Seventy-nine eyes (61 patients) with open-angle glaucoma and uncontrolled intraocular pressure (IOP) of 23 mmHg or more despite maximal tolerated medical therapy and prior argon laser trabeculoplasty (75 eyes) were treated with neodymium:YAG (Nd: YAG) laser angle surgery and followed for at least 1 year. Ten pulses of 10 mJ were applied to the midtrabecular meshwork over 40° in the most visible portion of the angle. The IOP was controlled successfully (≤22 mmHg) in 60 eyes (76%) 1 month after treatment and in 36 of 78 eyes (46%) 1 year after treatment. Long-term complications included two eyes with advanced glaucoma that lost central fixation despite good IOP control after treatment.
- laser angle surgery
- neodymium:YAG trabeculoplasty
- neodymium:YAG trabeculopuncture
ASJC Scopus subject areas