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Laser treatment is an important way for the control of intraocular pressure (IOP) in glaucomous patient. Selective laser trabeculoplasty mainly target the pigment cells on the trabecular meshwork during the operation and therefore avoid the damage of adjacent tissue. The mechanism of selective laser trabeculoplasty is still below understanding. Studies have showed that, compared with argon laser trabeculoplasty or drug treatment, selective laser trabeculoplasty has similar effect on the control of IOP, and selective laser trabeculoplasty also plays lowing-IOP role on angle closure glaucoma and complicated glaucoma patients, such as glaucoma after penetrating keratoplasty or intraocular pressure elevation after intravitreal triamcinolone injection. The complication of selective laser trabeculoplasty includes the transient high IOP, but its adverse effect is curable. The procedure can be repeated if IOP control is poor. Selective laser trabeculoplasty would be more accepted in the future.
C.-K. Huang. Shantou University, Chinese University of HongKong Joint Shantou International Eye Center, Shantou 515041, China.
12.4 Laser trabeculoplasty and other laser treatment of the angle (Part of: 12 Surgical treatment)