoma Laser Trial and Glaucoma Laser Trial Follow Up Study: 7. Results. Am J Ophthalmol 120:718–731

    Google Scholar 

  8. Gracner T (2001) Intraocular pressure response to selective laser trabeculoplasty in the treatment of primary open-angle glaucoma. Ophthalmologica 215:261–270

    Google Scholar 

  9. Gracner T et al (2006) Langfristige Nachbeobachtung der selektiven Lasertrabekuloplastik bei primärem Offenwinkelglaukom. Klin Monatsbl Augenheilkd 223:743–747

    Article  CAS  PubMed  Google Scholar 

  10. Gross RL et al (1987) Encapsulated bleb after trabeculektomy: A frequent complication. Clin Signs Ophthalmol 9:2–16

    Google Scholar 

  11. Harasymowycz PJ et al (2005) Selective laser trabeculoplasty (SLT) complicated by intraocular pressure elevation in eyes with heavily pigmented trabecular meshworks. Am J Ophthalmol 139:1110–1113

    Article  PubMed  Google Scholar 

  12. Janz NK et al (2001) Quality of life in diagnosed glaucoma patients. The Collaborative Initial Glaucoma Treatment Study. Ophthalmology 108:887–898

    Article  CAS  PubMed  Google Scholar 

  13. Kim YY et al (1998) Effect of topical antiinflammatory treatment on the long-term outcome of laser trabeculoplasty. Fluorometholone-Laser Trabeculoplasty Study Group. Am J Ophthalmol 126:721–723

    Article  CAS  PubMed  Google Scholar 

  14. Lanzetta P et al (1999) Immediate intraocular pressure response to selective laser trabeculoplasty. Br J Ophthalmol 83:29–32

    Article  CAS  PubMed  Google Scholar 

  15. Latina MA, Park C (1995) Selective targeting of trabecular meshwork cells: in vitro studies of pulsed and CW laser interactions. Exp Eye Res 60:359–371

    Article  CAS  PubMed  Google Scholar 

  16. Latina MA et al (1998) Q-switched 532-nm Nd:Yag laser trabeculoplasty (selective laser trabeculoplasty): a multi-center, pilot, clinical study. Ophthalmology 105:2082–2088

    Article  CAS  PubMed  Google Scholar 

  17. Latina MA et al (2005) Selective Laser Trabeculoplasty. Ophthalmol Clin North Am 18:409–419

    Article  PubMed  Google Scholar 

  18. Martinez-de la Casa JM et al (2004) Selective vs. Argon laser trabeculoplasty: hypotensive efficacy, anterior chamber inflammation, an postoperative pain. Eye 18:498–502

    Article  Google Scholar 

  19. McHugh D et al (1990) Diode laser trabeculoplasty (DLT) for primary open-angle glaucoma and ocular hypertension. Br J Ophthalmol 74:743–747

    Article  CAS  PubMed  Google Scholar 

  20. Mermoud A et al (1992) Inflammation patterns after laser trabeculoplasty measured with the laser flare meter. Arch Ophthalmol 110(3):368–370

    CAS  PubMed  Google Scholar 

  21. Moorman CM, Hamilton AM (1999) Clinical applications of the MicroPulse diode laser. Eye 13(Pt 2):145–150

    PubMed  Google Scholar 

  22. Moriarty AP et al (1993) Comparison of the anterior chamber inflammatory response to diode and argon laser trabeculoplasty using a laser flare meter. Ophthalmology 100(8):1263–1267

    CAS  PubMed  Google Scholar 

  23. Realini T (2008) Selective laser trabeculoplasty: a review. J Glaucoma 17(6):497–502

    Article  PubMed  Google Scholar 

  24. Reiss GR et al (1991) Laser trabeculoplasty. Surv Ophthalmol 35:407–428

    Article  CAS  PubMed  Google Scholar 

  25. Rouhiainen HJ et al (1987) Laser power and postoperative intraocular pressure increase in argon laser trabeculoplasty. Arch Ophthalmol 105:1352–1354

    CAS  PubMed  Google Scholar 

  26. Rouhiainen HJ et al (1988) Peripheral anterior synechiae formation after trabeculoplasty. Arch Ophthalmol 106:189–191

    CAS  PubMed  Google Scholar 

  27. Ruderman JM et al (1983) Effects of corticosteroid pretreatment on argon laser trabeculoplasty. Am J Ophthalmol 96:84–89

    CAS  PubMed  Google Scholar 

  28. Schwartz AL, Kopelman J (1983) Four-year experience with argon laser trabecular surgery in uncontrolled open-angle glaucoma. Ophthalmology 90:171–180

    Google Scholar 

  29. Schwartz LW et al (1983) Variation of techniques on the results of argon laser trabeculoplasty. Ophthalmology 90:781–784

    CAS  PubMed  Google Scholar 

  30. Shihadeh WA et al (2006) Hyphema occurring during selective laser trabeculoplasty. Ophthalmic Surg Lasers Imaging 37(5):432–433

    PubMed  Google Scholar 

  31. Thomas JV et al (1982) Argon laser trabeculoplasty in the pre-surgical glaucoma patient. Ophthalmology 89:187–197

    CAS  PubMed  Google Scholar 

  32. Traverso CE et al (1984) Formation of peripheral anterior synechiae following argon laser trabeculoplasty. A Prospective Study 102(6):861–863

    CAS  Google Scholar 

  33. Weinreb RN et al (1983) Influence of the number of laser burns administered on the early results of argon laser trabeculoplasty. Am J Ophthalmol 95:287–292

    CAS  PubMed  Google Scholar 

  34. Wise JB et al (1979) Argon laser therapy for open angle glaucoma: a pilot study. Arch Ophthalmol 97:319–322

    CAS  PubMed  Google Scholar 

  35. Zhao JC et al (2005) Argon versus selective laser trabeculoplasty in the treatment of open angle glaucoma. 45(4):97–106

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to T. Wacker.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wacker, T., Eckert, S. Behandlungsmethoden und Komplikationen der Lasertrabekuloplastik. Ophthalmologe 107, 13–17 (2010). https://doi.org/10.1007/s00347-009-2052-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00347-009-2052-8

Schlüsselwörter

Keywords

Navigation