It can be used in patients with glaucoma that have already received a full treatment of ALT. First Name: This brief review will discuss proposed mechanisms of action for trabeculoplasty, describe the surgical technique and postoperative management, and review recent literature comparing these two modalities in terms of efficacy and safety profile.
The preoperative examination must include gonioscopic evaluation of the angle. The ALT procedure can also be performed with a diode laser.
In more lightly pigmented angles, initial energy can be set at 0. In general, serious risks are not common, however, you may want to discuss the benefits and risks with your doctor should you have any further questions.
At 6 months, IOP decreased by 4. The degree of trabecular meshwork pigmentation should be noted, as this may influence the initial energy level chosen for trabeculoplasty.
Contraindications are inflammatory, iridocorneal endothelial ICE syndrome, developmental, and neovascular glaucoma. Mean IOP reduction was 32. With these techniques, 91. USA Thailand India.
The follow-up thereafter will depend on the patient and doctor, but a commonly followed routine is 4-6 weeks later and then every 3-4 months.
The aiming beam is centered over the trabecular meshwork and straddles the entire TM.
Other complications seen with either form of trabeculoplasty, but which are popularly believed to occur more often with ALT although the literature does not show this to be true,  are low-grade iritis and the formation of PAS. After 5 years, 27. Sometimes the laser treatment can control pressure for up to 3 to 5 years.
The presence or absence of synechiae should be looked for, as synechiae may be a contraindication to the procedure. Microsurgical connection of blood supply is therefore not required, lowering costs and more importantly, reducing the risks of flap failure and necrosis.
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Most people experience minimal discomfort during the procedure. The information and recommendations appearing on these pages are informational only and is not intended to be a basis for diagnosis, treatment or any other clinical application. Plast Reconstr Surg.