Trabecular precipitates and elevated intraocular pressure following argon laser trabeculoplasty.
Two patients with pseudoexfoliation glaucoma underwent argon laser trabeculoplasty for control of intraocular pressure. Within 1 month both patients developed elevated intraocular pressure associated with many large inflammatory precipitates on the trabecular meshwork detected only by gonioscopy. Treatment with topical steroids for 7 to 10 days resolved these precipitates and lowered the intraocular pressure. We believe our patients had severe trabeculitis occurring as a late reaction to argon laser trabeculoplasty. An increase in intraocular pressure following trabeculoplasty warrants careful gonioscopic examination; in fact we recommend routine gonioscopy for all patients after laser treatment.
Fiore
P M
PM
Glaucoma Consultation Service, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston.
Melamed
S
S
Epstein
D L
DL
D000368:Aged; D005901:Glaucoma / Q000601:surgery*; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure; D053685:Laser Therapy / Q000009:adverse effects*; D008297:Male; D013997:Time Factors; D014129:Trabecular Meshwork / Q000473:pathology*; D014130:Trabeculectomy / Q000009:adverse effects*; D014606:Uveitis, Anterior / Q000209:etiology