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February 1990

Trabeculoplasty: Results That Can Mislead!-Reply

Author Affiliations

Jerusalem, Israel

Arch Ophthalmol. 1990;108(2):167-168. doi:10.1001/archopht.1990.01070040017010

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In Reply.  —We very much appreciate Dr Sommer's comments concerning our study, and agree that it lacks the merits of most retrospective studies. We admit that only patients followed up for 3 years after laser trabeculoplasty were included, and the cases had different durations of follow-up. Second eyes were included as well, and the drawbacks have been pointed out already in the discussion. Although these data were retrospective, we found this information to be of high importance and therefore it has been included.Concerning the glaucoma workup of patients, disc stereophotographs certainly provide better data; however, manual disc drawings with records of cup-disc ratios and nerve rim should be acceptable. Scotomas were detected by Goldmann perimetry and by the Armaly-Drance screening method. Those scotomas were followed up for enlargement kinetically as described.We do not believe that our article is provocative, since its results are in keeping with other 4

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