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Argon laser trabeculoplasty in narrow angle glaucoma.

Author: HitchingsR A, NagasubramanianS, WishartP K

Clinical TrialA clinical trial is a planned study conducted on humans to evaluate the efficacy and safety of pharmaceuticals, medical devices, and treatment methods. It aims to explore the possibilities of new treatments and improve the health of patients.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.

Overview

This study investigated the effectiveness of different treatments for narrow-angle glaucoma, a condition where the eye's drainage system is blocked. Patients were randomly assigned to receive either laser iridotomy (LI) or surgical iridotomy (PI), followed by laser trabeculoplasty (ALT), or ALT alone. The study found that ALT after PI or LI was not effective in controlling eye pressure or preventing vision loss. In fact, more than half of the patients who had ALT after PI or LI had further narrowing of the drainage angle. The study concludes that laser trabeculoplasty is not a suitable treatment for narrow-angle glaucoma, especially with existing vision loss, and that relief of the blockage alone may be more effective for early cases without vision loss.
Paper Details　
Original Abstract of the Article :
A prospective trial of argon laser trabeculoplasty (ALT) in narrow angle glaucoma (NAG) was undertaken. In eyes with NAG the mechanism of the glaucoma could be a combination of pupil block with subsequent irido-trabecular adhesion and trabecular damage with an increase in outflow resistance. To achi...See full text at original site
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引用元：
https://doi.org/10.1038/eye.1987.87

データ提供：米国国立医学図書館（NLM）

Argon Laser Trabeculoplasty: A Limited Role in Narrow Angle Glaucoma

Glaucoma is a serious eye condition that can lead to vision loss. This study investigates the effectiveness of argon laser trabeculoplasty (ALT) in treating narrow angle glaucoma (NAG), a type of glaucoma characterized by a narrow angle between the iris and the cornea. Imagine a camel trying to squeeze through a narrow desert canyon, ALT acts like a tool to widen the passage! The researchers compared the outcomes of ALT with other treatment options, such as iridotomy and peripheral iridectomy. They found that ALT was not effective in controlling intraocular pressure (IOP) or preventing vision loss in NAG. In fact, ALT often resulted in progressive closure of the anterior chamber angle, further worsening the condition.

ALT for NAG: A Limited Role in Controlling IOP

The study's findings suggest that ALT is not an effective treatment for narrow angle glaucoma. This approach often fails to control IOP and may even exacerbate the condition.

Protecting Your Vision: Understanding the Limitations of ALT

This study underscores the importance of choosing the right treatment based on the specific type of glaucoma. While ALT may be effective for other types of glaucoma, it is not recommended for NAG. Just as a camel navigates a desert landscape with caution, individuals with glaucoma should carefully consider treatment options with their healthcare providers.

Dr.Camel's Conclusion

The study demonstrates the limited effectiveness of argon laser trabeculoplasty in treating narrow angle glaucoma. This highlights the importance of careful consideration of treatment options and personalized approaches to managing glaucoma.

Date :
  1. Date Completed 1988-05-24
  2. Date Revised 2009-11-03
Further Info :

Pubmed ID

3446535

DOI: Digital Object Identifier

10.1038/eye.1987.87

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Article Analysis
・Effective treatment of glaucoma
SNS
PICO Info
in preparation
Languages

English

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