Laser trabeculoplasty for open-angle glaucoma: A report by the American academy of ophthalmology

John R. Samples, Kuldev Singh, Shan C. Lin, Brian A. Francis, Elizabeth Hodapp, Henry D. Jampel, Scott D. Smith

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

Objective: To provide an evidence-based summary of the outcomes, repeatability, and safety of laser trabeculoplasty for open-angle glaucoma. Methods: A search of the peer-reviewed literature in the PubMed and the Cochrane Library databases was conducted in June 2008 and was last repeated in March 2010 with no date or language restrictions. The search yielded 637 unique citations, of which 145 were considered to be of possible clinical relevance for further review and were included in the evidence analysis. Results: Level I evidence indicates an acceptable long-term efficacy of initial argon laser trabeculoplasty for open-angle glaucoma compared with initial medical treatment. Among the remaining studies, level II evidence supports the efficacy of selective laser trabeculoplasty for lowering intraocular pressure for patients with open-angle glaucoma. Level III evidence supports the efficacy of repeat use of laser trabeculoplasty. Conclusions: Laser trabeculoplasty is successful in lowering intraocular pressure for patients with open-angle glaucoma. At this time, there is no literature establishing the superiority of any particular form of laser trabeculoplasty. The theories of action of laser trabeculoplasty are not elucidated fully. Further research into the differences among the lasers used in trabeculoplasty, the repeatability of the procedure, and techniques of treatment is necessary. Financial Disclosure(s): Proprietary or commercial disclosure may be found after the references.

Original languageEnglish (US)
Pages (from-to)2296-2302
Number of pages7
JournalOphthalmology
Volume118
Issue number11
DOIs
StatePublished - Nov 2011
Externally publishedYes

Fingerprint

Trabeculectomy
Open Angle Glaucoma
Ophthalmology
Lasers
Disclosure
Intraocular Pressure
Argon
PubMed
Libraries
Language
Databases
Safety
Therapeutics
Research

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Samples, J. R., Singh, K., Lin, S. C., Francis, B. A., Hodapp, E., Jampel, H. D., & Smith, S. D. (2011). Laser trabeculoplasty for open-angle glaucoma: A report by the American academy of ophthalmology. Ophthalmology, 118(11), 2296-2302. https://doi.org/10.1016/j.ophtha.2011.04.037

Laser trabeculoplasty for open-angle glaucoma : A report by the American academy of ophthalmology. / Samples, John R.; Singh, Kuldev; Lin, Shan C.; Francis, Brian A.; Hodapp, Elizabeth; Jampel, Henry D.; Smith, Scott D.

In: Ophthalmology, Vol. 118, No. 11, 11.2011, p. 2296-2302.

Research output: Contribution to journalArticle

Samples, JR, Singh, K, Lin, SC, Francis, BA, Hodapp, E, Jampel, HD & Smith, SD 2011, 'Laser trabeculoplasty for open-angle glaucoma: A report by the American academy of ophthalmology', Ophthalmology, vol. 118, no. 11, pp. 2296-2302. https://doi.org/10.1016/j.ophtha.2011.04.037
Samples, John R. ; Singh, Kuldev ; Lin, Shan C. ; Francis, Brian A. ; Hodapp, Elizabeth ; Jampel, Henry D. ; Smith, Scott D. / Laser trabeculoplasty for open-angle glaucoma : A report by the American academy of ophthalmology. In: Ophthalmology. 2011 ; Vol. 118, No. 11. pp. 2296-2302.
@article{a11a2d58dce842c293e5e6fa87292de0,
title = "Laser trabeculoplasty for open-angle glaucoma: A report by the American academy of ophthalmology",
abstract = "Objective: To provide an evidence-based summary of the outcomes, repeatability, and safety of laser trabeculoplasty for open-angle glaucoma. Methods: A search of the peer-reviewed literature in the PubMed and the Cochrane Library databases was conducted in June 2008 and was last repeated in March 2010 with no date or language restrictions. The search yielded 637 unique citations, of which 145 were considered to be of possible clinical relevance for further review and were included in the evidence analysis. Results: Level I evidence indicates an acceptable long-term efficacy of initial argon laser trabeculoplasty for open-angle glaucoma compared with initial medical treatment. Among the remaining studies, level II evidence supports the efficacy of selective laser trabeculoplasty for lowering intraocular pressure for patients with open-angle glaucoma. Level III evidence supports the efficacy of repeat use of laser trabeculoplasty. Conclusions: Laser trabeculoplasty is successful in lowering intraocular pressure for patients with open-angle glaucoma. At this time, there is no literature establishing the superiority of any particular form of laser trabeculoplasty. The theories of action of laser trabeculoplasty are not elucidated fully. Further research into the differences among the lasers used in trabeculoplasty, the repeatability of the procedure, and techniques of treatment is necessary. Financial Disclosure(s): Proprietary or commercial disclosure may be found after the references.",
author = "Samples, {John R.} and Kuldev Singh and Lin, {Shan C.} and Francis, {Brian A.} and Elizabeth Hodapp and Jampel, {Henry D.} and Smith, {Scott D.}",
year = "2011",
month = "11",
doi = "10.1016/j.ophtha.2011.04.037",
language = "English (US)",
volume = "118",
pages = "2296--2302",
journal = "Ophthalmology",
issn = "0161-6420",
publisher = "Elsevier Inc.",
number = "11",

