CONVENTIONAL THERAPY for primary open-angle glaucoma usually commences with medical treatment, often followed by laser trabeculoplasty, and ultimately by incisional surgery when all else has failed. Demonstration by controlled clinical trials of favorable outcomes with laser trabeculoplasty1 or surgery 2,3 as initial treatment has only minimally influenced the order of this treatment paradigm in most clinical practices. Yet, the problem as to what is the appropriate treatment for patients with primary open-angle glaucoma continues to be debated, and proponents of drug therapy, laser trabeculoplasty, as well as incisional surgery as the initial treatment, can be found.4-6
Wilson MR. A New Role for Diode Laser Transscleral Cyclophotocoagulation? Arch Ophthalmol. 2001;119(3):424–425. doi:10.1001/archopht.119.3.424
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