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Laser trabeculoplasty uses a very focused beam of light to treat the drainage angle of the eye. This surgery makes it easier for fluid to flow out of the front part of the eye, decreasing pressure in the eye.
There are two types of laser trabeculoplasty:
SLT uses a lower-power laser than ALT does.
For laser trabeculoplasty:
Some people feel some pressure in the eye during the surgery.
You may need to be checked by the doctor within 2 hours of the surgery. You will also need to see the doctor for a follow-up examination.
Laser trabeculoplasty may be used to treat glaucoma that gets worse even with medicine treatment. It may also help treat older adults who have glaucoma and can't use medicines to treat it.
Argon laser trabeculoplasty lowers the pressure in the eye about 75% of the time in people who haven't had surgery on that eye before.footnote 1 Research comparing ALT and the newer SLT has shown that SLT lowers pressure in the eye about the same or slightly better than ALT.footnote 2 People usually need to continue taking medicine after laser surgery to keep down the pressure in their eyes.
Control over the pressure inside the eye may decrease as time passes. Argon laser trabeculoplasty is often not effective when repeated. But experts believe that SLT may be repeated because it uses a lower level of laser and causes less scarring than ALT. SLT may be used if ALT fails to lower eye pressure. The results of repeated laser surgeries are less predictable than the results of the first surgery.
Complications of laser trabeculoplasty are rare. The most common complication of laser surgery for glaucoma is an increase in the pressure in the eyes. The pressure may be normal immediately after laser surgery and rise sharply within 1 to 4 hours after laser surgery. To prevent this problem, the doctor may put medicine in your eyes (such as apraclonidine or brimonidine) before or after laser surgery, especially in people with high intraocular pressure before laser surgery.
Other complications of laser surgery may include:
Decreased vision is usually a temporary problem unless there is a significant rise in the pressure inside the eye. Very high pressures inside the eye can lead to permanent vision loss.
CitationsAmerican Academy of Ophthalmology (2010). Primary Open-Angle Glaucoma (Preferred Practice Pattern). San Francisco: American Academy of Ophthalmology. Also available online: http://aao.org/ppp.Latina MA, et al. (2005). Selective laser trabeculoplasty. Ophthalmology Clinics of North America, 18: 409–419.
Current as of: August 31, 2020
Author: Healthwise Staff
Medical Review:Adam Husney MD - Family Medicine & E. Gregory Thompson MD - Internal Medicine & Christopher J. Rudnisky MD, MPH, FRCSC - Ophthalmology
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