PMID: 3574882Feb 1, 1987Paper

Neodymium:YAG laser trabeculopuncture in juvenile open-angle glaucoma

Ophthalmology
S MelamedD L Epstein

Abstract

The authors performed neodymium:YAG (Nd:YAG) laser trabeculopuncture (YLT) in eight eyes of six patients with uncontrolled juvenile open-angle glaucoma. Two methods of treatment were evaluated: either two confluent trabeculotomies, each 1 clock hour in extent; or focal treatment in four quadrants. In six eyes (75%), the intraocular pressure (IOP) was controlled (less than or equal to 19 mmHg) after a mean follow-up period of 6 +/- 2 months. All successful treatments were associated with blood reflux from the site of trabeculopuncture into the anterior chamber at the time of the procedure. Energy levels required for a single trabeculotomy (1 clock hour in extent) and for one focal trabeculopuncture, were 156 +/- 59 mJ and 42 +/- 24 mJ, respectively. The clinical results suggested that confluent trabeculotomy may be superior to focal treatment. No major complications were encountered with either treatment. The authors propose the use of YLT in uncontrolled juvenile glaucoma before surgically invasive goniotomy or filtration operations.

References

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Citations

Jan 1, 1991·Lasers in Surgery and Medicine·R A HillM W Berns
Jan 1, 1991·Lasers in Surgery and Medicine·S Melamed, D Neumann
Jan 1, 1993·Lasers in Surgery and Medicine·R A HillM W Berns
Jun 1, 1997·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·T S DietleinG K Krieglstein
Aug 1, 1993·International Ophthalmology·O KermaniG K Krieglstein
Aug 1, 1996·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·P C JacobiG K Krieglstein
Jan 17, 2009·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·T S DietleinG K Krieglstein
Mar 18, 1999·Ophthalmology·P C JacobiG K Krieglstein
Oct 12, 2000·Eye·P C JacobiG K Krieglstein
Mar 1, 1993·The British Journal of Ophthalmology·S MelamedM Belkin
Apr 18, 2009·Journal of Glaucoma·Helen H Yeung, David S Walton
Dec 11, 2008·Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye·Yaoming LiuRobert J Gordon
Mar 11, 2006·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Albert W Biglan
Sep 1, 2005·Experimental Eye Research·Sami ToyranDeepak P Edward
Aug 1, 1997·Experimental Eye Research·M L McHamN Wang
Sep 17, 1998·Lasers in Surgery and Medicine·T S DietleinG K Krieglstein
Aug 9, 2005·American Journal of Ophthalmology·Alexandros N StangosGordana Sunaric-Megevand
Feb 28, 2008·Optometry : Journal of the American Optometric Association·Joseph Sowka

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