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Excimer laser trabeculotomy (ELT) is a minimally invasive method for reducing intraocular pressure. It can be performed as a stand-alone procedure or in combination with cataract surgery in just a few minutes. Laser spots are applied in the anterior chamber angle via an endoscopic camera or a gonio lens. In contrast to argon laser trabeculoplasty, shunts between the anterior chamber and Schlemm's canal are prepared by a photoablative laser, thus improving the outflow of aqueous humour. Best results can be expected in patients with moderately elevated intraocular pressure and cataract undergoing the combined procedure.
Dr. S. Herdener, Universitäts-Augenklinik Freiburg, Killianstrasse 5, 79106 Freiburg, Germany. Sonja.Herdener@uniklinik-freiburg.de
12.4 Laser trabeculoplasty and other laser treatment of the angle (Part of: 12 Surgical treatment)