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NR. 1/2008
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Laseroterapia w
jaskrze wtórnej torebkowej i barwnikowej
Laser Therapy in Secondary Capsular and Pigmentary Glaucoma
Agnieszka Jamrozy-Witkowska,
Jaromir Wasyluk, Iwona Grabska-Liberek
Oddzia³ Kliniczny Okulistyki Centrum Medycznego Kszta³cenia
Podyplomowego w Warszawie
Samodzielny Publiczny Szpital Kliniczny im. prof. W. Or³owskiego
w Warszawie
P.o. kierownik: dr hab. n. med. Iwona Grabska-Liberek |
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| Summary: |
Authors present modern
methods of laser treatment for pseudoexfoliation and
pigmentary glaucoma. Argon laser trabeculoplasty is
effective in intraocular pressure reduction with minimal
side effects. IOP reduction can be obtained in
approximately 70% and maintained in about 50% for
several years. In selective laser trabeculoplasty no
thermal damage to the trabecular meshwork architecture
occurs. It gives the opportunity to repeat this
procedure. SLT appears to be an effective method also in
patients treated previously with ALT. The anterior
chamber morphology and angle pigmentation in pigmentary
and pseudoexfoliation glaucoma seems to be perfect for
laser trabeculoplasty. This method allows to reduce the
amount of used antiglaucoma drugs and also to lower the
total cost of glaucoma therapy. This factors improve
quality of life. Laser peripheral iridotomy still remain
a treatment of choice in pupillary block. In pigmentary
glaucoma laser iridotomy can eliminate the reverse
puppillary block and make the iris move away from the
zonules. Cyclophothocoagulation is indicated for cases
where other forms of therapy have failed. |
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| Key words: |
capsular secondary
glaucoma, secondary pigmentary glaucoma, laser treatment,
trabeculoplasty, iridotomy. |
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