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Lasers have been used to treat glaucoma for nearly 35 years. Recently, the safety and efficacy of new laser techniques for the treatment of glaucoma are emphasized, such as selective laser trabeculoplasty (SLT), endoscopic cyclophotocoagulation(ECP), and laser trabecular ablation (LTA). SLT is a new method to reduce intraocular pressure in eyes with primary open-angle glaucoma. The laser are set to selectively target pigmented trabecular meshwork cells without visible damage to the adjacent non-pigmented tissue. SLT acts non-thermally and have a higher safety profile. ECP is a new method to directly photocoagulate the ciliary body under endoscopic guidance, which has become an increasingly important treatment for the refractory glaucoma. LTA is a procedure to create microperforations in the trabecular meshwork thereby establishing a direct passageway to Schlemm's canal, which spares the conjunctiva, and has shown some promising results. These recent developments in the use of laser in glaucoma treatment are reviewed. LA: Chinese
Dr. J. Sun, Eye Center, Tianjin Medical University, Tianjin 300070, China. tmuechong@sina.com
12.4 Laser trabeculoplasty and other laser treatment of the angle (Part of: 12 Surgical treatment)