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October 1995

Is Laser Sclerostomy Surgery Ready for 'Prime Time'?

Author Affiliations

Baltimore, Md

Arch Ophthalmol. 1995;113(10):1243-1244. doi:10.1001/archopht.1995.01100100031022

There are many controversial areas within ophthalmology, and undoubtedly the field of glaucoma carries its lion's share. Consider filtration surgery as an area replete with debatable issues. The technique of conventional filtration surgery varies among surgeons, so comparing one series of patients with another becomes difficult. The differences in defining success adds another layer of complexity when comparing outcomes. It is particularly difficult to determine the usefulness of new procedures that can be performed using several different wavelengths, multiple approaches, and various choices of adjunctive medications to enhance the success of the technique. The term laser sclerostomy has a high-tech ring and may in the future be performed in every ophthalmic office in the country. However, is this procedure ready for "prime time" now? Is it ready for the first line of surgical intervention?

There are several approaches that we are lumping together within this term. There are internal and