Document Detail

Follow-up of argon laser trabeculoplasty: is a day-one postoperative IOP check necessary?
MedLine Citation:
PMID:  8963854     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: To evaluate the benefit of measuring the intraocular pressure (IOP) on the first postoperative day after argon laser trabeculoplasty (ALT). PATIENTS AND METHODS: We retrospectively reviewed 407 ALT procedures with perioperative apraclonidine performed on 226 patients between January 1991 and December 1993. Data analyzed included type of glaucoma, extent of treatment, whether the procedure was initial or repeat, laser parameters, and IOP preoperatively and at 1 hour, 1 day, and 1 month postoperatively. RESULTS: The percentage of patients with an IOP rise of greater than 3 mm Hg at 1 hour, 1 day, and 1 month following ALT was 11.3%, 4.2%, and 5.2% respectively. The incidence of IOP elevations greater than 10 mm Hg was 2.2%, 1.0%, and 1.5% at 1 hour, 1 day and 1 month, respectively. Of 17 cases with an IOP elevation greater than 3 mm Hg at 1 day, four eventually required a trabeculectomy. However, there were no consistent factors that distinguished which cases with elevated IOP at 1 day ultimately needed further therapy, nor did the 1-day postoperative examination predict which patients would have IOP elevation at 1 month. CONCLUSION: IOP 1 day after ALT is rarely elevated and does not correlate with IOP elevation at 1 month. Therefore, an IOP check at 1 day is not felt to be necessary for most patients.
R A Mittra; R R Allingham; M B Shields
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ophthalmic surgery and lasers     Volume:  26     ISSN:  1082-3069     ISO Abbreviation:  Ophthalmic Surg Lasers     Publication Date:    1995 Sep-Oct
Date Detail:
Created Date:  1996-12-16     Completed Date:  1996-12-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9517132     Medline TA:  Ophthalmic Surg Lasers     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  410-3     Citation Subset:  IM    
Duke University Eye Center, Durham, NC 27710, USA.
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MeSH Terms
Adrenergic alpha-Agonists / therapeutic use
Clonidine / analogs & derivatives,  therapeutic use
Follow-Up Studies
Glaucoma / drug therapy,  physiopathology,  surgery*
Intraocular Pressure*
Laser Therapy*
Postoperative Care*
Retrospective Studies
Reg. No./Substance:
0/Adrenergic alpha-Agonists; 4205-90-7/Clonidine; 66711-21-5/apraclonidine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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