Zur Laserkoagulation des Trabekelwerkes beim primären Offenwinkelglaukom

Görne, M.; Utermann, D

doi:10.1055/s-2008-1054728

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…20% Reduzierung vom präkoagulatiyen Ausgangswert werden im aligemeinen als Erfolgskriterium bewertet (u. a. Görne et at. 1983;Grehn et a!.…”

Section: Wse 1987unclassified

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Langzeitresultate nach Argonlaser-Trabekuloplastik (ALT)

Oe¹,

Zink²

1988

Klin Monatsbl Augenheilkd

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Long-term follow-up findings after argon laser trabeculoplasty are communicated. The coagulation technique employed was that described by Wise and Witter (1979). The circumference of the chamber angle was coagulated over 360 degrees. The indications were chronic open-angle glaucoma, pseudoexfoliation glaucoma, pigmentdispersion glaucoma, glaucoma in aphakia, and glaucoma after ALT or fistulizing surgery with uncontrolled IOP. Glaucoma cases in which IOP exceeded 35 mm Hg were not treated by this method. Therapy was considered successful if a decrease in IOP to below 20 mm Hg was achieved. The difficulties of finding appropriate parameters for the success of glaucoma therapy are discussed. The percentages of normotonic eyes after ALT with a follow-up period of one to four years are reported and compared with results obtained by other authors. After one year, IOP was normal in 89.9% of 881 eyes (chronic open-angle glaucoma 94%, pigment-dispersion glaucoma 91%, pseudoexfoliation glaucoma 86%, glaucoma in aphakia 88%). After two years, it was normal in 72.6% of 237 eyes (chronic open-angle glaucoma 82%, pigment-dispersion glaucoma 50%, pseudoexfoliation glaucoma 53%, glaucoma in aphakia 75%). After three years, it was normal in 60.5% of 76 eyes (chronic open-angle glaucoma 72%, pigment-dispersion glaucoma 25%, pseudoexfoliation glaucoma 37%, glaucoma in aphakia 66%). After four years, it was normal in 95.4% of 128 eyes (chronic open-angle glaucoma 82%, pseudoexfoliation glaucoma 50%). The results of ALT therapy reported by other authors are similar. A decrease in efficiency, initially of 5% to 10% per year, is seen in eyes thus treated, which may necessitate fistulizing surgery.(ABSTRACT TRUNCATED AT 250 WORDS)

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“…20% Reduzierung vom präkoagulatiyen Ausgangswert werden im aligemeinen als Erfolgskriterium bewertet (u. a. Görne et at. 1983;Grehn et a!.…”

Section: Wse 1987unclassified

“…So wurden entweder die Glaukomformen in der Therapiebeurteilung getrennt bewertet; so z.B. bei: Bellows et al 1983;Bergea 1986;Demailly et al 1985;Eguchi et al 1985;Finnstrom 1985;Görne et at. 1983;Goldmann et al 1985;Grehn et at.…”

Section: Geht Man Von Höheren Präkoagulativenunclassified

Langzeitresultate nach Argonlaser-Trabekuloplastik (ALT)

Oe¹,

Zink²

1988

Klin Monatsbl Augenheilkd

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Argon Laser Trabeculoplasty and the Open‐angle Glaucomas

Goldberg

1985

Australian and New Zealand Journal of Ophthalmology

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Argon laser trabeculoplasty (ALT) was used to treat 237 eyes of 156 presurgical patients with various open-angle glaucomas. Patients with primary open-angle glaucoma formed the largest group; intraocular pressure (IOP) control judged clinically to be adequate was achieved in 77.3% of eyes. Eyes with pseudoexfoliative glaucoma demonstrated the greatest IOP reduction achieving control in 90.7%. Eyes with combined-mechanism glaucoma underwent argon laser iridectomy prior to ALT. One month after ALT the IOP was considered adequate in 70% of eyes. ALT may benefit eyes with low-tension glaucoma, pigmentary glaucoma and aphakic open-angle glaucoma. Treatment failures were frequent in eyes with angle recession and uveitis. Complications included IOP elevation (7.8%) and mild iritis; technique modifications minimized their frequency and intensity. ALT demonstrated an excellent benefit-to-risk ratio. Its effect additive to medications, ALT often permitted a reduction in the medical regimen, but rarely cessation of drug therapy. ALT is recommended as an alternative to drainage surgery.

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Zur Laserkoagulation des Trabekelwerkes beim primären Offenwinkelglaukom

Cited by 2 publications

References 2 publications

Langzeitresultate nach Argonlaser-Trabekuloplastik (ALT)

Langzeitresultate nach Argonlaser-Trabekuloplastik (ALT)

Argon Laser Trabeculoplasty and the Open‐angle Glaucomas

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