Erichev V P, Poleva R P
Research Institute of Eye Diseases, 11A Rossolimo St., Moscow, Russian Federation, 119021.
Vestn Oftalmol. 2019;135(4):103-107. doi: 10.17116/oftalma2019135041103.
Laser trabeculoplasty is one of the methods used to decrease intraocular pressure (IOP) as part of comprehensive glaucoma treatment. Argon laser trabeculoplasty (ALT) and diode laser trabeculoplasty (DLT) are two of the most widely used laser trabeculoplasty techniques. The mechanism of its hypotensive action is based on the effect that laser emission photocoagulate has on trabecular meshwork and subsequent outflow facilitation, but the difference in wavelength and emission energy determine the difference in direct laser action and the features of postoperative clinical appearance. The efficacy of both methods has been verified in many studies; however, relatively few of them have made comparative analysis of the two techniques. The article reviews publications dedicated to comparing the efficacy of ALT and DLT, including their hypotensive effect, safety, as well as data on laser surgery tolerance and complications.
激光小梁成形术是综合青光眼治疗中用于降低眼压(IOP)的方法之一。氩激光小梁成形术(ALT)和二极管激光小梁成形术(DLT)是两种应用最为广泛的激光小梁成形术技术。其降压作用机制基于激光发射光凝对小梁网的作用以及随后房水流出的促进作用,但波长和发射能量的差异决定了激光直接作用的差异以及术后临床表现特征。两种方法的疗效已在许多研究中得到验证;然而,其中相对较少的研究对这两种技术进行了对比分析。本文回顾了致力于比较ALT和DLT疗效的相关文献,包括它们的降压效果、安全性以及激光手术耐受性和并发症的数据。