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April 1992

Argon Laser Trabeculoplasty Controls One Third of Cases of Progressive, Uncontrolled, Open Angle Glaucoma for 5 Years

Author Affiliations

From the William and Anna Goldberg Glaucoma Service and Research Laboratories, Wills Eye Hospital—Jefferson Medical College, Philadelphia, Pa.

Arch Ophthalmol. 1992;110(4):491-494. doi:10.1001/archopht.1992.01080160069032

• Seventy-eight patients (109 eyes) with progressive glaucoma had argon laser trabeculoplasty as a substitute for filtration surgery and were then followed up for a minimum of 5 years. One hundred spots were placed at the anterior margin of the posterior trabecular meshwork over 360°. Consecutive cases between 1980 and 1985 were reviewed, 95% of treated cases being included in the final analysis. Eighty-two eyes had primary open angle glaucoma. If only the group with primary open angle glaucoma is considered, the failure rate the first year was 19%. After that, the failure rate was approximately eight per year. At the end of 5 years, 65% of all eyes had failed. At the end of 10 years, data were available on 84 of the original 109 treated eyes; in 80 treatment had failed, and four were still receiving medical therapy.

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