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NR 1-2/2004
SUPLEMENT
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Zastosowanie
laseroterapii w leczeniu jaskry
Laser therapy in the
treatment of glaucoma
Ariadna Gierek-Łapińska, Rafał
Leszczyński
Z Katedry i Kliniki Okulistyki ¦l±skiej Akademii Medycznej w
Katowicach
Kierownik: prof. dr hab. n. med. Ariadna Gierek-Łapińska |
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| Summary: |
Purpose: The paper
is presenting the possibility of laser surgery in the
treatment of glaucoma, new operations, and laser
equipment. In the treatment of primary open angle
glaucoma, argon laser was replaced by diode laser with
continuous wave and in recent years by Nd: YAG Q switch,
second harmonic 532nm. This laser allows
ophthalmologists for selective fotoablation of cells
with pigment in trabeculum without thermal effect. The
introduction of fibers to transport energy let us
increase accuracy and efficacy of laser therapy.
Application of excimer lasers 308nm enables to perform
trabeculectomy by internal (ELT) and deep sclerectomy.
After NPDS we sometimes have to use Q switch Nd: YAG for
goniopuncture, to prolong filtration function of
trabeculum – Descemet membrane. In primary angle closure
glaucoma the most often laser treatment is iridotomy and
gonioplasty. Laser cyclodestructive procedures almost
completely eliminated cyclodiathermy and
cyclokriotherapy, which were performed so far. The main
cyclophotocoagulative procedures are contact
transscleral cyclophotocogulation, transpupillary
cyclophotocoagulation and intraocular
cyclophotocoagulation.
Conclusions: 1. The introduction of lasers
enables safer, quicker and more effective antiglaucoma
operations. 2. New laser equipment increases efficacy of
so far performed laser surgery. 3. Laser surgery allows
for the resignation of patients hospitalization and
thereby enables to decrease the cost of treatment, and
to increase the comfort of patients. |
| Słowa kluczowe: |
jaskra, laseroterapia,
trabekuloplastyka |
| Key words: |
glaucoma, laser, therapy,
trabeculoplasty |
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