Pham Hung, Mansberger Steven, Brandt James D, Damji Karim, Ramulu Pradeep Y, Parrish Richard K
Devers Eye Institute, Portland, Oregon, USA.
Surv Ophthalmol. 2008 Nov-Dec;53(6):641-6. doi: 10.1016/j.survophthal.2008.08.020.
The clinical role of laser trabeculoplasty remains a controversial topic with many different opinions. In the following three viewpoints the authors have taken contrasting positions on whether argon laser trabeculoplasty remains the "gold standard" or has been supplanted by selective laser trabeculoplasty. Questions are raised regarding the position of laser trabeculoplasty within the stepping of the treatment paradigm for open-angle glaucoma. The appropriate use of laser trabeculoplasty at different stages of disease severity is analyzed. A broader perspective with new insights on laser trabeculoplasty from these articles will hopefully lead to a better understanding of its clinical role in practice.
激光小梁成形术的临床作用仍是一个存在诸多不同观点的争议性话题。在以下三种观点中，作者们对于氩激光小梁成形术是否仍是“金标准”或者已被选择性激光小梁成形术所取代持相反立场。关于激光小梁成形术在开角型青光眼治疗模式中的地位问题也被提出。文章还分析了在疾病严重程度的不同阶段激光小梁成形术的合理应用。希望这些文章中关于激光小梁成形术的更广阔视角和新见解能使人们更好地理解其在实际临床中的作用。