}

TY - JOUR

T1 - Laser trabeculoplasty for open-angle glaucoma

T2 - A report by the American academy of ophthalmology

AU - Samples, John R.

AU - Singh, Kuldev

AU - Lin, Shan C.

AU - Francis, Brian A.

AU - Hodapp, Elizabeth

AU - Jampel, Henry D.

AU - Smith, Scott D.

PY - 2011/11

Y1 - 2011/11

N2 - Objective: To provide an evidence-based summary of the outcomes, repeatability, and safety of laser trabeculoplasty for open-angle glaucoma. Methods: A search of the peer-reviewed literature in the PubMed and the Cochrane Library databases was conducted in June 2008 and was last repeated in March 2010 with no date or language restrictions. The search yielded 637 unique citations, of which 145 were considered to be of possible clinical relevance for further review and were included in the evidence analysis. Results: Level I evidence indicates an acceptable long-term efficacy of initial argon laser trabeculoplasty for open-angle glaucoma compared with initial medical treatment. Among the remaining studies, level II evidence supports the efficacy of selective laser trabeculoplasty for lowering intraocular pressure for patients with open-angle glaucoma. Level III evidence supports the efficacy of repeat use of laser trabeculoplasty. Conclusions: Laser trabeculoplasty is successful in lowering intraocular pressure for patients with open-angle glaucoma. At this time, there is no literature establishing the superiority of any particular form of laser trabeculoplasty. The theories of action of laser trabeculoplasty are not elucidated fully. Further research into the differences among the lasers used in trabeculoplasty, the repeatability of the procedure, and techniques of treatment is necessary. Financial Disclosure(s): Proprietary or commercial disclosure may be found after the references.

AB - Objective: To provide an evidence-based summary of the outcomes, repeatability, and safety of laser trabeculoplasty for open-angle glaucoma. Methods: A search of the peer-reviewed literature in the PubMed and the Cochrane Library databases was conducted in June 2008 and was last repeated in March 2010 with no date or language restrictions. The search yielded 637 unique citations, of which 145 were considered to be of possible clinical relevance for further review and were included in the evidence analysis. Results: Level I evidence indicates an acceptable long-term efficacy of initial argon laser trabeculoplasty for open-angle glaucoma compared with initial medical treatment. Among the remaining studies, level II evidence supports the efficacy of selective laser trabeculoplasty for lowering intraocular pressure for patients with open-angle glaucoma. Level III evidence supports the efficacy of repeat use of laser trabeculoplasty. Conclusions: Laser trabeculoplasty is successful in lowering intraocular pressure for patients with open-angle glaucoma. At this time, there is no literature establishing the superiority of any particular form of laser trabeculoplasty. The theories of action of laser trabeculoplasty are not elucidated fully. Further research into the differences among the lasers used in trabeculoplasty, the repeatability of the procedure, and techniques of treatment is necessary. Financial Disclosure(s): Proprietary or commercial disclosure may be found after the references.

UR - http://www.scopus.com/inward/record.url?scp=80255138880&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80255138880&partnerID=8YFLogxK

U2 - 10.1016/j.ophtha.2011.04.037

DO - 10.1016/j.ophtha.2011.04.037

M3 - Article

C2 - 21849211

AN - SCOPUS:80255138880

VL - 118

SP - 2296

EP - 2302

JO - Ophthalmology

JF - Ophthalmology

SN - 0161-6420

IS - 11

ER -