Trabeculoplasty is a minimally invasive surgical procedure used to treat glaucoma, a group of eye conditions that can lead to optic nerve damage and vision loss. This technique aims to reduce intraocular pressure by improving the outflow of aqueous humor, the fluid inside the eye. During trabeculoplasty, a specialized laser is directed onto the trabecular meshwork, a drainage system in the eye responsible for fluid drainage. There are two types of trabeculoplasty: argon laser trabeculoplasty (ALT) and selective laser trabeculoplasty (SLT). ALT employs thermal energy to treat the trabecular meshwork, while SLT uses short pulses of low-energy light to target specific cells, leaving surrounding tissues unharmed.By stimulating the trabecular meshwork cells, trabeculoplasty enhances fluid drainage, thereby reducing intraocular pressure. This procedure is often recommended when medications fail to effectively control glaucoma or as an initial treatment option, especially for open-angle glaucoma. Trabeculoplasty is generally considered safe and typically performed as an outpatient procedure. However, like any surgery, there are potential risks, including temporary inflammation, increased eye pressure, and in rare cases, long-term damage to the trabecular meshwork. Regular follow-ups with an ophthalmologist are necessary post-trabeculoplasty to monitor eye pressure and ensure the effectiveness of the procedure in managing glaucoma.
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